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Reform, equity and efficiency of the healthcare systems in Latin America. An analysis to inform the Spanish aid. 2008 SESPAS report

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dc.creatorLorenzo I.V.spa
dc.creatorNavarrete M.L.V.spa
dc.creatorMolina P.D.L.C.spa
dc.creatorPérez A.M.spa
dc.creatorUnger J.P.spa
dc.date.accessioned2020-05-26T00:08:48Z
dc.date.available2020-05-26T00:08:48Z
dc.date.created2008spa
dc.description.abstractIn the 1990s, international financial multilateral agencies promoted changes in the way health systems were financed and organized. Three decades later, equity and efficiency are still central problems of the health systems in developing countries. The present article focuses on the health sector reforms introduced in Latin America in order to draw policy lessons for Spanish aid. One of those reforms, the introduction of competition in health insurance management and provision and the increase of private sector participation - managed competition-, was widely promoted, despite the lack of empirical evidence and the opposition from public and scientific sectors. Years after its implementation, health system financing is still inequitable and access to health services is far from universal and adequate due to the barriers imposed by insurers, among other reasons. Moreover, segmentation in healthcare provision and inefficiency persist in healthcare systems that are expensive to manage. The Spanish state, currently undergoing a process of transformation of its aid model, should focus its efforts on redressing international agencies' policies toward strengthening public health systems in the region and, at the same time, toward improving the quantity and quality of aid at country level, favoring the leadership of receiving countries.eng
dc.format.mimetypeapplication/pdf
dc.identifier.issn2139111
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/24115
dc.language.isoengspa
dc.relation.citationEndPage229
dc.relation.citationIssueNo. SUPPL. 1
dc.relation.citationStartPage223
dc.relation.citationTitleGaceta Sanitaria
dc.relation.citationVolumeVol. 22
dc.relation.ispartofGaceta Sanitaria, ISSN:2139111, Vol.22, No.SUPPL. 1 (2008); pp. 223-229spa
dc.relation.urihttps://app.dimensions.ai/details/publication/pub.1040540977spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordHealth care deliveryspa
dc.subject.keywordHealth care policyspa
dc.subject.keywordHumanspa
dc.subject.keywordInternational cooperationspa
dc.subject.keywordReviewspa
dc.subject.keywordSocial justicespa
dc.subject.keywordSouth and central americaspa
dc.subject.keywordSpainspa
dc.subject.keywordStandardspa
dc.subject.keywordDelivery of health carespa
dc.subject.keywordHealth care reformspa
dc.subject.keywordHumansspa
dc.subject.keywordInternational cooperationspa
dc.subject.keywordLatin americaspa
dc.subject.keywordSocial justicespa
dc.subject.keywordSpainspa
dc.subject.keywordEfficiencyspa
dc.subject.keywordEquityspa
dc.subject.keywordHealthcare reformsspa
dc.subject.keywordInternational aidspa
dc.subject.keywordLatin americaspa
dc.subject.keywordManaged competitionspa
dc.titleReform, equity and efficiency of the healthcare systems in Latin America. An analysis to inform the Spanish aid. 2008 SESPAS reportspa
dc.title.TranslatedTitleReforma, equidad y eficiencia de los sistemas de salud en Latinoamérica. Un análisis para orientar la cooperación española. Informe SESPAS 2008spa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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