Download or read book Hacia la cobertura universal en salud y la equidad en Am rica Latina y el Caribe written by Tania Dmytraczenko and published by World Bank Publications. This book was released on 2017-11-20 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: En las ultimas tres decadas, muchos pafses en America Latina y el Caribe han reconocido el tema de la salud como un derecho humano. Desde inicios de la decada del 2000, 46 millones de personas adicionales, de los pafses estudiados, gozan de la protecci6n de programas de salud con explfcitos derechos a recibir atenci6n. Las reformas han venido acompafiadas por un incremento en el gasto publico del sector salud, financiado en gran pa rte por los ingresos fiscales generales que priorizan o estan dirigidos explfcitamente hacia las poblaciones sin capacidad de pago. Los compromisos polfticos se han traducido en general en presupuestos mas elevados yen leyes aprobadas que circunscriben los fondos destinados al sector salud. En la mayorfa de los pafses se ha priorizado la atenci6n primaria en salud por su costo efectividad y han adoptado metodos de adquisici6n que incentivan la eficiencia y la transparencia en los resultados y que les dan a los administradores del sector salud un mayor apalancamiento para dirigir a los proveedores hacia la . consecuci6n de las prioridades de salud publica. Sin embargo, a pesar de los avances. aun subsisten las disparidades en el financiamiento y calidad de los servicios de los subsistemas de salud. Cumplir con el compromiso de la cobertura universal de salud exigira esfuerzos concertados para mejorar la generaci6n de los ingresos fiscales de manera sostenible y de elevar la productividad y efectividad del gasto. En el re po rte Hacia la cobertura universal en salud v la equidad en America Latina v el Caribe: Evidencia de poises seleccionados. los autores sefialan que la evidencia tomada de un analisis de 54 encuestas de hogares corrobora que las inversiones en la ampliaci6n de la cobertura estan generando resultados. A pesar que los pobres aun presentan los peores fndices de salud en comparaci6n con los ricos, las disparidades se han reducido en gran medida, especialmente durante las primeras etapas de vida. Los pafses han alcanzado elevados niveles de cobertura y equidad en la utilizaci6n de los servicios de salud maternoinfantil. El panorama se torna mas lleno de matices y no tan positivo cuando se trata de la salud en adultos y de la prevalencia de condiciones y enfermedades cr6nicas. La cobertura de las intervenciones de enfermedades no transmisibles no es muy alta y la utilizaci6n de los servicios se inclina hacia aquellos que gozan de una mejor posici6n. La prevalencia de las enfermedades no transmisibles no ha mostrado el comportamiento esperado en vista de la cafda en las tasas de mortalidad: un mayor acceso a los servicios de diagn6stico por pa rte de los segmentos mas ricos podrfa encubrir cambios en la prevalencia real. Los gastos de salud provocados por situaciones catastr6ficas han ido en descenso en la mayorfa de los pafses. El panorama en torno a la equidad, sin embargo es mixto, apuntando hacia limitaciones en la medida. Si bien la tasa de empobrecimiento a causa de gastos de salud es baja, con tendencia decreciente en terminos generales, entre dos y cuatro millones de personas en los pafses estudiados aun caen por debajo de la lfnea de la pobreza despues de haber incurrido en gastos de salud. Los esfuerzos para darle un seguimiento sistematico a la calidad de la atenci6n en la region, apenas dan sus primeros pasos. Sin embargo, un repaso a la literatura revela graves deficiencias en la calidad de la atenci6n de salud, asi como sustanciales diferencias entre los diversos subsistemas. Elevar la calidad de la atenci6n y asegurar la sostenibilidad de las inversiones en salud siguen siendo una agenda inconclusa.
Download or read book N mero Especial Sobre Reforma Del Sector de la Salud written by PAHO. and published by Pan American Health Org. This book was released on 2014-06-30 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: The newest issue of the Revista Panamericana de Salud Publica/Pan American Journal of Public Health is devoted entirely to the subject of health sector reform in North, Central, and South America and the Caribbean. The special, 150-page double issue of Ju
Download or read book Inequity of Avoidable Mortality written by Javier Hernando Eslava Schmalbach and published by Facultad de Medicina. Universidad Nacional de Colombia. This book was released on 2022 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents the research results obtained by Grupo de Equidad en Salud (Health Equity Group), in relation to the development of an indicator of inequity in avoidable mortality, consisting of a methodology that allows knowing, in a consolidated way, the state of the inequality in avoidable mortality based on the variants included in the development of the indicator itself; also, an analysis of global and local data allows realistically understanding the dimension of the problem in both contexts. This book provides additional elements of analysis in order to assess the inadequate role of health systems in solving the most sensitive problems affecting vulnerable populations. On the other hand, conceptual elements around the issue of inequity, as well as the results of a systematic review of the literature related to the different ways of measuring disparities, gaps or inequities in health, are presented here to help the reader approach the development of new conceptual or measurement proposals. This book is intended to contribute to the understanding of the issue, and to encourage joint solutions to avoidable problems of high social cost.
Download or read book Reassembling Social Security written by Carmelo Mesa-Lago and published by Oxford University Press. This book was released on 2008-01-31 with total page 480 pages. Available in PDF, EPUB and Kindle. Book excerpt: The reform of social security pensions and healthcare is a key issue for the modern world, and in many ways Latin America has acted as a social laboratory for the reform of these systems. This is the first book to comprehensively study these influential reforms in Latin America's pension and health care systems.
Download or read book Health Networks in Action written by Pinto, Diana M. and published by Inter-American Development Bank. This book was released on 2020-09-14 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrated Health Service Delivery Networks (IHSDN) based on primary health care (PHC) are the most promising solution for health systems to satisfy the health needs of the population and to address access, efficiency, quality and equity challenges faced by health systems of the world. PHCs essential attributes (people and family centered care, comprehensiveness, continuity, longitudinality) position this approach as one of the key strategies for countries to meet the aspiration of achieving universal health coverage. Creating care networks has been a common thread running through Latin America and the Caribbeans health policy agendas. In terms of actually putting the IHSDN model in action, there is a wide range of interpretations and experiences, with designs, scales, organizational methods, and maturity levels that vary within and between countries. This book shares evidence of the progress made in forming and launching IHSDN in Latin America based on four case studies conducted in Argentina, Brazil, Colombia, and Mexico. The results were found by systematically applying an instrument that collects regional information on the context and features of the IHSDNs governance, funding, care models, and IHSDN management models. The books chapters describe the characteristics of IHSDN in the four studied countries, lessons are drawn from how these IHSDN have been designed and implemented, challenges for the future are identified and recommendations are provided on what will it take to consolidate the IHSDN model in Latin America. The hypothetical story of Dioselina, illustrates throughout the book the obstacles and difficulties that arise for a diabetic patient when using health services that are not people-centered. The results shed light on how prepared IHSDN in this region are to provide patient-centered care and where to focus efforts for improvement. The evidence found in this study will help develop and advance PHC in Latin America.
Download or read book Acceso a Los Servicios de Salud en El Marco Del TLC written by Julio Arboleda-Flórez and published by Pan American Health Org. This book was released on 1999 with total page 394 pages. Available in PDF, EPUB and Kindle. Book excerpt: The North American Free Trade Agreement (NAFTA) may not imply changes in the immigration laws of its signatories, but it will make it easier for people to move freely among Canada, Mexico, and the United States. One of the concerns arising from NAFTA involves meeting the health care needs of people who move from one member country to another. The publication analyzes the legal implications of the access to health care by individuals from NAFTA countries who are temporarily working or residing in another member country. The book compares the health systems of Canada, the United States, and Mexico, focusing on their principles and objectives, legal framework, institutional structure, operational modalities, and outcomes. Detailing the similarities and differences among the systems of these three countries, this publication attempts to anticipate the treaty's potential benefit or detriment to access to health care services and examines the expectations and concerns that free trade generates in this respect.
Download or read book Four Worlds of the Welfare State in Latin America written by Ilán Bizberg and published by Springer Nature. This book was released on with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book An Opportunity for a Different Peru written by Marcelo Giugale and published by World Bank Publications. This book was released on 2007 with total page 860 pages. Available in PDF, EPUB and Kindle. Book excerpt: For the first time in the republican history of Peru, the presidential transition takes place in democracy, social peace, fast economic growth and favorable world markets. In other words, there has never been a better chance to build a different Peru - a richer country, more equal and governable. There are multiple ways to achieve that goal. New reforms must stem from a widespread and participatory debate, one of a common vision conceived for and by Peruvians. This book aims at making a technical and independent contribution to such debate; it summarizes the knowledge available about the challenges to be faced by the new administration. The study does not recommend silver bullets, but suggests policy options. It is based on the analysis of the current reality and in six decades of relationships with Peru, in which the Bank has implemented more than 100 projects and prepared more than 500 technical reports covering the wide range of development topics. When necessary, the study provides lessons that the Bank has learned elsewhere. The study provides a conceptual framework to the analysis of the country's 34 economic sectors and the two historical perspectives behind them. In doing so, it offers a comprehensive reform agenda that sheds light on possible priorities and courses of action.
Download or read book Bounded Rationality and Policy Diffusion written by Kurt Weyland and published by Princeton University Press. This book was released on 2009-02-09 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: Why do very different countries often emulate the same policy model? Two years after Ronald Reagan's income-tax simplification of 1986, Brazil adopted a similar reform even though it threatened to exacerbate income disparity and jeopardize state revenues. And Chile's pension privatization of the early 1980s has spread throughout Latin America and beyond even though many poor countries that have privatized their social security systems, including Bolivia and El Salvador, lack some of the preconditions necessary to do so successfully. In a major step beyond conventional rational-choice accounts of policy decision-making, this book demonstrates that bounded--not full--rationality drives the spread of innovations across countries. When seeking solutions to domestic problems, decision-makers often consider foreign models, sometimes promoted by development institutions like the World Bank. But, as Kurt Weyland argues, policymakers apply inferential shortcuts at the risk of distortions and biases. Through an in-depth analysis of pension and health reform in Bolivia, Brazil, Costa Rica, El Salvador, and Peru, Weyland demonstrates that decision-makers are captivated by neat, bold, cognitively available models. And rather than thoroughly assessing the costs and benefits of external models, they draw excessively firm conclusions from limited data and overextrapolate from spurts of success or failure. Indications of initial success can thus trigger an upsurge of policy diffusion.
Download or read book Los grandes problemas de M xico Crecimiento econ mico y equidad T IX written by Nora Lustig and published by El Colegio de Mexico AC. This book was released on 2010 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: A setenta años de su fundación, El Colegio de México publica esta serie de dieciséis volúmenes, titulada Los grandes problemas de México, en la que se analizan los mayores retos de la realidad mexicana contemporánea, con el fin de definir los desafíos que enfrentamos en el siglo XXI y proponer algunas posibles respuestas y estrategias para resolver nuestros problemas como nación. Serie: Los grandes problemas de México. Vol. IX Crecimiento económico y equidad, se propone analizar los efectos que han tenido las reglas y políticas macroeconómicas sobre la volatilidad y la tasa de crecimiento del producto y, en un sentido más amplio, el impacto de las políticas públicas sobre la desigualdad y la pobreza. En su conjunto, los diez capítulos de este volumen están dedicados al análisis de los factores que explican el bajo crecimiento de la economía mexicana y los alcances de las reformas en términos de competitividad, equidad, estabilidad macroeconómica y sustentabilidad.
Download or read book Latin America written by Manuel Riesco and published by Springer. This book was released on 2007-03-14 with total page 433 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 21st century Latin American developmental welfare state model is based on a new public-private alliance, where state-led developmental social policy relies for its implementation mainly on proactive, emerging regional entrepreneurs and a growing middle class. This volume illustrates where innovative development strategy may be in the making.
Download or read book Health and Development written by A. Gatti and published by Springer. This book was released on 2008-12-18 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is growing awareness of the relationship between health and development. Is good health a consequence or a pre-requisite of country development? How does the long term impact of different diseases affect economic development? This book provides readers with a closer understanding of the role of international organizations in the health arena.
Download or read book The Palgrave International Handbook of Healthcare Policy and Governance written by E. Kuhlmann and published by Springer. This book was released on 2016-01-18 with total page 696 pages. Available in PDF, EPUB and Kindle. Book excerpt: Starting with more general issues of healthcare policy and governance in a global perspective and using the lens of national case studies of healthcare reform, this handbook addresses key themes in the debates over changing healthcare policy.
Download or read book De Cobitos Jaibas y Lambe Ojos Sobre La Personalidad Colonizada en Puerto Rico written by Guillermo González and published by Palibrio. This book was released on 2012-01-11 with total page 285 pages. Available in PDF, EPUB and Kindle. Book excerpt: Historia nacional, personalidad y sus interacciones de esto trata este libro. La pregunta que les hago a través de todo el libro es ¿puede el individuo escapar fácilmente de su contexto histórico, socioeconómico y actuar como si hubiese nacido en otro país? Algunos asocian la manera der ser de los individuos con su herencia familiar. Pocos ven conexión de la personalidad con su contexto histórico e historia. Con este libro espero demostrarles a todos que 517 años de colonización han transformado a los puertorriqueños en colonizados. Este tipo de personalidad los mantiene atrapados como sumisos y subordinados colonizados; todos en una lucha fratricida. Lucha donde unos defi enden al colonizador español; otros al norteamericano. Sus luchas son irracionales y pasionales impidiendo el saludable desarrollo de la verdadera identidad individual y nacional Puertorriqueña.
Download or read book Evaluaci n Y Mejora Del Desempe o de Los Sistemas de Salud en la Regi n de Las Am ricas written by Pan American Health Organization and published by Pan American Health Org. This book was released on 2001 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dated December 2001.
Download or read book Contemporary Issues in Global Business written by Dr. B. Sowmya Satish and published by Archers & Elevators Publishing House. This book was released on with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Revista de An lisis Econ mico written by and published by . This book was released on 1993 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt:
