Download or read book An lisis de la Reforma de Los Sistemas de Salud written by Blanca Myriam Chavez G and published by Ewe Editorial Acad MIA Espa Ola. This book was released on 2011-12 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: La investigacion consiste en analizar la reforma de los sistemas de salud de Colombia y Costa Rica en el periodo de 1990 -2008, mediante una investigacion cualitativa con la metodologia de comparacion entre paises (Cross National). Con manejo sistematico de datos comparados de los dos paises y con la estrategia de analisis de variables y analisis de casos. Los resultados muestran similitud en la conformacion politico administrativa de los paises y en las directrices impartidas por organismos financieros internacionales para la reforma del sector salud. Las diferencias estan dadas por la decision politica de los gobiernos y la participacion o no de la sociedad en el proceso de discusion y reforma de los sistemas de salud. Se concluye que hay consistencia y consolidacion de la propuesta politica de reforma del sistema de salud en Costa Rica contrario al sistema de salud colombiano."

Download or read book Para corregir las deformidades la razon de la reforma de los sistemas de salud written by Luis Duran A. and published by . This book was released on 1997 with total page 27 pages. Available in PDF, EPUB and Kindle. Book excerpt: Este trabajo busca ir mas alla de las criticas "tradicionales" al modelo general de reforma que se implanta en la mayoria de los paises que han iniciado este proceso. Para empezar se discute si es cierto que los sistemas de salud que tenemos en los distintos paises son efectivos. Por lo tanto, si es posible trascender las preocupaciones de caracter politico que se refieran a la posibilidadcde que el proceso de reforma termine en una simple deformacion del sistema actual, sin una ganancia real para la sociedad (...) De esta manera la propuesta considera en primer lugar que los sistemas actuales de salud estan deformandos de origen, ya que su surgimiento, origen y desarrollo ha respondido mas a los intereses de los proveedores y de importantes grupos de presion, que a las necesidades de salud de las poblaciones. Para ilustrar esta propuesta se analizan la condicion actual y las deformidades del sistea de salud mexicano. Se hace especial enfasis a la relacion entre necesidades, demanda y ofertas de servicios de salud, asi como a los desbalances resultantes. Con base en esta discusion se analizan las propuestas del modelo general de la reforma en los estados Unidos de America y se aplican al analisis de los principios filosoficos y las propuestas principales que permean el programa de reforma en los paises en vias de desarrollo. Finalmente, con base en este analisis, se discuten inicialmente los principios filosoficos y la estructura conceptual que deberian guiar una vision alternativa de la reforma de los sistemas de salud (AU).

Download or read book Hacia la reforma del sistema de salud Una propuesta estrategica written by Julio Frenk and published by . This book was released on 1994 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contiene material preliminar que forma parte de un estudio realizado por la Fundacion Mexicana para la Salud, donde se aborda una propuesta estrategica que reforme el actual Sistema de Salud, a traves de los siguientes capitulos: I. Introduccion II. +Que es una reforma en salud? Los niveles de las politicas III. Lineas estrategicas y recomendaciones Linea Estrategica 1. Vincular estrechamente a la salud con el desarrollo economico y social Linea Estrategica 2. Consolidar un Sistema Universal de Salud Linea Estrategica 3. Organizar el sistema de salud de acuerdo a funciones y no a grupos sociales Linea Estrategica 4. Aplicar la reforma del Estado y del gobierno al ambito de la salud Linea Estrategica 5. Mejorar el rendimiento del esfuerzo social en materia de salud, mediante la definicion explicita de prioridades Linea Estrategica 6. Orientar a los prestadores de servicios hacia el desempeno de alta calidad y la satisfaccion de la poblacion Linea Estrategica 7. Fortalecer la capacidad de respuesta del sistema de salud Linea Estrategica 8. Establecer un Pacto Social por la Salud IV. Los siguientes pasos: fases de la reforma V. Una mirada hacia el futuro(AU).

Download or read book Sistema de informacion y analisis sobre reforma del sector salud SINAR written by Organizacion Panamericana de la Salud and published by . This book was released on 1998 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Las reformas del sistema de salud y de la seguridad social en salud analisis comparativo de la ley 10 90 la constitucion de 1991 y las leyes 60 y 100 de 1993 written by Ivan Jaramillo Perez and published by . This book was released on 1994 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: CONTENIDO Presentacion del tema.__ Primera parte: Marco legal.__ Las tendencias en la reforma.__ El reordenamiento del modelo de atencion.__ Reestruturacion de la oferta de servicios.__ Reestruturacion de la demanda del servicio.__ Segunda parte: Areas especificas de regulacion.__ Descentralizacion y la distribucion de competencias.__ La autonomia hospitalaria y la gerencia en las IPS.__ Las IPS privada.__ La participacion comunitaria.__ Distribucion de recursos.__ La administracion de personal.__ El plan obligatorio de salud vs modelo de salud.__ Las empresas promotoras de salud y el fondo de compensacion y garantia.__ Conclusiones.

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 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 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 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 239 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 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 Reassembling Social Security written by Carmelo Mesa-Lago and published by OUP Oxford. This book was released on 2008-01-31 with total page 481 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. From the reforms that took place in Chile in 1981, most pension and health care systems in the region have seen reform, and been fully or partially privatized. Many other countries considering reform of their own systems have been influenced by the policies implemented in Latin America. Yet despite the importance and influence of these reforms, until now there has not been an integrated and comprehensive analysis of the changes and their effects. This book is the result of four years of painstaking work, data collection, field research and international collaboration, and so fills the vacuum in the literature with a systematic comparison of pension and healthcare reforms in the 20 Latin American countries. It identifies reform models, and elaborates taxonomies to facilitate their understanding and comparison. Some key features of the reforms to emerge are: labour force and population coverage, equity and solidarity, sufficiency and quality of benefits, state regulation, competition and degree of privatization, efficiency and administrative costs, social participation in management, financing sources and long-term sustainability. Effects of the reforms on social security principles are measured based on recent standardized statistics and other information. Goals or assumptions of the reforms are contrasted with actual outcomes, and the pros and cons of private versus private provision assessed. Detailed policy recommendations are offered to correct current problems and improve pension and healthcare systems. This is the first book to comprehensively study these influential reforms in Latin America's pension and health care systems, and as such will be of importance to academics and researchers interested in social security and welfare policy, pensions, health care, and public policy; Social security, pension, and health care policy-makers; And social security, pension, and health care consultants and practitioners. Published in association with PAHO

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 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 Health and Development written by A. Gatti and published by Springer. This book was released on 2008-12-18 with total page 291 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 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 Latin America written by Manuel Riesco and published by Springer. This book was released on 2007-03-14 with total page 447 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.