Reforma, equidad y eficiencia de los sistemas de salud en Latinoamérica. Un análisis para orientar la cooperación española. Informe SESPAS 2008

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

Ingrid Vargas Lorenzo, M. Luisa Vázquez Navarrete, Pilar De La Corte Molina, Amparo Mogollón Pérez, Jean Pierre Unger

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

Abstract

In 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.

Translated title of the contributionReform, equity and efficiency of the healthcare systems in Latin America. An analysis to inform the Spanish aid. 2008 SESPAS report
Original languageSpanish
Pages (from-to)223-229
Number of pages7
JournalGaceta Sanitaria
Volume22
Issue numberSUPPL. 1
DOIs
StatePublished - Apr 1 2008

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

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