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Author : International Development Research Centre (Canada)
Publisher : IDRC
Page : 292 pages
File Size : 52,5 Mb
Release : 2000
Category : Electronic books
ISBN : 9780889369238
Reshaping Health Care in Latin America: A Comparative Analysis of Health Care Reform in Argentina, Brazil, and Mexico
Author : Peter Lloyd-Sherlock
Publisher : University of London Press
Page : 220 pages
File Size : 48,8 Mb
Release : 2000
Category : Business & Economics
ISBN : UOM:39015055087897
Most Latin American countries are now attempting the radical reform of their healthcare financing and delivery systems. In many cases, these reforms complement and contribute to broader neo-liberal orthodoxies of economic and social reform. Key strategies include decentralising hospital administration and the promotion of private health insurance. However, experiences across the region are quite diverse, and countries such as Cuba persist with a system of healthcare based on very different principles. This book identifies key problems facing healthcare systems in the region and evaluates the reforms that have been implemented to date. It pays particular attention to problems of implementation and the impact that changes to health policy are having on poor and vulnerable groups.
Author : Anonim
Publisher : Unknown
Page : 152 pages
File Size : 40,7 Mb
Release : 1993
Category : Health care reform
ISBN : UTEXAS:059173001785480
Author : William Jack
Publisher : World Bank Publications
Page : 56 pages
File Size : 54,7 Mb
Release : 2000
Category : Argentina - Salud
ISBN : 8210379456XXX
Argentina, Brazil, Chile, and Colombia have reformed the ways health insurance and health care are organized and delivered, have extended formal coverage to previously marginalized groups, and have tried to finance this extension fairly. Each has reformed health insurance differently.
Author : Shiri Noy
Publisher : Springer
Page : 241 pages
File Size : 53,7 Mb
Release : 2017-09-18
Category : Social Science
ISBN : 9783319617657
This book addresses the puzzle of why the World Bank was unable to effect sweeping neoliberal health reforms in Latin America from the 1980s onward. Through the use of quantitative regional data together with interview and archival data collected during fieldwork in Argentina, Costa Rica, Peru, and Washington DC, this book argues that the answer to this puzzle is twofold. First, the World Bank has not promoted a uniformly neoliberal, monolithic agenda in health. Second, countries’ autonomy and capacity in this sector shape how the World Bank is involved in reforms. Finally, the book distinguishes neoliberal ends from means in health sector reform and traces changes in “banking on health” over time.
Author : William Jack
Publisher : Unknown
Page : 51 pages
File Size : 52,9 Mb
Release : 2016
Category : Electronic
ISBN : OCLC:1290704786
Argentina, Brazil, Chile, and Colombia have reformed the ways health insurance and health care are organized and delivered, have extended formal coverage to previously marginalized groups, and have tried to finance this extension fairly. Each has reformed health insurance differently.Jack examines public economics rationales for public intervention in health insurance markets, draws on the literature of organizational design to examine alternative intervention strategies, and considers health insurance reforms in four Latin American countries - Argentina, Brazil, Chile, and Colombia - in light of the theoretical literature.Equity has been the main reason for large-scale public intervention in the health insurance sector, despite the well-known failures of insurance and health care markets associated with imperfect information.Recent reforms have sought less to make private markets more efficient than to make public provision more efficient, sometimes by altering the focus and function of existing institutions (such as the obras sociales in Argentina) or by encouraging the growth of new ones (such as Chile's ISAPREs).Generally, these four Latin American countries have reformed the ways insurance and care are organized and delivered, have tried to extend formal coverage to previously marginalized groups, and have tried to finance this extension fairly.Colombia instituted an implicit two-tiered voucher scheme financed through a proportional wage tax.Chile's financing mechanism is similar but the distribution of benefits is less progressive, so the net effect is less redistributive.Argentina's remodeled obras system went halfway: the financing base is similar and there is some implicit redistribution from richer to poorer obras, but the quality of insurance increases with income.On the face of it, Brazil's health insurance system is less redistributive than those of the other three countries, as no tax is earmarked for financing health insurance. But taxes paid by higher-income taxpayers are not reduced when they choose private insurance, highlighting the problem of examining the health sector independent of the general tax and transfer system.This paper - a product of Public Economics, Development Research Group - was prepared as part of a regional analysis of social risk management in Latin America and the Caribbean. The author may be contacted at [email protected].
Author : Maria Amparo Cruz-Saco,Carmelo Mesa-Lago
Publisher : University of Pittsburgh Pre
Page : 457 pages
File Size : 50,8 Mb
Release : 1999-03-15
Category : History
ISBN : 9780822977278
This timely volume brings together specialists on the reform of social security systems to analyze the similarities and differences of those health care and pension reforms that have taken place since the early 1990s and suggests possible gains through recent or contemplated revisions to those systems.
Author : Emily E Vasquez,Amaya G. Perez-Brumer,Richard Parker
Publisher : Routledge
Page : 657 pages
File Size : 53,6 Mb
Release : 2020-09-10
Category : Social Science
ISBN : 9781000071597
This book explores the legacy of the Latin American Social Medicine and Collective Health (LASM-CH) movements and other key approaches—including human rights activism and popular opposition to neoliberal governance—that have each distinguished the struggle for collective health in Latin America during the twentieth and now into the twnety-first century. At a time when global health has been pushed to adopt increasingly conservative agendas in the wake of global financial crisis and amidst the rise of radical-right populist politics, attention to the legacies of Latin America’s epistemological innovations and social movement action are especially warranted. This collection addresses three crosscutting themes: First, how LASM-CH perspectives have taken root as an element of international cooperation and solidarity in the health arena in the region and beyond, into the twenty-firstcentury. Second, how LASM-CH perspectives have been incorporated and restyled into major contemporary health system reforms in the region. Third, how elements of the LASM-CH legacy mark contemporary health social movements in the region, alongside additional key influences on collective action for health at present. Working at the nexus of activism, policy, and health equity, this multidisciplinary collection offers new perspective on struggles for justice in twenty-first-century Latin America. The chapters in this book were originally published as a special issue of the journal, Global Public Health.
Author : José Núñez del Arco
Publisher : IDB
Page : 336 pages
File Size : 53,8 Mb
Release : 2001
Category : Medical
ISBN : 1931003106
On either side of the globe, poor people often do not have access to the health services they need. Improvements in health care systems in Asia have lagged behind economic development, and progress in expanding health coverage in Latin America has been skewed across income levels. Health Services in Latin America and Asia takes a close look at how countries in both regions provide health care services, including the strategies that work and the problems that persist. The book documents encouraging progress in Bolivia, Brazil, China and Vietnam, and important preventive care programs in Central America and Thailand. It also examines health services in Chile, Colombia, the Philippines and Malaysia, as well as the health system and insurance model in Japan.Even though public and preventive health require specific and sustained allocations, both regions continue to use health insurance and other supply mechanisms to expand health service coverage. The book recommends broadening the supply of services through family doctors and community health workers, an alternative approach that would likely improve the equity, efficiency and sustainability of services.
Author : Carmelo Mesa-Lago
Publisher : OUP Oxford
Page : 481 pages
File Size : 55,8 Mb
Release : 2008-01-31
Category : Business & Economics
ISBN : 9780191552816
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
Author : Marcos Cueto,Steven Paul Palmer
Publisher : Cambridge University Press
Page : 317 pages
File Size : 55,5 Mb
Release : 2015
Category : History
ISBN : 9781107023673
This book provides a clear, broad, and provocative synthesis of the history of Latin American medicine.
Author : Truman G. Packard,Cristian C. Baeza
Publisher : World Bank Publications
Page : 192 pages
File Size : 45,5 Mb
Release : 2006-06-20
Category : Medical
ISBN : 082136572X
'Beyond Survival' breaks new ground in the ongoing debate about health finance and financial protection from the costs of health care. The evidence and discussion support the need to consider financial protection, in addition to health status, as a policy objective when setting priorities for health systems. This book reviews the Latin American experience with health reform in the last 20 years and the fundamentals of health system financing, using new evidence to show the magnitude and mechanisms that determine the impoverishing effects of health events (diseases, accidents, and those of the life cycle). It provides options for policy makers on how to protect, and help household to protect themselves,against this impoverishment. The authors use empirical evidence from six case studies commissioned for this report, on Argentina, Chile, Colombia, Ecuador, Honduras, and Mexico. This book provides policy makers with a solid conceptual basis for decisions on the contents of mandatory health insurance benefit packages, choices of financing mechanisms, and the roles of public policy in this field. 'Beyond Survival' provides an in-depth analysis of, and organizational alternatives for, risk pooling and health insurance for financial protection. It analyzes the urgent need to extend risk pooling to the informal sector, the challenges for current social insurance arrangements, and options for policy makers to effectively extend risk pooling to the informal sector.
Author : L. Haagh,C. Helgø
Publisher : Springer
Page : 279 pages
File Size : 45,8 Mb
Release : 2002-12-10
Category : Social Science
ISBN : 9780230502680
This collection offers a critical analytical perspective and fresh empirical data on recent market-orientated social policy reforms in Latin America. The six case studies presented examine labour, education, health and general social development programmes. A particular focus is placed on the ways in which market-enhancing reforms such as demand-based provision, social policy targeting and privatization respond to issues of equity, coverage and the quality of provision.
Author : National Research Council,Division of Behavioral and Social Sciences and Education,Commission on Behavioral and Social Sciences and Education,Committee on Population
Publisher : National Academies Press
Page : 285 pages
File Size : 45,8 Mb
Release : 1993-02-01
Category : Social Science
ISBN : 9780309048392
This book examines issues concerning how developing countries will have to prepare for demographic and epidemiologic change. Much of the current literature focuses on the prevalence of specific diseases and their economic consequences, but a need exists to consider the consequences of the epidemiological transition: the change in mortality patterns from infectious and parasitic diseases to chronic and degenerative ones. Among the topics covered are the association between the health of children and adults, the strong orientation of many international health organizations toward infant and child health, and how the public and private sectors will need to address and confront the large-scale shifts in disease and demographic characteristics of populations in developing countries.
Author : Andrew Twaddle
Publisher : Bloomsbury Publishing USA
Page : 432 pages
File Size : 48,9 Mb
Release : 2002-06-30
Category : Medical
ISBN : 9780313013034
Health care reforms around the world—from Europe and North America to Africa, Latin America and Asia—seem to all be market-oriented reforms driven by international business interests and right wing political parties. There seems to be a sudden and broad concern with the efficiency of medical care, with the assertion that democratically or professionally run systems are inherently inefficient. Far less concern is evident for the more traditional values held regarding medical care, effectiveness (or quality) and equity. The fact is that we have little good cross-national research that systematically addresses the reform issue. This book addresses that problem, and attempts to look at health care reforms in a number of countries, representing as wide a spectrum as possible, and using a common conceptual framework that allows for comparable information to be gathered and presented on each, despite differing levels of socio-economic development. The authors agreed on a set of models that were thought to provide reasonable guidance in answering the questions of the source of pressures for reform, the alternative modes of organization that have been found in the world in recent years, and the direction of change among those alternatives.