Healthcare Reform And Poverty In Latin America

Author : Peter Lloyd-Sherlock
Publisher : Unknown
Page : 220 pages
File Size : 46,8 Mb
Release : 2000
Category : Business & Economics
ISBN : UOM:39015055087897

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Healthcare Reform and Poverty in Latin America by Peter Lloyd-Sherlock Pdf

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 : International Development Research Centre (Canada)
Publisher : IDRC
Page : 292 pages
File Size : 52,7 Mb
Release : 2000
Category : Electronic books
ISBN : 9780889369238

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Reshaping Health Care in Latin America by International Development Research Centre (Canada) Pdf

Reshaping Health Care in Latin America: A Comparative Analysis of Health Care Reform in Argentina, Brazil, and Mexico

Author : Truman G. Packard,Cristian C. Baeza
Publisher : World Bank Publications
Page : 192 pages
File Size : 52,7 Mb
Release : 2006-06-20
Category : Medical
ISBN : 082136572X

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Beyond Survival by Truman G. Packard,Cristian C. Baeza Pdf

'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 : Tania Dmytraczenko,Gisele Almeida
Publisher : World Bank Publications
Page : 256 pages
File Size : 54,9 Mb
Release : 2015-06-30
Category : Medical
ISBN : 9781464804557

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Toward Universal Health Coverage and Equity in Latin America and the Caribbean by Tania Dmytraczenko,Gisele Almeida Pdf

Over the past three decades, many countries of Latin America and the Caribbean have recognized health as a human right. Since the early 2000s, 46 million more people in the countries studied are covered by health programs with explicit guarantees of affordable care. Reforms have been accompanied by a rise in public spending for health, financed largely from general revenues that prioritized or explicitly target the population without capacity to pay. Political commitment has generally translated into larger budgets as well as passage of legislation that ring-fenced funding for health. Most countries have prioritized cost-effective primary care and adopted purchasing methods that incentivize efficiency and accountability for results, and that give stewards of the health sector greater leverage to steer providers to deliver on public health priorities. Evidence from the analysis of 54 household surveys corroborates that investments in extending coverage are yielding results. Though the poor still have worse health outcomes than the rich, disparities have narrowed considerably - particularly in the early stage of the life course. Countries have reached high levels of coverage and equity in utilization of maternal and child health services; coverage of noncommunicable disease interventions is not as high and service utilization is still skewed toward the better off. Catastrophic health expenditures have declined in most countries; the picture regarding equity, however, is mixed. While the rate of impoverishment owing to health-care expenditures is low and generally declining, 2-4 million people in the countries studied still fall below the poverty line after health spending. Efforts to systematically monitor quality of care in the region are still in their infancy. Nonetheless, a review of the literature reveals important shortcomings in quality of care, as well as substantial differences across subsystems. Improving quality of care and ensuring sustainability of investments in health remain an unfinished agenda.

Author : Natália Sátyro,Eloísa del Pino,Carmen Midaglia
Publisher : Springer Nature
Page : 361 pages
File Size : 40,8 Mb
Release : 2021-02-12
Category : Political Science
ISBN : 9783030612702

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Latin American Social Policy Developments in the Twenty-First Century by Natália Sátyro,Eloísa del Pino,Carmen Midaglia Pdf

This book explores the scope of reforms and changes in the social protection systems in Latin America that have started at the beginning of the 21st century. It describes how and to what extent changes in social protection systems and social policies have occurred in the region in recent decades. Taking a comparative approach, the volume identifies the triggers for the transformations and how such pressures are received by the welfare regime, or a specific policy sector, to finally yield a given type of reform. The analysis is characterized by the presence of certain factors that explain the development of social protection systems in Latin America, such as economic growth, the consolidation of democratic political regimes, and the region’s Left Turns. The book also examines to what extent common challenges and processes induced by international institutions have led to convergence among countries or welfare regimes, or whether each maintains its own identity.

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 : 43,7 Mb
Release : 1993-02-01
Category : Social Science
ISBN : 9780309048392

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The Epidemiological Transition by National Research Council,Division of Behavioral and Social Sciences and Education,Commission on Behavioral and Social Sciences and Education,Committee on Population Pdf

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 : William Jack
Publisher : World Bank Publications
Page : 56 pages
File Size : 51,9 Mb
Release : 2000
Category : Argentina - Salud
ISBN : 8210379456XXX

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Health Insurance Reform in Four Latin American Countries by William Jack Pdf

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 : 48,6 Mb
Release : 2017-09-18
Category : Social Science
ISBN : 9783319617657

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Banking on Health by Shiri Noy Pdf

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 : Nora Claudia Lustig
Publisher : Brookings Institution Press
Page : 492 pages
File Size : 55,7 Mb
Release : 2010-12-01
Category : Political Science
ISBN : 0815708025

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Coping with Austerity by Nora Claudia Lustig Pdf

Concern about the pervasiveness of poverty and income inequality in Latin America goes beyond the issue of social justice. The persistence of mass poverty and inequality pits different social groups against one another and leads to a polarization that makes consistent economic policy formation difficult. National productivity may also suffer in economies with poorly educated workforces lacking adequate health care. Statistics on poverty and inequality in Latin America are rudimentary and often conflicting. Yet it is known that poverty became more widespread in the region during the last decade as it experienced economic decline. About 180 million people, or two out of every five in the area, are now living in poverty—some 50 million more than in 1980. It is also known that income and wealth are far more unequally distributed in Latin America than in most other developing regions. This book provides a much-needed assessment of how poverty, inequality, and social indicators have fared in several Latin American countries over the past decade. Experts from Latin America and the U.S. focus attention on the extent of poverty and inequality and how they have been affected by the debt crisis and adjustment of the 1980s. They explain that issues of poverty and inequality were neglected as governments in Latin America struggled to restore stability and growth to their economies. Social sector spending declined sharply, affecting both the quality and quantity of services provided. The contributors examine how poverty and inequality are—or are not—being addressed in each country. They also explore the viability of alternative approaches to combating poverty and reducing inequality. They explain that virtually no one denies that governments must take a leading role in the provision of health, education, and other social services. Yet there are sharp debates--over the compatibility of social spending with economic adjustment and stabilization; the priority of social expenditures in relation to other governmental spending; the allocation of funds among different social programs; who should, and should not, benefit; and who should pay the costs. They show that the poor and middle sectors had to pay dearly because their governments, the international community, and the families themselves were not prepared to deal with austerity. The book contains eleven chapters by contributors from universities and research institutions in the U.S. and Latin America, as well as from international financial organizations. It is the result of a project cosponsored by Inter-American Dialogue.

Author : Carmelo Mesa-Lago
Publisher : Unknown
Page : 248 pages
File Size : 48,8 Mb
Release : 1992
Category : Medical
ISBN : UTEXAS:059173000535498

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Health Care for the Poor in Latin America and the Caribbean by Carmelo Mesa-Lago Pdf

Author : Robert R. Kaufman,Joan M. Nelson
Publisher : Johns Hopkins University Press
Page : 0 pages
File Size : 54,6 Mb
Release : 2004-11-16
Category : Political Science
ISBN : 0801880491

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Crucial Needs, Weak Incentives by Robert R. Kaufman,Joan M. Nelson Pdf

Selected by Choice Magazine as an Outstanding Academic Title Crucial Needs, Weak Incentives studies the politics of efforts to reform education and health services in Latin America in the 1990s. Both sectors were common targets of reform—education because of its economic importance, health care because of needs to reduce great inequities of access and opportunities to increase domestic savings presented by reforms. Both sectors also have large numbers of unionized public employees, whose presence affects patronage as well as political power. The book presents case studies that offer a wealth of new information not previously accessible to the English-speaking academic and policy community. For health care, these cover Mexico, Argentina, Colombia, Brazil, Costa Rica, and Peru; for eductaion, Mexico, Argentina, Colombia, Brazil, Nicaragua, and Venezuela. Four chapters by the editors set out for each sector the goals, structure, and outcomes of reform efforts. Contributors are Marta Arretche, Josefina Bruni Celli, Mary A. Clark, Javier Corrales, Sonia M. Draibe, Christina Ewig, Alec Ian Gershberg, Alejandra Gonzalez Rossetti, Merilee S. Grindle, Peter Lloyd-Sherlock, Pamela S. Lowden, and Patricia Ramirez.

Author : Tania Dmytraczenko
Publisher : Unknown
Page : 128 pages
File Size : 48,8 Mb
Release : 2015
Category : Electronic book
ISBN : OCLC:1066418805

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Toward Universal Health Coverage and Equity in Latin America and the Caribbean by Tania Dmytraczenko Pdf

Author : William Jack
Publisher : Unknown
Page : 51 pages
File Size : 54,8 Mb
Release : 2016
Category : Electronic
ISBN : OCLC:1290704786

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Health Insurance Reform in Four Latin American Countries by William Jack Pdf

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 : Christopher Abel,Colin M. Lewis
Publisher : Institute of Latin American Studies
Page : 540 pages
File Size : 54,7 Mb
Release : 2002
Category : Boligpolitik
ISBN : UCSD:31822031543689

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Exclusion and Engagement by Christopher Abel,Colin M. Lewis Pdf

The authors place contemporary social policy in historical perspective, study the connection between growth and welfare, and consider the efficacy of the state in the social sphere from both macro and micro perspectives. Underpinning the collection are issues relating to the question of the social contract between state and citizen and how the exercise of citizenship connects society and state.

Author : Mr. Ravi Balakrishnan,Sandra Lizarazo,Marika Santoro,Mr. Frederik G Toscani,Mr. Mauricio Vargas
Publisher : International Monetary Fund
Page : 123 pages
File Size : 53,7 Mb
Release : 2021-04-26
Category : Business & Economics
ISBN : 9781484326091

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Commodity Cycles, Inequality, and Poverty in Latin America by Mr. Ravi Balakrishnan,Sandra Lizarazo,Marika Santoro,Mr. Frederik G Toscani,Mr. Mauricio Vargas Pdf

Over the past decades, inequality has risen not just in advanced economies but also in many emerging market and developing economies, becoming one of the key global policy challenges. And throughout the 20th century, Latin America was associated with some of the world’s highest levels of inequality. Yet something interesting happened in the first decade and a half of the 21st century. Latin America was the only region in the World to have experienced significant declines in inequality in that period. Poverty also fell in Latin America, although this was replicated in other regions, and Latin America started from a relatively low base. Starting around 2014, however, and even before the COVID-19 pandemic hit, poverty and inequality gains had already slowed in Latin America and, in some cases, gone into reverse. And the COVID-19 shock, which is still playing out, is likely to dramatically worsen short-term poverty and inequality dynamics. Against this background, this departmental paper investigates the link between commodity prices, and poverty and inequality developments in Latin America.