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Deficiencias en los diagnósticos de las reformas sanitarias de los años noventa en América Latina

dc.contributor.authorGuzmán Urrea, María del Pilares_ES
dc.date.accessioned2015
dc.date.available2015
dc.date.issued2009es_ES
dc.identifier.citationGuzmán Urrea, María del Pilar (2009) Deficiencias en los diagnósticos de las reformas sanitarias de los años noventa en América Latina. Rev Panam Salud Publica;25(1) 84-92,ene. 2009. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892009000100013es_ES
dc.identifier.urihttp://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892009000100013es_ES
dc.identifier.urihttps://iris.paho.org/handle/10665.2/9884
dc.relation.ispartofseriesRev Panam Salud Publica;25(1),ene. 2009es_ES
dc.subjectSistemas de Saludes_ES
dc.subjectSalud Públicaes_ES
dc.subjectAdministración y Planificación en Saludes_ES
dc.subjectEquidad en Saludes_ES
dc.subjectAmérica Latinaes_ES
dc.subjectHealth Systemsen_US
dc.subjectPublic Healthes_ES
dc.subjectHealth Policy, Planning and Managementen_US
dc.subjectEquity in Healthen_US
dc.subjectLatin Americaes_ES
dc.subjectEstudos de Avaliação como Assuntopt_BR
dc.subjectReforma dos Serviços de Saúdept_BR
dc.subjectAmérica Latinaes_ES
dc.subjectEquidad, Salud y Desarrollo Humanoes_ES
dc.subjectEquidade, Saúde e Desenvolvimento Humanopt_BR
dc.subjectEquity, Health and Human Developmenten_US
dc.titleDeficiencias en los diagnósticos de las reformas sanitarias de los años noventa en América Latinaes_ES
dc.title.alternativeDeficiencies in evaluating health care reforms in the 1990s in Latin Americaen_US
dc.typeJournal articlesen_US
dc.rights.holderPan American Health Organizationen_US
dc.description.notesSome of the recurring themes seen on health-sector reform agendas of Western countries (those at the center as well as those on the periphery) over the last decade have been: the debate over new ways of organizing health systems, with sights set on achieving greater efficiency and quality; redefining health care benefit packages and services to better distribute health resources; and incorporating market mechanisms into the health care environment to better respond to expectations of health care consumers. The fundamental purpose of this article is to analyze certain concepts that define and explain the origin of the 1990s health care reforms in Latin America and to refute some of the more important principles, such as: the belief that improving the functional efficiency of the health care system alone would improve the health of the population; the excessive concern with the administrative and structural aspects of health systems without a discussion of the underlying theoretical models; the idea that access, in and of itself, can guarantee "equity in health"; and lastly, the undo emphasis that was placed on individual "risk factors" as the cause of all illness.(AU)en_US


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