Health benefits guarantees in Latin America: equity and quasi market restructuring at the beginning of the millennium

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cepal.bibLevelDocumento Completo
cepal.callNumberINT UN/EC 42(51/2006)
cepal.callNumberLC/L.2546-P
cepal.callNumberLC/MEX/L.717
cepal.docTypeSeries
cepal.idSade25601
cepal.jobNumberS0600399 E
cepal.physicalDescriptiondiagramas, tablas
cepal.regionalOfficeMéxico
cepal.saleNumber06.II.G.74
cepal.topicEngHEALTH
cepal.topicEngSOCIAL PROTECTION
cepal.topicSpaSALUD
cepal.topicSpaPROTECCIÓN SOCIAL
cepal.workareaEngSOCIAL DEVELOPMENT
cepal.workareaSpaDESARROLLO SOCIAL
dc.contributor.authorSojo, Ana
dc.contributor.entityNU. CEPAL. Subsede de México
dc.coverage.spatialEngBOLIVIA (PLURINATIONAL STATE OF)
dc.coverage.spatialEngCHILE
dc.coverage.spatialEngGUATEMALA
dc.coverage.spatialEngLATIN AMERICA
dc.coverage.spatialEngMEXICO
dc.coverage.spatialSpaAMERICA LATINA
dc.coverage.spatialSpaBOLIVIA (ESTADO PLURINACIONAL DE)
dc.coverage.spatialSpaCHILE
dc.coverage.spatialSpaGUATEMALA
dc.coverage.spatialSpaMEXICO
dc.date.accessioned2014-01-02T15:37:47Z
dc.date.available2014-01-02T15:37:47Z
dc.date.issued2006-05
dc.descriptionIncludes bibliography
dc.description.abstractHealth quasi-markets aim to introduce competition into the public sphere by separating functions in order to improve efficiency and quality. In different public-private mixes, according to the morphology of health systems, different regulations can govern insurance, financing, and provision of services. The objective is to link financing to productivity, coverage, performance, and accomplishment of goals. Specifying guarantees to provide services for determined beneficiaries implies the formation of a purchase function based on strategic criteria involves three financing decisions: which interventions will be purchased, how they will be purchased, and from which providers. Some health systems in the region have established a separation of functions and some initial finance mechanisms based on results that allow them to be considered developing quasi-markets. On the other hand, some of them have introduced guarantees for various health services. Although such guarantees in all cases aim to improve equity in the level of health enjoyed by the population, they have very different repercussions in terms of the general organization of the related health systems depending on the level of development and the characteristics of the health coverage that the population already has. This study considers in the first place the introduction of health benefits guarantees in quite underdeveloped health systems, analyzing with more detail the case of Guatemala and briefly, Bolivia. Afterwards, a thorough analysis of Chile is done, showing how the health guarantees imply a partial overcome of the fundamental duality of the health system. Finally is considered the recent experience of the popular health insurance in Mexico, whose health insurance system is highly segmented. As we shall see in all the experiences, both the decentralization process and the specific public-private mix play an important role in the organisation of the health guarantees.
dc.formatTexto
dc.format.extent55 páginas.
dc.format.mimetypeapplication/pdf
dc.identifier.isbn9211215919
dc.identifier.unSymbolLC/L.2546-P
dc.identifier.unSymbolLC/MEX/L.717
dc.identifier.urihttps://hdl.handle.net/11362/4971
dc.language.isoeng
dc.physicalDescription55 p. : diagrs., tabls.
dc.publisherECLAC
dc.publisher.placeMéxico, D.F.
dc.relation.isPartOfSeriesSerie Estudios y Perspectivas (México, DF)
dc.relation.isPartOfSeriesNo51
dc.rights.coarDisponible
dc.rights.coarDisponible
dc.subject.unbisEngADMINISTRATIVE REFORM
dc.subject.unbisEngCASE STUDIES
dc.subject.unbisEngHEALTH SERVICES
dc.subject.unbisEngPUBLIC HEALTH
dc.subject.unbisEngRIGHT TO HEALTH
dc.subject.unbisEngSOCIAL WELFARE
dc.subject.unbisSpaBIENESTAR SOCIAL
dc.subject.unbisSpaDERECHO A LA SALUD
dc.subject.unbisSpaESTUDIOS DE CASOS
dc.subject.unbisSpaREFORMA ADMINISTRATIVA
dc.subject.unbisSpaSALUD PUBLICA
dc.subject.unbisSpaSERVICIOS DE SALUD
dc.titleHealth benefits guarantees in Latin America: equity and quasi market restructuring at the beginning of the millennium
dc.type.coarlibro
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Estudios y Perspectivas – Sede Subregional de la CEPAL en México