[Health system reforms in South America: an opportunity for UNASUR]. / Reformas de los sistemas de salud en Sudamérica: una oportunidad para UNASUR.
Rev Peru Med Exp Salud Publica
; 31(4): 740-6, 2014.
Article
em Es
| MEDLINE
| ID: mdl-25597728
Health systems in South America still support segmentation, privatization and fragmentation. Health reforms of the structural adjustment programs in the 1980s and 1990s in South America followed different purposes and strategies ranging from privatization, commodification and state intervention for the implementation of a national public health service with universal access as a right of the citizens. Since the 2000s, many countries have expanded social policies, reduced poverty and social inequalities, and improved access to healthcare. This article proposes to discuss the health systems in South America from historical and political backgrounds, and the progress from the reforms in the last three decades. It also presents the three paradigmatic models of reform and their evolution, as well as the contrasts between universal coverage and universal systems. Finally, it presents current strengths and weaknesses of the twelve South American health systems as well as current opportunities and challenges in health for UNASUR.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Reforma dos Serviços de Saúde
Tipo de estudo:
Prognostic_studies
Aspecto:
Equity_inequality
Limite:
Humans
País/Região como assunto:
America do sul
/
Brasil
/
Chile
/
Colombia
Idioma:
Es
Revista:
Rev Peru Med Exp Salud Publica
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Peru