Overcoming social segregation in health care in Latin America

Latin America continues to segregate different social groups into separate health-system segments, including two separate public sector blocks: a well resourced social security for salaried workers and their families and a Ministry of Health serving poor and vulnerable people with low standards of q...

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Autores:
Guerrero Carvajal, Ramiro
Tipo de recurso:
Article of investigation
Fecha de publicación:
2015
Institución:
Universidad ICESI
Repositorio:
Repositorio ICESI
Idioma:
eng
OAI Identifier:
oai:repository.icesi.edu.co:10906/80010
Acceso en línea:
http://linkinghub.elsevier.com/retrieve/pii/S0140673614616470
http://hdl.handle.net/10906/80010
http://dx.doi.org/10.1016/S0140-6736(14)61647-0
Palabra clave:
Sistema de salud
Seguridad social
Ministerio de Salud
Desigualdad económica
Economía
Economics
Rights
openAccess
License
https://creativecommons.org/licenses/by-nc-nd/4.0/
Description
Summary:Latin America continues to segregate different social groups into separate health-system segments, including two separate public sector blocks: a well resourced social security for salaried workers and their families and a Ministry of Health serving poor and vulnerable people with low standards of quality and needing a frequently impoverishing payment at point of service. This segregation shows Latin America's longstanding economic and social inequality, cemented by an economic framework that predicted that economic growth would lead to rapid formalisation of the economy. Today, the institutional setup that organises the social segregation in health care is perceived, despite improved life expectancy and other advances, as a barrier to fulfilling the right to health, embodied in the legislation of many Latin American countries.