Sistemas de salud en condiciones de mercado: las reformas del último cuarto de siglo

ABSTRACT: The essay explores the changes based on market mechanisms introduced in the reforms of the last quarter century. Methodology: market conditions are taken as an analytical axis determining the configurations and results of health systems seen today in the majority of countries. The analysis...

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Autores:
Franco Giraldo, Álvaro
Tipo de recurso:
Article of journal
Fecha de publicación:
2014
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
spa
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/4487
Acceso en línea:
http://hdl.handle.net/10495/4487
Palabra clave:
Mercado
Sistemas de salud
Estado
Latinoamérica
Salud
Rights
openAccess
License
Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
Description
Summary:ABSTRACT: The essay explores the changes based on market mechanisms introduced in the reforms of the last quarter century. Methodology: market conditions are taken as an analytical axis determining the configurations and results of health systems seen today in the majority of countries. The analysis is complemented by the presence or absence of regulatory mechanisms which reduce the negative impact of market imperfections on health. Discussion: this paper aims to characterize various health care market types while taking into account the function of the State, and its articulation within the public-private sector after analyzing some of the types of health system that are related to the market models. Conclusion: the market mechanisms introduced in the health reforms in the last quarter century in most Latin American countries have transformed health services in favor of the transnational financial market, thus generating inequity, inefficiency, corruption and financial imbalance in the health system, which in turn has a negative effect in the health conditions of the population.