By Sonia Fleury, Susana Belmartino, Enis Baris
In lots of nations of the realm, together with Canada, arguments are made for a private-public combine within the financing and provision of health and wellbeing companies. Proponents declare that any such combine could increase either entry and caliber of wellbeing and fitness care. competitors counter that it should create a two-tiered process, narrowing the variety of ideas on hand to the decrease socioeconomic segments of society and eventually harming the equitable supply of caliber health and wellbeing care. This e-book provides empirical proof in this contentious and hugely politicized factor. Uniquely, it integrates qualitative and quantitative analyses of well-being care reforms at numerous levels of implementation in 3 international locations of Latin the USA. The ebook sheds mild on very important concerns relating accessibility and fairness and, in its procedure, units precedents and gives instructions for additional comparative paintings on overall healthiness care reform.
"Reshaping health and wellbeing Care" in Latin the United States will entice lecturers, students, researchers, and scholars in well-being sciences, coverage stories, Latin American experiences, and foreign improvement. it is going to even be of curiosity to health and wellbeing practitioners, policymakers, and all voters who keep on with the ongoing foreign debate at the private-public combine in our well-being care structures.
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Extra info for Reshaping Health Care in Latin America: A Comparative Analysis of Health Care Reform in Argentina, Brazil, and Mexico
Chapters 3,5, and 7 also describe the legislative and administrative tools used to effect health care reform, as well as the strategy adopted to implement it. The implementation process itself is the result of powerful dynamics among different actors in the health care arena, representing several vested interests. Usually, the result is a complex process of give and take, sometimes yielding results that differ profoundly from what was originally intended. The evaluation of the overall process is intended to point out the stresses and contradictions, as well as the differences between rhetoric and reality, in each country.
Despite the importance of multilevel analysis and the historical perspective, it would be difficult to establish direct causal links between different political and economic orientations and the institutional arrangements of health care systems. The same holds true for linkages between the institutional and the individual levels. To cope with the difficulties involved in implementing a cross-national multidimensional comparative analysis, Ellencweig (1992, p. 36) proposed the construction of a modular approach.
It identifies five principal actors in health care systems: • consumers-patients; • first-level providers; « second-level providers; • insurers or third-parties; and • government as regulator of the system. One can analyze the transformations that have occurred in recent years in the health sector through the changes in the relations between the main actors, as described in the schema shown in Figure 1, which is well known in the literature on health care reform. Using the interactive approach, we will analyze the links between: financiers and providers of health care; the population and financing entities; and 22 FLEURY Figure 1.