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dc.titleComparative Review of Health System Integration in Selected Countries in Latin America
dc.contributor.authorBossert, Thomas
dc.contributor.authorBlanchet, Nathan
dc.contributor.authorSheetz, Suzanne
dc.contributor.authorPinto, Diana M.
dc.contributor.authorCali, Jonathan
dc.contributor.authorPerez-Cuevas, Ricardo
dc.contributor.orgunitSocial Protection and Health Division
dc.coverageChile
dc.coverageCosta Rica
dc.coverageColombia
dc.coverageMexico
dc.coverageSpain
dc.coverageEcuador
dc.coverageBrazil
dc.date.available2013-12-23T00:00:00
dc.date.issue2014-01-01T00:00:00
dc.description.abstractThis technical note presents a comparative analysis of Latin America's fragmented health systems. It provides a detailed account of health system fragmentation along six dimensions (organizations, risk pooling, eligibility, benefits, premium/contributions, payments) and the effects of historical reforms in Costa Rica, Colombia, Ecuador, Brazil, Mexico, and Chile, as well as examples of successful integration in Spain and Turkey. Additionally, it offers a set of policy options for promoting the integration of health systems and a series of practical steps for implementing health system reforms. It concludes that analyzing the fragmentation of various dimensions of health systems can be useful for developing policy, but further research is needed to determine the effect of fragmentation on health system performance.
dc.format.extent47
dc.identifier.doihttp://dx.doi.org/10.18235/0009151
dc.identifier.urlhttps://publications.iadb.org/publications/english/document/Comparative-Review-of-Health-System-Integration-in-Selected-Countries-in-Latin-America.pdf
dc.language.isoen
dc.mediumAdobe PDF
dc.publisherInter-American Development Bank
dc.subjectHealth Services
dc.subject.jelcodeD61 - Allocative Efficiency • Cost—Benefit Analysis
dc.subject.jelcodeH44 - Publicly Provided Goods: Mixed Markets
dc.subject.jelcodeH51 - Government Expenditures and Health
dc.subject.jelcodeH55 - Social Security and Public Pensions
dc.subject.jelcodeI10 - Health: General
dc.subject.jelcodeI11 - Analysis of Health Care Markets
dc.subject.jelcodeI13 - Health Insurance, Public and Private
dc.subject.jelcodeI14 - Health and Inequality
dc.subject.jelcodeI15 - Health and Economic Development
dc.subject.jelcodeI18 - Government Policy • Regulation • Public Health
dc.subject.jelcodeI38 - Government Policy • Provision and Effects of Welfare Programs
dc.subject.jelcodeL33 - Comparison of Public and Private Enterprises and Nonprofit Institutions • Privatization • Contracting Out
dc.subject.jelcodeN46 - Latin America • Caribbean
dc.subject.jelcodeP46 - Consumer Economics • Health • Education and Training • Welfare, Income, Wealth, and Poverty
dc.subject.keywordsHealth system fragmentation, health system integration, health system reform, health system performance, Latin American health systems, dimensions of fragmentation
dc.typeTechnical Notes
idb.identifier.pubnumberTechnical Notes
idb.operationRG-K1252
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