Comparative Review of Health System Integration in Selected Countries in Latin America
This 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.
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dig-bid-node-118982024-05-30T20:08:13ZComparative Review of Health System Integration in Selected Countries in Latin America 2014-01-01T00:00:00+0000 http://dx.doi.org/10.18235/0009151 https://publications.iadb.org/en/comparative-review-health-system-integration-selected-countries-latin-america Inter-American Development Bank Health Care Service D61 - Allocative Efficiency • Cost—Benefit Analysis H44 - Publicly Provided Goods: Mixed Markets H51 - Government Expenditures and Health H55 - Social Security and Public Pensions I10 - Health: General I11 - Analysis of Health Care Markets I13 - Health Insurance Public and Private I14 - Health and Inequality I15 - Health and Economic Development I18 - Government Policy • Regulation • Public Health I38 - Government Policy • Provision and Effects of Welfare Programs L33 - Comparison of Public and Private Enterprises and Nonprofit Institutions • Privatization • Contracting Out N46 - Latin America • Caribbean P46 - Consumer Economics • Health • Education and Training • Welfare Income Wealth and Poverty Health system fragmentation, health system integration, health system reform, health system performance, Latin American health systems, dimensions of fragmentation This 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. Inter-American Development Bank Thomas Bossert Nathan Blanchet Suzanne Sheetz Diana M. Pinto Jonathan Cali Ricardo Perez-Cuevas Technical Notes application/pdf IDB Publications Chile Costa Rica Colombia Mexico Spain Ecuador Brazil en |
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BID |
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Estados Unidos |
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US |
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Bibliográfico |
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En linea |
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dig-bid |
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biblioteca |
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America del Norte |
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Biblioteca Felipe Herrera del BID |
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English |
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Health Care Service D61 - Allocative Efficiency • Cost—Benefit Analysis H44 - Publicly Provided Goods: Mixed Markets H51 - Government Expenditures and Health H55 - Social Security and Public Pensions I10 - Health: General I11 - Analysis of Health Care Markets I13 - Health Insurance Public and Private I14 - Health and Inequality I15 - Health and Economic Development I18 - Government Policy • Regulation • Public Health I38 - Government Policy • Provision and Effects of Welfare Programs L33 - Comparison of Public and Private Enterprises and Nonprofit Institutions • Privatization • Contracting Out N46 - Latin America • Caribbean P46 - Consumer Economics • Health • Education and Training • Welfare Income Wealth and Poverty Health system fragmentation, health system integration, health system reform, health system performance, Latin American health systems, dimensions of fragmentation Health Care Service D61 - Allocative Efficiency • Cost—Benefit Analysis H44 - Publicly Provided Goods: Mixed Markets H51 - Government Expenditures and Health H55 - Social Security and Public Pensions I10 - Health: General I11 - Analysis of Health Care Markets I13 - Health Insurance Public and Private I14 - Health and Inequality I15 - Health and Economic Development I18 - Government Policy • Regulation • Public Health I38 - Government Policy • Provision and Effects of Welfare Programs L33 - Comparison of Public and Private Enterprises and Nonprofit Institutions • Privatization • Contracting Out N46 - Latin America • Caribbean P46 - Consumer Economics • Health • Education and Training • Welfare Income Wealth and Poverty Health system fragmentation, health system integration, health system reform, health system performance, Latin American health systems, dimensions of fragmentation |
| spellingShingle |
Health Care Service D61 - Allocative Efficiency • Cost—Benefit Analysis H44 - Publicly Provided Goods: Mixed Markets H51 - Government Expenditures and Health H55 - Social Security and Public Pensions I10 - Health: General I11 - Analysis of Health Care Markets I13 - Health Insurance Public and Private I14 - Health and Inequality I15 - Health and Economic Development I18 - Government Policy • Regulation • Public Health I38 - Government Policy • Provision and Effects of Welfare Programs L33 - Comparison of Public and Private Enterprises and Nonprofit Institutions • Privatization • Contracting Out N46 - Latin America • Caribbean P46 - Consumer Economics • Health • Education and Training • Welfare Income Wealth and Poverty Health system fragmentation, health system integration, health system reform, health system performance, Latin American health systems, dimensions of fragmentation Health Care Service D61 - Allocative Efficiency • Cost—Benefit Analysis H44 - Publicly Provided Goods: Mixed Markets H51 - Government Expenditures and Health H55 - Social Security and Public Pensions I10 - Health: General I11 - Analysis of Health Care Markets I13 - Health Insurance Public and Private I14 - Health and Inequality I15 - Health and Economic Development I18 - Government Policy • Regulation • Public Health I38 - Government Policy • Provision and Effects of Welfare Programs L33 - Comparison of Public and Private Enterprises and Nonprofit Institutions • Privatization • Contracting Out N46 - Latin America • Caribbean P46 - Consumer Economics • Health • Education and Training • Welfare Income Wealth and Poverty Health system fragmentation, health system integration, health system reform, health system performance, Latin American health systems, dimensions of fragmentation Inter-American Development Bank Comparative Review of Health System Integration in Selected Countries in Latin America |
| description |
This 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. |
| author2 |
Thomas Bossert |
| author_facet |
Thomas Bossert Inter-American Development Bank |
| format |
Technical Notes |
| topic_facet |
Health Care Service D61 - Allocative Efficiency • Cost—Benefit Analysis H44 - Publicly Provided Goods: Mixed Markets H51 - Government Expenditures and Health H55 - Social Security and Public Pensions I10 - Health: General I11 - Analysis of Health Care Markets I13 - Health Insurance Public and Private I14 - Health and Inequality I15 - Health and Economic Development I18 - Government Policy • Regulation • Public Health I38 - Government Policy • Provision and Effects of Welfare Programs L33 - Comparison of Public and Private Enterprises and Nonprofit Institutions • Privatization • Contracting Out N46 - Latin America • Caribbean P46 - Consumer Economics • Health • Education and Training • Welfare Income Wealth and Poverty Health system fragmentation, health system integration, health system reform, health system performance, Latin American health systems, dimensions of fragmentation |
| author |
Inter-American Development Bank |
| author_sort |
Inter-American Development Bank |
| title |
Comparative Review of Health System Integration in Selected Countries in Latin America |
| title_short |
Comparative Review of Health System Integration in Selected Countries in Latin America |
| title_full |
Comparative Review of Health System Integration in Selected Countries in Latin America |
| title_fullStr |
Comparative Review of Health System Integration in Selected Countries in Latin America |
| title_full_unstemmed |
Comparative Review of Health System Integration in Selected Countries in Latin America |
| title_sort |
comparative review of health system integration in selected countries in latin america |
| publisher |
Inter-American Development Bank |
| url |
http://dx.doi.org/10.18235/0009151 https://publications.iadb.org/en/comparative-review-health-system-integration-selected-countries-latin-america |
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AT interamericandevelopmentbank comparativereviewofhealthsystemintegrationinselectedcountriesinlatinamerica |
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1809107170271166464 |