Influencias y hegemonías en la orientación de la investigación de las reformas de salud

• Autor(a) principal: Palma-Solís, Marco Antonio
• Data de Publicação: 2006
• Outros Autores: Franco Giraldo, Álvaro, Álvarez-Dardet, Carlos
• Tipo de documento: Artigo
• Idioma: spa
• Título da fonte: Cadernos de Saúde Pública
• Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2832
• topic: Reforma en Atención de la Salud; Organización de la Financiación; Calidad de la Atención de Salud; Eficiencia Organizacional

The authors analyze the evolution in publications indexed in MEDLINE, LILACS, and Sociological Abstracts concerning health reforms around the world and the determinants of their orientation and distribution from 1990 to 2004. A total of 8,729 publications were selected. The principles of "sustainability" and "quality and effectiveness" were dealt with most frequently, with different patterns of attention, depending on the regions and countries. Of 199 countries, 61% included references as to their health reform processes, with the largest numbers in the United States and the Great Britain. The British and U.S. standards for attention to health reform principles displayed strong influences on the study of health reforms elsewhere. This may limit the scientific visibility of issues like equity, participation, and efficiency.