La atención gerenciada en América Latina. Transnacionalización del sector salud en el contexto de la reforma
Autor(a) principal: | |
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Data de Publicação: | 2000 |
Outros Autores: | , |
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/1340 |
Resumo: | This article presents the results of the comparative research project "Managed Care in Latin America: Its Role in Health Reform". The project was conducted by teams in Argentina, Brazil, Chile, Ecuador, and the United States. The study's objective was to analyze the process by which managed care is exported, especially from the United States, and how managed care is adopted in Latin American countries. Our research methods included qualitative and quantitative techniques. Adoption of managed care reflects transnationalization of the health sector. Our findings demonstrate the entrance of large multinational financial capital into the private insurance and health services sectors and their intention of participating in the administration of government institutions and medical/social security funds. We conclude that this basic change involving the slow adoption of managed care is facilitated by ideological changes with discourses accepting the inexorable nature of public sector reform. |
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La atención gerenciada en América Latina. Transnacionalización del sector salud en el contexto de la reformaAtención GerenciadaServicios MédicosPolíticas de SaludAmérica LatinaThis article presents the results of the comparative research project "Managed Care in Latin America: Its Role in Health Reform". The project was conducted by teams in Argentina, Brazil, Chile, Ecuador, and the United States. The study's objective was to analyze the process by which managed care is exported, especially from the United States, and how managed care is adopted in Latin American countries. Our research methods included qualitative and quantitative techniques. Adoption of managed care reflects transnationalization of the health sector. Our findings demonstrate the entrance of large multinational financial capital into the private insurance and health services sectors and their intention of participating in the administration of government institutions and medical/social security funds. We conclude that this basic change involving the slow adoption of managed care is facilitated by ideological changes with discourses accepting the inexorable nature of public sector reform.Este artículo presenta resultados de la investigación comparativa "Atención Gerenciada en América Latina: Su Papel en la Reforma de los Sistemas de Salud", realizada por equipos de Argentina, Brasil, Chile, Ecuador y Estados Unidos. El objetivo del estudio fue analizar el proceso de exportación de la atención gerenciada, especialmente desde Estado Unidos, y su incorporación en los países latinoamericanos. Los métodos utilizados incluyeron técnicas cualitativas y cuantitativas. La adopción de la atención gerenciada muestra el proceso de transnacionalización del sector salud. Nuestros hallazgos demuestran el ingreso de los principales capitales financieros multinacionales en el sector privado de seguros y de prestadores de salud, y su intencionalidad de participar en la administración de las instituciones estatales y de los fondos de la seguridad social médica. Concluimos que este proceso de cambio sustancial, que implica la paulatina adopción de la atención gerenciada, es facilitado por las transformaciones operadas a nivel ideológico.Reports in Public HealthCadernos de Saúde Pública2000-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1340Reports in Public Health; Vol. 16 No. 1 (2000): January/MarchCadernos de Saúde Pública; v. 16 n. 1 (2000): Janeiro/Março1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZspahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1340/2668https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1340/2669Iriart, CeliaMerhy, Emerson EliasWaitzkin, Howardinfo:eu-repo/semantics/openAccess2024-03-06T15:26:23Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/1340Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:01:36.488604Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
La atención gerenciada en América Latina. Transnacionalización del sector salud en el contexto de la reforma |
title |
La atención gerenciada en América Latina. Transnacionalización del sector salud en el contexto de la reforma |
spellingShingle |
La atención gerenciada en América Latina. Transnacionalización del sector salud en el contexto de la reforma Iriart, Celia Atención Gerenciada Servicios Médicos Políticas de Salud América Latina |
title_short |
La atención gerenciada en América Latina. Transnacionalización del sector salud en el contexto de la reforma |
title_full |
La atención gerenciada en América Latina. Transnacionalización del sector salud en el contexto de la reforma |
title_fullStr |
La atención gerenciada en América Latina. Transnacionalización del sector salud en el contexto de la reforma |
title_full_unstemmed |
La atención gerenciada en América Latina. Transnacionalización del sector salud en el contexto de la reforma |
title_sort |
La atención gerenciada en América Latina. Transnacionalización del sector salud en el contexto de la reforma |
author |
Iriart, Celia |
author_facet |
Iriart, Celia Merhy, Emerson Elias Waitzkin, Howard |
author_role |
author |
author2 |
Merhy, Emerson Elias Waitzkin, Howard |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Iriart, Celia Merhy, Emerson Elias Waitzkin, Howard |
dc.subject.por.fl_str_mv |
Atención Gerenciada Servicios Médicos Políticas de Salud América Latina |
topic |
Atención Gerenciada Servicios Médicos Políticas de Salud América Latina |
description |
This article presents the results of the comparative research project "Managed Care in Latin America: Its Role in Health Reform". The project was conducted by teams in Argentina, Brazil, Chile, Ecuador, and the United States. The study's objective was to analyze the process by which managed care is exported, especially from the United States, and how managed care is adopted in Latin American countries. Our research methods included qualitative and quantitative techniques. Adoption of managed care reflects transnationalization of the health sector. Our findings demonstrate the entrance of large multinational financial capital into the private insurance and health services sectors and their intention of participating in the administration of government institutions and medical/social security funds. We conclude that this basic change involving the slow adoption of managed care is facilitated by ideological changes with discourses accepting the inexorable nature of public sector reform. |
publishDate |
2000 |
dc.date.none.fl_str_mv |
2000-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1340 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1340 |
dc.language.iso.fl_str_mv |
spa |
language |
spa |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1340/2668 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1340/2669 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 16 No. 1 (2000): January/March Cadernos de Saúde Pública; v. 16 n. 1 (2000): Janeiro/Março 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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