Health financing changes in the context of health care decentralization: the case of three Latin American countries

Detalhes bibliográficos
Autor(a) principal: Arredondo,Armando
Data de Publicação: 2000
Outros Autores: Parada,Irene
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102000000500004
Resumo: OBJECTIVE: The results of an evaluative longitudinal study, which identified the effects of health care decentralization on health financing in Mexico, Nicaragua and Peru are presented in this article. METHODS: The methodology had two main phases. In the first, secondary sources of data and documents were analyzed with the following variables: type of decentralization implemented, source of financing, funds for financing, providers, final use of resources, mechanisms for resource allocation. In the second phase, primary data were collected by a survey of key personnel in the health sector. RESULTS: Results of the comparative analysis are presented, showing the changes implemented in the three countries, as well as the strengths and weaknesses of each country in matters of financing and decentralization. CONCLUSIONS: The main financing changes implemented and quantitative trends with respect to the five financing indicators are presented as a methodological tool to implement corrections and adjustments in health financing.
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spelling Health financing changes in the context of health care decentralization: the case of three Latin American countriesFinancing, healthDecentralizationHealth care reformHealth system/organization and administrationHealth resources/economicsHealth care rationingFinancial indicatorsHealth financingOBJECTIVE: The results of an evaluative longitudinal study, which identified the effects of health care decentralization on health financing in Mexico, Nicaragua and Peru are presented in this article. METHODS: The methodology had two main phases. In the first, secondary sources of data and documents were analyzed with the following variables: type of decentralization implemented, source of financing, funds for financing, providers, final use of resources, mechanisms for resource allocation. In the second phase, primary data were collected by a survey of key personnel in the health sector. RESULTS: Results of the comparative analysis are presented, showing the changes implemented in the three countries, as well as the strengths and weaknesses of each country in matters of financing and decentralization. CONCLUSIONS: The main financing changes implemented and quantitative trends with respect to the five financing indicators are presented as a methodological tool to implement corrections and adjustments in health financing.Faculdade de Saúde Pública da Universidade de São Paulo2000-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102000000500004Revista de Saúde Pública v.34 n.5 2000reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.1590/S0034-89102000000500004info:eu-repo/semantics/openAccessArredondo,ArmandoParada,Ireneeng2001-08-06T00:00:00Zoai:scielo:S0034-89102000000500004Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2001-08-06T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Health financing changes in the context of health care decentralization: the case of three Latin American countries
title Health financing changes in the context of health care decentralization: the case of three Latin American countries
spellingShingle Health financing changes in the context of health care decentralization: the case of three Latin American countries
Arredondo,Armando
Financing, health
Decentralization
Health care reform
Health system/organization and administration
Health resources/economics
Health care rationing
Financial indicators
Health financing
title_short Health financing changes in the context of health care decentralization: the case of three Latin American countries
title_full Health financing changes in the context of health care decentralization: the case of three Latin American countries
title_fullStr Health financing changes in the context of health care decentralization: the case of three Latin American countries
title_full_unstemmed Health financing changes in the context of health care decentralization: the case of three Latin American countries
title_sort Health financing changes in the context of health care decentralization: the case of three Latin American countries
author Arredondo,Armando
author_facet Arredondo,Armando
Parada,Irene
author_role author
author2 Parada,Irene
author2_role author
dc.contributor.author.fl_str_mv Arredondo,Armando
Parada,Irene
dc.subject.por.fl_str_mv Financing, health
Decentralization
Health care reform
Health system/organization and administration
Health resources/economics
Health care rationing
Financial indicators
Health financing
topic Financing, health
Decentralization
Health care reform
Health system/organization and administration
Health resources/economics
Health care rationing
Financial indicators
Health financing
description OBJECTIVE: The results of an evaluative longitudinal study, which identified the effects of health care decentralization on health financing in Mexico, Nicaragua and Peru are presented in this article. METHODS: The methodology had two main phases. In the first, secondary sources of data and documents were analyzed with the following variables: type of decentralization implemented, source of financing, funds for financing, providers, final use of resources, mechanisms for resource allocation. In the second phase, primary data were collected by a survey of key personnel in the health sector. RESULTS: Results of the comparative analysis are presented, showing the changes implemented in the three countries, as well as the strengths and weaknesses of each country in matters of financing and decentralization. CONCLUSIONS: The main financing changes implemented and quantitative trends with respect to the five financing indicators are presented as a methodological tool to implement corrections and adjustments in health financing.
publishDate 2000
dc.date.none.fl_str_mv 2000-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102000000500004
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102000000500004
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0034-89102000000500004
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
dc.source.none.fl_str_mv Revista de Saúde Pública v.34 n.5 2000
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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