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The Demand for Health Care in Latin America

Author: Ricardo A. Bitran

Publisher: World Bank Publications

Published: 1993-01-01

Total Pages: 72

ISBN-13: 9780821323410

Spanish summary. The full report examines the public policies of 8 high-performing Asian economies (HPAEs) from 1965 to 1990. It seeks to uncover the role those policies played in the dramatic economic growth, improved human welfare, and more equitable income distribution in Hong Kong, Indonesia, Japan, Malaysia, the Republic of Korea, Singapore, Taiwan (China), and Thailand. HPAEs stabilized their economies with sound development policies that led to fast growth. They were committed to sharing the new prosperity by making income distribution more equitable. Their public policies promoted rapid capital accumulation by making banks more reliable and encouraging high levels of domestic savings. They increased the skilled labor force by providing universal primary schooling and better primary and secondary education. Agricultural policies supported productivity, while requiring only modest taxes. HPAEs kept price distortions in check and welcomed new technology and FDI. Legal and regulatory structures created a positive business environment. Cooperation between governments and private enterprises was fostered. Beyond the fundamentals of accepted macroeconomic management, HPAEs adopted policies at variance with the notion of the level playing field of open-market free enterprise. HPAEs targeted key industries for rapid development. In key areas, resource allocation was strictly managed. Trade in manufactured exports was promoted by government-established marketing institutions. Analysts disagree about the effectiveness of such interventions, but agree that without the foundation of macroeconomic stability and development of human and physical capital, the expansion would not have been so dramatic and sustainable. This report reviews the basic development policies of HPAEs that created macroeconomic stability. It explains why most countries should not use government interventions in today's changing global economy.

Reshaping Health Care in Latin America

Author: International Development Research Centre (Canada)

Publisher: IDRC

Published: 2000

Total Pages: 292

ISBN-13: 0889369232

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Reshaping Health Care in Latin America: A Comparative Analysis of Health Care Reform in Argentina, Brazil, and Mexico

Healthcare Reform and Poverty in Latin America

Author: Peter Lloyd-Sherlock

Publisher: University of London Press

Published: 2000

Total Pages: 220

ISBN-13:

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Most Latin American countries are now attempting the radical reform of their healthcare financing and delivery systems. In many cases, these reforms complement and contribute to broader neo-liberal orthodoxies of economic and social reform. Key strategies include decentralising hospital administration and the promotion of private health insurance. However, experiences across the region are quite diverse, and countries such as Cuba persist with a system of healthcare based on very different principles. This book identifies key problems facing healthcare systems in the region and evaluates the reforms that have been implemented to date. It pays particular attention to problems of implementation and the impact that changes to health policy are having on poor and vulnerable groups.

The Demand for Health Care in Latin America

Author: Cadman Atta Mills

Publisher:

Published: 1992

Total Pages: 0

ISBN-13: 9780821319437

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Healthcare in Latin America

Author: David S. Dalton

Publisher: University Press of Florida

Published: 2022-08-16

Total Pages: 249

ISBN-13: 1683403134

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Illustrating the diversity of disciplines that intersect within global health studies, Healthcare in Latin America is the first volume to gather research by many of the foremost scholars working on the topic and region in fields such as history, sociology, women’s studies, political science, and cultural studies. Through this unique eclectic approach, contributors explore the development and representation of public health in countries including Argentina, Bolivia, Brazil, Chile, Colombia, Cuba, Ecuador, El Salvador, Guatemala, Mexico, Nicaragua, Puerto Rico, and the United States. They examine how national governments, whether reactionary or revolutionary, have approached healthcare as a means to political legitimacy and popular support. Several essays contrast modern biomedicine-based treatment with Indigenous healing practices. Other topics include universal health coverage, childbirth, maternal care, forced sterilization, trans and disabled individuals’ access to care, intersexuality, and healthcare disparities, many of which are discussed through depictions in films and literature. As economic and political conditions have shifted amid modernization efforts, independence movements, migrations, and continued inequities, so have the policies and practices of healthcare also developed and changed. This book offers a rich overview of how the stories of healthcare in Latin America are intertwined with the region’s political, historical, and cultural identities. Contributors: Benny J. Andrés, Jr. | Javier Barroso | Katherine E. Bliss | Eric D. Carter | David S. Dalton | Carlos S. Dimas | Sophie Esch | Renata Forste | David L. García León | Javier E. García León | Jethro Hernández Berrones | Katherine Hirschfeld | Emily J. Kirk | Gabriela León-Pérez | Manuel F. Medina | Christopher D. Mellinger | Alicia Z. Miklos | Nicole L. Pacino | Douglas J. Weatherford Publication of this work made possible by a Sustaining the Humanities through the American Rescue Plan grant from the National Endowment for the Humanities.

Toward Universal Health Coverage and Equity in Latin America and the Caribbean

Author: Tania Dmytraczenko

Publisher: World Bank Publications

Published: 2015-06-30

Total Pages: 256

ISBN-13: 1464804559

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Over the past three decades, many countries of Latin America and the Caribbean have recognized health as a human right. Since the early 2000s, 46 million more people in the countries studied are covered by health programs with explicit guarantees of affordable care. Reforms have been accompanied by a rise in public spending for health, financed largely from general revenues that prioritized or explicitly target the population without capacity to pay. Political commitment has generally translated into larger budgets as well as passage of legislation that ring-fenced funding for health. Most countries have prioritized cost-effective primary care and adopted purchasing methods that incentivize efficiency and accountability for results, and that give stewards of the health sector greater leverage to steer providers to deliver on public health priorities. Evidence from the analysis of 54 household surveys corroborates that investments in extending coverage are yielding results. Though the poor still have worse health outcomes than the rich, disparities have narrowed considerably - particularly in the early stage of the life course. Countries have reached high levels of coverage and equity in utilization of maternal and child health services; coverage of noncommunicable disease interventions is not as high and service utilization is still skewed toward the better off. Catastrophic health expenditures have declined in most countries; the picture regarding equity, however, is mixed. While the rate of impoverishment owing to health-care expenditures is low and generally declining, 2-4 million people in the countries studied still fall below the poverty line after health spending. Efforts to systematically monitor quality of care in the region are still in their infancy. Nonetheless, a review of the literature reveals important shortcomings in quality of care, as well as substantial differences across subsystems. Improving quality of care and ensuring sustainability of investments in health remain an unfinished agenda.

Globalization and Health Inequities in Latin America

Author: Ligia Malagón de Salazar

Publisher: Springer

Published: 2018-04-16

Total Pages: 306

ISBN-13: 3319672924

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This book critically analyses the influence of international policies and guidelines on the performance of interventions aimed at reducing health inequities in Latin America, with special emphasis on health promotion and health in all policies strategies. While the implementation of these interventions plays a key role in strengthening these countries’ capacity to respond to current and future challenges, the urgency and pressures of cooperation and funding agencies to show results consistent with their own agendas not only hampers this goal, but also makes the territory invisible, hiding the real problems faced by most Latin American countries, diminishing the richness of local knowledge production, and hindering the development of relevant proposals that consider the territory’s conditions and cultural identity. Departing from this general analysis, the authors search for answers to the following questions: Why, despite the importance of the theoretical advances r egarding actions to address social and health inequities, haven’t Latin American countries been able to produce the expected results? Why do successful initiatives only take place within the framework of pilot projects? Why does the ideology of health promotion and health in all policies mainly permeate structures of the health sector, but not other sectors? Why are intersectoral actions conjunctural initiatives, which often fail to evolve into permanent practices? Based on an extensive literature review, case studies, personal experiences, and interviews with key informants in the region, Globalization and Health Inequities in Latin America presents a strategy that uses monitoring and evaluation practices for enhancing the capacity of Latin American and other low and middle-income countries to implement sustainable processes to foster inclusiveness, equity, social justice and human rights. p/pp

Health Services in Latin America and Asia

Author: José Núñez del Arco

Publisher: IDB

Published: 2001

Total Pages: 336

ISBN-13: 9781931003100

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On either side of the globe, poor people often do not have access to the health services they need. Improvements in health care systems in Asia have lagged behind economic development, and progress in expanding health coverage in Latin America has been skewed across income levels. Health Services in Latin America and Asia takes a close look at how countries in both regions provide health care services, including the strategies that work and the problems that persist. The book documents encouraging progress in Bolivia, Brazil, China and Vietnam, and important preventive care programs in Central America and Thailand. It also examines health services in Chile, Colombia, the Philippines and Malaysia, as well as the health system and insurance model in Japan.Even though public and preventive health require specific and sustained allocations, both regions continue to use health insurance and other supply mechanisms to expand health service coverage. The book recommends broadening the supply of services through family doctors and community health workers, an alternative approach that would likely improve the equity, efficiency and sustainability of services.

Policy Choices and Practical Problems in Health Economics

Author: Catherine Overholt

Publisher: World Bank Publications

Published: 1996

Total Pages: 246

ISBN-13: 9780821330128

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Conservation of biological diversity is important for sustainable development, and decentralization is a key aspect of good governance. Whether decentralization promotes conservation and if so, under what conditions, is the topic of this book. This study draws insights from field experience and traces the complex interactions among various factors involved, such as degree and type of decentralization, community participation, institutional capacity, and economic incentives. Local and international experts present case studies from experiences in Colombia, Costa Rica, India, Indonesia, Kenya, Nepal, Nigeria, the Philippines, Russia, and Zimbabwe. Subsequent chapters review 32 World Bank and Global Environment Facility projects and their impact on habitat conservation, describe a possible model of a decentralized country, and look at lessons learned from the overall study.