The right to health: what model for Latin America?

Heredia, Nila; Laurell, Äsa Cristina; Feo, Óscar; Noronha, José Carvalho de; González-Guzmán, Rafael; Torres-Tovar, Mauricio

doi:10.1016/s0140-6736(14)61493-8

Cited by 33 publications

(32 citation statements)

References 7 publications

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“…Saúde Pública 2017; 33 Sup 2:e00216516 exemplo), além de privilegiar alguns grupos, manter vazios assistenciais e sobrecarregar a parcela do gasto privado, mediante o incentivo da compra de serviços e a criação e expansão de um forte mercado privado na área assistencial, seja ambulatorial ou de internação 46 . Esse modelo, denominado de pluralismo estruturado, prevê que a administração do sistema seja feita pelo Ministério da Saúde, que assume a responsabilidade pelo planejamento estratégico de todo o sistema por intermédio de regras e incentivos; o financiamento por um ou poucos fundos públicos; e a prestação de serviços inclui a atuação de múltiplos provedores, públicos e privados, sob a supervisão de um órgão regulador.…”

Section: O Caso Da Saúdeunclassified

Proteção social na América Latina e Caribe: mudanças, contradições e limites

2017

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Resumo Estudos recentes sugerem que os governos da maioria dos países da América Latina e Caribe foram capazes de ampliar os investimentos sociais e introduzir inovações nas políticas de proteção social nas duas últimas décadasEste é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho original seja corretamente citado.

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Section: O Caso Da Saúdeunclassified

Proteção social na América Latina e Caribe: mudanças, contradições e limites

2017

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“…Unified and integrated national health systems, which are based on health as a right rather than as a commodity, pool resources across entire populations, and prevent impoverishment due to catastrophic illness, offer the best hope for equity and efficiency, even as quality has been threatened by resource starvation and privatization in recent decades (Chiriboga, 2014;Heredia et al, 2015). Unified and integrated national health systems, which are based on health as a right rather than as a commodity, pool resources across entire populations, and prevent impoverishment due to catastrophic illness, offer the best hope for equity and efficiency, even as quality has been threatened by resource starvation and privatization in recent decades (Chiriboga, 2014;Heredia et al, 2015).…”

Section: Universal Health Coverage: the Pinnacle Of Cooptation Of Promentioning

confidence: 99%

Neoliberalism Redux: The Global Health Policy Agenda and the Politics of Cooptation in Latin America and Beyond

Birn¹,

Nervi²,

Siqueira³

2016

Development and Change

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This article explores the neoliberal cooptation of social justice-oriented global health policies over the last three decades, from primary health care and 'health for all' to various contemporary so-called 'health equity' initiatives, such as Universal Health Coverage and 'health convergence'. The authors illustrate and contextualize the different periods and approaches with examples from a range of Latin American countries, drawing on diverse political experiences and social struggles in the health arena. The analysis concludes with reflections about the region's experiences of resisting and challenging the neoliberal health agenda, in spite of domestic and global environments that have constrained these efforts, past and present. In this sense, the struggle for bona fide equity in health and health policy remains an important and ongoing priority.Our thanks go to Mariajosé Aguilera, Esperanza Krementsova, Ramya Kumar, Devaki Nambiar, the anonymous reviewers and the editors of Development and Change. Development and Change 47(4): 734-759.

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“…These countries constitute interesting comparative cases. Even though both are capitalist societies, they represent two conflicting health models: one, a single‐payer health system (i.e., a unified tax‐funded health system as an obligation of the State), and the other, an amalgam of voluntary or compulsory public or private forms of health insurance, in varying combinations (Heredia et al., ). Both systems are the product of different historic processes, which involved social, political and economic reforms implemented during decades (Pêgo & Almeida, ).…”

Section: Healthcare Systems and Renal Care In Two Developing Countriesmentioning

confidence: 99%

A comparative study of renal care in Brazil and Mexico: hemodialysis treatment from the perspective of ESRD sufferers

2016

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Renal replacement therapy is the indicated treatment for individuals with chronic kidney disease (CKD) to survive. However, not all sick people have access to the same treatment. This study compares renal care in two developing countries with different health systems. Specifically, it explores hemodialysis treatment from the perspective of low-income individuals. A qualitative, comparative study was performed in Brazil and Mexico. Using purposive sampling, the research was based on open-ended interviews with nineteen participants with kidney failure undergoing hemodialysis treatment in public hospitals and ten relatives. According to our results, Brazilian participants perceived hemodialysis care as satisfactory because of health personnel courtesy as well as free access to dialysis treatment, prescription drugs, hospitalization and transportation. However, they reported deficiencies in the care they were receiving due to shortages of specialists, prescription drugs, laboratory tests and transportation. Mexican participants, in contrast, highlighted the catastrophic costs of medical care because they had no free access to renal therapy, nor adequate financial resources. Our findings suggest that low-income Brazilian CKD sufferers experience renal care differently, as they are more satisfied and face less obstacles with hemodialysis compared with those of Mexico. More studies on the topic are needed.

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The right to health: what model for Latin America?

Cited by 33 publications

References 7 publications

Proteção social na América Latina e Caribe: mudanças, contradições e limites

Proteção social na América Latina e Caribe: mudanças, contradições e limites

Neoliberalism Redux: The Global Health Policy Agenda and the Politics of Cooptation in Latin America and Beyond

A comparative study of renal care in Brazil and Mexico: hemodialysis treatment from the perspective of ESRD sufferers

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