Trajetória das relações público-privadas no sistema de saúde da Colômbia de 1991 a 2015

Cárdenas, William Iván López; Pereira, Adelyne Maria Mendes; Machado, Cristiani Vieira

doi:10.1590/0102-311x00114016

Cited by 13 publications

(12 citation statements)

References 7 publications

(7 reference statements)

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“…The agreements concluded between the federal governments of Brazil, Colombia and Peru, follow the global order, which increasingly understands that international cooperation is an expected initiative among countries, believing that the exchange of knowledge and experiences can level the nations 15 . However, for this cooperation to present effective results, it is necessary to create norms, mobilize resources and guide the various parties involved 16 , which in border regions are dwellers, managers and health professionals 10 .…”

Section: Resultsmentioning

confidence: 99%

Integration in health: cooperation at triple international border Amazon

et al. 2020

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OBJECTIVE: To describe the scope and limitations of the main strategies of cooperation in health, adopted between 2005 and 2017, in the context of the triple border Brazil, Colombia and Peru. METHOD: Single, explanatory, qualitative, integrated case study carried out in 2017, in the context of the triple Amazon border, Brazil, Colombia and Peru, in the city of Tabatinga, state of Amazonas, Brazil. Our sources of evidence were: documentary data; interviews with health managers of the State Health Secretariats of Amazonas and Municipal Health of Tabatinga, Municipal Health Council of Tabatinga and Consulate of Peru in Colombia; and direct observations in four health services of Tabatinga. Data were organized with MaxQDA12® software. RESULTS: Data analyzed showed that, during the study period, the Brazilian federal government made several health cooperation agreements with both Peru and Colombia and that the state government of Amazonas undertook strategies to improve the health conditions of the dwellers of Tabatinga and the region of Alto Solimões, which indirectly reached the populations of neighboring countries, supporting the interrelationships between the countries of the region. Regarding the municipal government, we verified the existence of health integration agreements, established informally, to minimize the adversities of the local health. CONCLUSION: The cooperation strategies in health adopted in the triple Amazon border have different purposes, benefits and limitations. It is noteworthy that the existence of cooperation agreements between the federal governments of Brazil, Colombia and Peru and the presence of informal cooperation agreements between the municipal governments of Tabatinga (Brazil), Leticia (Colombia) and Santa Rosa (Peru). The limitations of this study are the lack of knowledge of local managers about the cooperation agreements established between federal governments and the lack of legitimacy of the informal agreements established by the Tabatinga government.

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Section: Resultsmentioning

confidence: 99%

Integration in health: cooperation at triple international border Amazon

et al. 2020

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“…In Colombia, the radical reform of 1993 adopted the model of structured pluralism 28 , which is characterized by the separation of the functions of financing, assurance and the provision of services, under the respective responsibility of the state, financial intermediation organizations (insurers) and a variety of providers. Different schemes were created such as a Contributory Regime which was compulsory for formal workers and those with a contributory capacity, and a Subsidized Regime which focused on the poor, with inequalities in its benefit plans and per capita values 28 .…”

Section: Reform Models For Uhc In Latin Americamentioning

confidence: 99%

“…Some of the results of the reform were an increase in public spending and health coverage (Charts 3 and 4), although there was still inequality between the regimes. There was an expansion of health insurance and service delivery in the private sector, which accentuated segmentation and led to problems such as refusal of services, high administrative expenses, and a focus on profit generation and corruption [28][29][30] . The incremental changes from 2004-2015, which were the result of social mobilization and the work of the judiciary, were not sufficient to overcome the failures inherent to the model.…”

Section: Reform Models For Uhc In Latin Americamentioning

confidence: 99%

Sistema universal de saúde e cobertura universal: desvendando pressupostos e estratégias

Giovanella

Mendoza-Ruiz

Pilar

et al. 2018

Ciênc. saúde coletiva

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117

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In recent years the international debate about universality in health has been marked by a polarization between ideas based on a universal system, and notions proposing universal health coverage. The concept of universal coverage has been disseminated by international organizations and has been incorporated into health system reforms in several developing countries, including some in Latin America. This article explores the assumptions and strategies related to the proposal of universal health coverage. Firstly, a comparison is provided of the models of universal health coverage and universal health systems. This is followed by a contextualization of the international debate, including examples of different health systems. Finally, the implications of the proposal of universal coverage for the right to health in Brazil are discussed. The analysis of different concepts of universality and the experiences of different countries shows that health insurance-based models, either social or private, are not as satisfactory as public, universal health systems. Greater understanding about ongoing international projects is essential in order to identify the possibilities represented by the consolidation of the Unified Health System (SUS) in Brazil, as well as the risks of dismantling the SUS.

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“…Colombia, Mexico, Costa Rica, and Uruguay have also implemented systems that incorporate universal health coverage guidelines in agreement with international organizations such as the World Health Organization (WHO) and the World Bank (WB) [19][20][21][22][23]. However, it is worth mentioning that, despite the expansion, around 28 million people in Mexico remain without coverage and that there are critical funding limitations [24,25].…”

Section: Inequities In Health and Fragile Systems: What Is The Impactmentioning

confidence: 99%

The Pandemic Health Crisis and Its Implications for Food and Nutritional Security in Latin America

Giordani

Costa

2020

Port J Public Health

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The inequalities in health are directly linked to food and to the nutritional profile; hunger and malnutrition, as well as overweight and obesity, increase in proportion to poverty. In the current COVID-19 pandemic scenario, social isolation measures implemented in several countries to prevent the collapse of health systems impose new rhythms on people’s lives and their daily routines, implying a reorganization of their vital structure and the necessary activities for its maintenance and reproduction. The restriction of circulation with the requirement to prepare food inside the home imposes food planning with options with some degree of industrial processing. In the diet of isolation, among the likely changes in food consumption models, there will certainly be an increase in ultraprocessed foods, mainly because containment measures have altered the dynamics of circulation and local trade of fresh products.

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Trajetória das relações público-privadas no sistema de saúde da Colômbia de 1991 a 2015

Abstract: Este 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.

Cited by 13 publications

References 7 publications

Integration in health: cooperation at triple international border Amazon

Integration in health: cooperation at triple international border Amazon

Sistema universal de saúde e cobertura universal: desvendando pressupostos e estratégias

The Pandemic Health Crisis and Its Implications for Food and Nutritional Security in Latin America

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