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Explora las posibilidades de lograr cambios favorables en los sistemas de atencion a la salud de America Latina y el Caribe y de alcanzar una Salud para Todos en el siglo XXI. Contenido: Futuros de la salud : herramientas para una mejor toma de decisiones; Desarrollo economico y social y Salud para Todos; La revolucion informativa y la atencion a la salud en Chile; El futuro de terapeutica; Tendencias futuras de la vacunologia; La genomica: promesas y las precauciones a tomar en la aceleracion de la calidad de la prevencion; el diagnostico, el tratamiento y la curacion; El futuro de los farmacos y de su regulacion en America Latina; Los sistemas de salud latinoamericanos en transicion: una vision para el futuro; El futuro de la atencion gerenciada en America Latina; Salud para Todos en las Americas: el escenario preferido; +Que significa todo esto? El sector privado, el sector publico y Salud para Todos(AU).
This book was prepared by World Bank in collaboration with the Chinese government and leading academics. It argues that, in order to address the growing economic, social, and political pressures of the 21st Century, China will have to build solid foundations for a knowledge-based economy by updating the economic and institutional regime, upgrading education and learning, and building information infrastructure. China must also raise the technological level of the economy by diffusing new technologies actively throughout the economy, improving the research and development sytem, and exploiting global knowledge.
Public Health and Beyond in Latin America and the Caribbean: Reflections from the Field explores the diverse and complex public health landscape, from global to regional to local, by considering historical and socio-cultural factors to contextualize the ongoing public health crisis. Drawing on four decades of field experience, research, and teaching, Sherri L. Porcelain uses case studies to offer a realistic view of the public heath struggle in Latin America and the Caribbean. Using specific countries as regional examples, the book shows how population health has been inextricably linked to political, economic, social, cultural, ethical, ecological, environmental, and technological factors. Chapters in this book will examine the history of public health issues associated with international development, globalization and the international political economy, disasters, diplomacy, and security studies coupled with the changing role of key actors driving the global and regional agendas. The final chapter examines the impact of the COVID-19 pandemic and what it means for the future of public health. This book is recommended for undergraduate students interested in the history of Latin America and the Caribbean as well as others concerned with global and regional population health challenges.
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.
Author : David S. Dalton Publisher : University Press of Florida Page : 249 pages File Size : 27,29 MB Release : 2022-08-16 Category : History ISBN : 1683403134
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.
This report provides a status update on the human resources for health (HRH) sub-system in six Latin American and Caribbean countries: Colombia, Costa Rica, Jamaica, Panama, Peru, and Uruguay. The report structures its discussion around how the health workforce is financed, organized, managed, regulated, and performing. In the area of financing, the study presents the variety of contracting mechanisms, salary levels, and financial incentives offered across the countries and their role in being able to attract and retain health workers. On the organization of the HRH sub-system, the report looks at the skill-mix, training, and distribution of health care workers concluding that although the countries have made progress towards achieving key HRH targets and in making education more accessible, there continues to be limited absorption capacity for graduates, the Primary Health Care focus of training programs needs to be strengthened, and strategies to encourage rural service have not been able to fully address the gap in the distribution of health workers. In reviewing management strategies for HRH, the report presents how all countries have adopted the WHO Global Code of Practice on the International Recruitment of Health Personnel to recognize foreign-trained professionals to help address shortages and fill gaps of health worker presence in rural, remote areas. However, the countries continue to struggle with putting self-sufficiency policies in place to meet HRH needs such as the lack of promotion plans, limited non-monetary incentives, and the shortage of personnel for recruitment and eventual placement. In the area of regulation, the report presents the countries' efforts to reduce precarious employment and introduce HRH safety policies and legislation to regulate disputes and negotiations. On performance, the report found mixed results in the areas of access/availability to health workers and quality of care, factors discouraging dual practice, and unjustified absenteeism of health workers.
This book explores the legacy of the Latin American Social Medicine and Collective Health (LASM-CH) movements and other key approaches—including human rights activism and popular opposition to neoliberal governance—that have each distinguished the struggle for collective health in Latin America during the twentieth and now into the twnety-first century. At a time when global health has been pushed to adopt increasingly conservative agendas in the wake of global financial crisis and amidst the rise of radical-right populist politics, attention to the legacies of Latin America’s epistemological innovations and social movement action are especially warranted. This collection addresses three crosscutting themes: First, how LASM-CH perspectives have taken root as an element of international cooperation and solidarity in the health arena in the region and beyond, into the twenty-firstcentury. Second, how LASM-CH perspectives have been incorporated and restyled into major contemporary health system reforms in the region. Third, how elements of the LASM-CH legacy mark contemporary health social movements in the region, alongside additional key influences on collective action for health at present. Working at the nexus of activism, policy, and health equity, this multidisciplinary collection offers new perspective on struggles for justice in twenty-first-century Latin America. The chapters in this book were originally published as a special issue of the journal, Global Public Health.