Las reformas sanitarias y los modelos de gestión Health sector reform and management models
This article tries to indicate the direction of progress in management being taken in health sector reforms in Latin America. The piece first discusses the tension between local forces and international neoliberal trends being manifested in the reform in various countries. The article next looks at...
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ftdoajarticles:oai:doaj.org/article:1698fc8e779943b8a061354ca4b2674f 2023-05-15T15:06:33+02:00 Las reformas sanitarias y los modelos de gestión Health sector reform and management models Ginés González García 2001-06-01T00:00:00Z https://doaj.org/article/1698fc8e779943b8a061354ca4b2674f EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892001000600013 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/1698fc8e779943b8a061354ca4b2674f Revista Panamericana de Salud Pública, Vol 9, Iss 6, Pp 406-412 (2001) Reforma del sector de la salud gestión América Latina Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2001 ftdoajarticles 2022-12-30T22:04:51Z This article tries to indicate the direction of progress in management being taken in health sector reforms in Latin America. The piece first discusses the tension between local forces and international neoliberal trends being manifested in the reform in various countries. The article next looks at the distinction between the tools and the management models that are being applied, presenting a taxonomy of three management levels: macromanagement (national health systems), midlevel management (hospitals, insurers, and other such institutions), and micromanagement (clinics). The piece concludes by reflecting on the future of management in the health sector in Latin America, where health systems are overadministered and undermanaged. Their future depends on multiple factors, most of which are outside the health care field itself. Better management of policies, institutions, and patients would be a tremendous tool in directing the future. Management is here to stay, with greater emphasis on either supply--hospitals and physicians--or demand--citizens or clients. For both the public and private sectors, health management is central to health sector reforms in Latin America. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English Spanish Portuguese |
topic |
Reforma del sector de la salud gestión América Latina Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Reforma del sector de la salud gestión América Latina Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Ginés González García Las reformas sanitarias y los modelos de gestión Health sector reform and management models |
topic_facet |
Reforma del sector de la salud gestión América Latina Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
This article tries to indicate the direction of progress in management being taken in health sector reforms in Latin America. The piece first discusses the tension between local forces and international neoliberal trends being manifested in the reform in various countries. The article next looks at the distinction between the tools and the management models that are being applied, presenting a taxonomy of three management levels: macromanagement (national health systems), midlevel management (hospitals, insurers, and other such institutions), and micromanagement (clinics). The piece concludes by reflecting on the future of management in the health sector in Latin America, where health systems are overadministered and undermanaged. Their future depends on multiple factors, most of which are outside the health care field itself. Better management of policies, institutions, and patients would be a tremendous tool in directing the future. Management is here to stay, with greater emphasis on either supply--hospitals and physicians--or demand--citizens or clients. For both the public and private sectors, health management is central to health sector reforms in Latin America. |
format |
Article in Journal/Newspaper |
author |
Ginés González García |
author_facet |
Ginés González García |
author_sort |
Ginés González García |
title |
Las reformas sanitarias y los modelos de gestión Health sector reform and management models |
title_short |
Las reformas sanitarias y los modelos de gestión Health sector reform and management models |
title_full |
Las reformas sanitarias y los modelos de gestión Health sector reform and management models |
title_fullStr |
Las reformas sanitarias y los modelos de gestión Health sector reform and management models |
title_full_unstemmed |
Las reformas sanitarias y los modelos de gestión Health sector reform and management models |
title_sort |
las reformas sanitarias y los modelos de gestión health sector reform and management models |
publisher |
Pan American Health Organization |
publishDate |
2001 |
url |
https://doaj.org/article/1698fc8e779943b8a061354ca4b2674f |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 9, Iss 6, Pp 406-412 (2001) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892001000600013 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/1698fc8e779943b8a061354ca4b2674f |
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