"Peri-border" health care programs: the Ecuador-Peru experience
OBJECTIVE: To identify the main strengths, weaknesses, and challenges of the Ecuador-Peru "peri-border" health care program and to analyze the legislative, managerial, and organizational arrangements adopted to integrate the two country's national health systems in the border area. ME...
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Pan American Health Organization
2014
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ftdoajarticles:oai:doaj.org/article:4ccc3e2c973d48be98f6fdd587f16bee 2023-05-15T15:10:36+02:00 "Peri-border" health care programs: the Ecuador-Peru experience Gianluca Cafagna Eduardo Missoni Rosa Luz Benites de Beingolea 2014-03-01T00:00:00Z https://doaj.org/article/4ccc3e2c973d48be98f6fdd587f16bee EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000300007&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/4ccc3e2c973d48be98f6fdd587f16bee Revista Panamericana de Salud Pública, Vol 35, Iss 3, Pp 207-213 (2014) Salud fronteriza sistemas de salud prestación de atención de salud Ecuador Perú Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2014 ftdoajarticles 2022-12-31T13:02:53Z OBJECTIVE: To identify the main strengths, weaknesses, and challenges of the Ecuador-Peru "peri-border" health care program and to analyze the legislative, managerial, and organizational arrangements adopted to integrate the two country's national health systems in the border area. METHODS: A descriptive, qualitative case study was carried out using three complementary methods: literature review and analysis of official Peruvian and Ecuadoran national and binational documents, 18 semi-structured interviews of key informants, and a survey of the entire health worker population of the Suyo-Macará binational micro-network. RESULTS: The key program challenge was the absence of reciprocity; Peruvian citizens were entitled to free health care services in Ecuador but Ecuadoran citizens did not receive the same benefit in Peru. The need for improvements in the binational system's human resources was also identified. The program's main strength was its organizational structure, which is designed mainly for the implementation of 1) the binational network and 2) a patient referral / counter-referral system that includes the transfer of patient clinical information. CONCLUSIONS: Notwithstanding considerable challenges, peri-border programs are feasible and replicable. Program success seems to be highly dependent on the completion of a number of steps, including 1) consolidation of the original binational memorandum into a binding binational agreement between the two countries; 2) achievement of similar standards in both countries for the provision and quality of health care services, focusing on complementarities; and 3) development of an integrated binational information system. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Salud fronteriza sistemas de salud prestación de atención de salud Ecuador Perú Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Salud fronteriza sistemas de salud prestación de atención de salud Ecuador Perú Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Gianluca Cafagna Eduardo Missoni Rosa Luz Benites de Beingolea "Peri-border" health care programs: the Ecuador-Peru experience |
topic_facet |
Salud fronteriza sistemas de salud prestación de atención de salud Ecuador Perú Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To identify the main strengths, weaknesses, and challenges of the Ecuador-Peru "peri-border" health care program and to analyze the legislative, managerial, and organizational arrangements adopted to integrate the two country's national health systems in the border area. METHODS: A descriptive, qualitative case study was carried out using three complementary methods: literature review and analysis of official Peruvian and Ecuadoran national and binational documents, 18 semi-structured interviews of key informants, and a survey of the entire health worker population of the Suyo-Macará binational micro-network. RESULTS: The key program challenge was the absence of reciprocity; Peruvian citizens were entitled to free health care services in Ecuador but Ecuadoran citizens did not receive the same benefit in Peru. The need for improvements in the binational system's human resources was also identified. The program's main strength was its organizational structure, which is designed mainly for the implementation of 1) the binational network and 2) a patient referral / counter-referral system that includes the transfer of patient clinical information. CONCLUSIONS: Notwithstanding considerable challenges, peri-border programs are feasible and replicable. Program success seems to be highly dependent on the completion of a number of steps, including 1) consolidation of the original binational memorandum into a binding binational agreement between the two countries; 2) achievement of similar standards in both countries for the provision and quality of health care services, focusing on complementarities; and 3) development of an integrated binational information system. |
format |
Article in Journal/Newspaper |
author |
Gianluca Cafagna Eduardo Missoni Rosa Luz Benites de Beingolea |
author_facet |
Gianluca Cafagna Eduardo Missoni Rosa Luz Benites de Beingolea |
author_sort |
Gianluca Cafagna |
title |
"Peri-border" health care programs: the Ecuador-Peru experience |
title_short |
"Peri-border" health care programs: the Ecuador-Peru experience |
title_full |
"Peri-border" health care programs: the Ecuador-Peru experience |
title_fullStr |
"Peri-border" health care programs: the Ecuador-Peru experience |
title_full_unstemmed |
"Peri-border" health care programs: the Ecuador-Peru experience |
title_sort |
"peri-border" health care programs: the ecuador-peru experience |
publisher |
Pan American Health Organization |
publishDate |
2014 |
url |
https://doaj.org/article/4ccc3e2c973d48be98f6fdd587f16bee |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 35, Iss 3, Pp 207-213 (2014) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000300007&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/4ccc3e2c973d48be98f6fdd587f16bee |
_version_ |
1766341595794243584 |