[Equity and health systems reform in Latin America].
The aim of any health care system is to help improve the people's health, and to do so as efficiently as possible. In order to improve the efficiency and equity of health services provision, many countries around the world have implemented reforms, including several Latin American nations. However similar the objectives may appear, the various ways societies implement such reforms reflect different values and concepts. This article analyzes the egalitarian and neoliberal values underlying different concepts of equity in health care. The authors develop criteria to interpret selected health services funding and provision strategies in Latin American health system reforms. These criteria are then applied to health care financing and delivery policies under the reforms currently being implemented in Colombia and Costa Rica.
Servicio de Estudios, Consorcio Hospitalario de Cataluña, Barcelona, España.
Ingrid
I
Vargas
Maria Luisa
ML
Vazquez
Elisabet
E
Jane
D003105:Colombia; D003364:Costa Rica; D003695:Delivery of Health Care; D017598:Efficiency, Organizational; D018166:Health Care Reform / Q000191:economics; D005102:Health Expenditures; D006801:Humans; D007843:Latin America; D012935:Social Justice; D012959:Socioeconomic Factors