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Fragmentación e Incentivos en los Sistemas de Atención de la Salud en América Latina y el Caribe

Author

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  • Maceira, Daniel

Abstract

En este trabajo se argumenta que las fallas de organización en las estructuras burocráticas y de atención, basados en los mecanismos de pagos utilizados y la resultante generación de incentivos, sumadas a restricciones financieras, llevaron a una reconversión sectorial, en la cual el sector privado juega un rol determinante. La provisión de servicios y la asignación de recursos queda entonces definida entre prestadores con capacidades relativas dispares, donde dos factores resultan fundamentales: la diversidad al interior del sector público, tanto a nivel horizontal (relaciones entre prestadores públicos y de los sistemas de seguridad social), como vertical (división de funciones, asignación de recursos y descentralización).

Suggested Citation

  • Maceira, Daniel, 1996. "Fragmentación e Incentivos en los Sistemas de Atención de la Salud en América Latina y el Caribe," IDB Publications (Working Papers) 6215, Inter-American Development Bank.
    • Handle: RePEc:idb:brikps:6215
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    File URL: https://publications.iadb.org/publications/spanish/document/Fragmentaci%C3%B3n-e-Incentivos-en-los-Sistemas-de-Atenci%C3%B3n-de-la-Salud-en-Am%C3%A9rica-Latina-y-el-Caribe.pdf
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    Citations

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    Cited by:

    1. Daniel Maceira, 1998. "Income Distribution and the Public-Private Mix in Health Care Provision: The Latin American Case," Research Department Publications 4154, Inter-American Development Bank, Research Department.
    2. Daniel Maceira, 1998. "Distribución del ingreso y la combinación público-privada de servicios de atención médica: el caso de América Latina," Research Department Publications 4155, Inter-American Development Bank, Research Department.
    3. Maceira, Daniel, 1998. "Income Distribution and the Public-Private Mix in Health Care Provision: The Latin American Case," IDB Publications (Working Papers) 1887, Inter-American Development Bank.
    4. Maceira, Daniel & Murillo, Maria Victoria, 2001. "Social Sector Reform in Latin America and the Role of Unions," IDB Publications (Working Papers) 1419, Inter-American Development Bank.

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