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Fragmentación e incentivos en los sistemas de atención de la salud en América Latina y el Caribe

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  • Daniel Maceira

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

  • Daniel Maceira, 1996. "Fragmentación e incentivos en los sistemas de atención de la salud en América Latina y el Caribe," Research Department Publications 4049, Inter-American Development Bank, Research Department.
    • Handle: RePEc:idb:wpaper:4049
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    Cited by:

    1. 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.
    2. 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.
    3. 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.

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