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Financiamiento de redes integradas de servicios de salud
The countries of Latin America and the Caribbean need to increase their public resources in health to expand equitable and efficient access to health. The increase should finance a specific model with proven effectiveness, such as integrated health service networks (IHSN) based on primary health car...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Organización Panamericana de la Salud
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7537818/ https://www.ncbi.nlm.nih.gov/pubmed/33033497 http://dx.doi.org/10.26633/RPSP.2020.121 |
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author | Pedraza, Camilo Cid |
author_facet | Pedraza, Camilo Cid |
author_sort | Pedraza, Camilo Cid |
collection | PubMed |
description | The countries of Latin America and the Caribbean need to increase their public resources in health to expand equitable and efficient access to health. The increase should finance a specific model with proven effectiveness, such as integrated health service networks (IHSN) based on primary health care. The global literature has not paid sufficient attention to financing IHSN; rather, it has focused on isolated facilities and agents, as well as on specific mechanisms. However, in the Region of the Americas, their development has been a necessity for years. An IHSN is a group of health organizations that offers coordinated health interventions and services to a population under their charge and assumes health and economic responsibility for achieving better health outcomes. A system of payment to an IHSN should be aimed at promoting the integrality of care and encouraging a focus on the life cycle of individuals, the articulation and the coordination of services. The risk-adjusted population budget is a possible and powerful mechanism to support the achievement of the objectives. Its development requires the recognition that the type of financing alone will not respond to the challenges and that there is a need for both health planning and health management. The technical, political and institutional challenges need to be addressed to succeed in this effort, which in turn must be embedded in the overall process of transforming health systems towards universal health. |
format | Online Article Text |
id | pubmed-7537818 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Organización Panamericana de la Salud |
record_format | MEDLINE/PubMed |
spelling | pubmed-75378182020-10-07 Financiamiento de redes integradas de servicios de salud Pedraza, Camilo Cid Rev Panam Salud Publica Opinión Y Análisis The countries of Latin America and the Caribbean need to increase their public resources in health to expand equitable and efficient access to health. The increase should finance a specific model with proven effectiveness, such as integrated health service networks (IHSN) based on primary health care. The global literature has not paid sufficient attention to financing IHSN; rather, it has focused on isolated facilities and agents, as well as on specific mechanisms. However, in the Region of the Americas, their development has been a necessity for years. An IHSN is a group of health organizations that offers coordinated health interventions and services to a population under their charge and assumes health and economic responsibility for achieving better health outcomes. A system of payment to an IHSN should be aimed at promoting the integrality of care and encouraging a focus on the life cycle of individuals, the articulation and the coordination of services. The risk-adjusted population budget is a possible and powerful mechanism to support the achievement of the objectives. Its development requires the recognition that the type of financing alone will not respond to the challenges and that there is a need for both health planning and health management. The technical, political and institutional challenges need to be addressed to succeed in this effort, which in turn must be embedded in the overall process of transforming health systems towards universal health. Organización Panamericana de la Salud 2020-10-06 /pmc/articles/PMC7537818/ /pubmed/33033497 http://dx.doi.org/10.26633/RPSP.2020.121 Text en https://creativecommons.org/licenses/by-nc-nd/3.0/igo/legalcode Este es un artículo de acceso abierto distribuido bajo los términos de la licencia Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO, que permite su uso, distribución y reproducción en cualquier medio, siempre que el trabajo original se cite de la manera adecuada. No se permiten modificaciones a los artículos ni su uso comercial. Al reproducir un artículo no debe haber ningún indicio de que la OPS o el artículo avalan a una organización o un producto específico. El uso del logo de la OPS no está permitido. Esta leyenda debe conservarse, junto con la URL original del artículo. |
spellingShingle | Opinión Y Análisis Pedraza, Camilo Cid Financiamiento de redes integradas de servicios de salud |
title | Financiamiento de redes integradas de servicios de salud |
title_full | Financiamiento de redes integradas de servicios de salud |
title_fullStr | Financiamiento de redes integradas de servicios de salud |
title_full_unstemmed | Financiamiento de redes integradas de servicios de salud |
title_short | Financiamiento de redes integradas de servicios de salud |
title_sort | financiamiento de redes integradas de servicios de salud |
topic | Opinión Y Análisis |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7537818/ https://www.ncbi.nlm.nih.gov/pubmed/33033497 http://dx.doi.org/10.26633/RPSP.2020.121 |
work_keys_str_mv | AT pedrazacamilocid financiamientoderedesintegradasdeserviciosdesalud |