Ernesto Báscolo
Biographic Data
| ID | 1789610 |
|---|---|
| NAME | Ernesto Báscolo |
| GIVEN NAMES | Ernesto |
| FAMILY NAME | Báscolo |
| SIGNATURE | BÁSCOLO E |
| AFFILIATIONS | World Health Organization Regional Office for the Americas |
| ORCID | 0000-0002-4654-5810 |
| VERIFIED | Yes |
| TOTAL WORKS | 43 |
| TOTAL CITATIONS | 20 |
| AUTHOR COUNT | 43 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2006 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Requisitos estructurales para la consolidación de la Estrategia de Salud Familiar y coordinación del cuidado
El artículo de Giovanella et al. 1 ofrece un valioso análisis institucional de 30 años de la Estrategia de Salud Familiar (ESF), documentando logros en la expansión de cobertura, equidad en el acceso y mejoras en salud, al tiempo que reconoce brechas en la implementación y períodos de incertidumbre.La revisión de hitos clave, desde el Programa Salud de la Familia de 1994 hasta los desafíos contemporáneos, proporciona un contexto histórico fundame…
Structural requirements for strengthening the Family Health Strategy and care coordination
The paper by Giovanella et al. 1 provides a valuable institutional analysis of the 30-year trajectory of the Family Health Strategy (FHS), documenting achievements in expanding coverage, promoting equitable access and improving health outcomes, while also acknowledging implementation gaps and periods of uncertainty.The overview of key milestones and setbacks, from the introduction of the Family Health Program in 1994 to contemporary challenges, p…
Regulación del financiamiento y la provisión
Este artículo propone un marco analítico para reinterpretar la segmentación y fragmentación de los sistemas de salud de América Latina y el Caribe, centrándose en las relaciones asimétricas entre actores como causa estructural de ineficiencias e inequidades. A diferencia del enfoque tradicional, que atribuye estos problemas a la mera coexistencia de múltiples esquemas de financiamiento y provisión, esta propuesta integra el paradigma estructura-c…
Vigilância em saúde como pilar estratégico de uma concepção abrangente de atenção primária à saúde
integral de atencin primaria en salud
Digital transformation to overcoming access barriers
The digital transformation of the health sector offers innovative solutions to overcome significant barriers to health care access, which vary across regions and disproportionately affect vulnerable populations.This transformation goes beyond simply adopting new technologies; it involves a fundamental rethinking of health care delivery to make it more accessible, efficient, and patient-centered through digital tools and platforms.Digital health s…
The voice of healthy aging for changing paradigms and changing lives
practice and training in geriatrics and healthy aging across the Americas.As Chief of the Healthy Life Course Unit at the Pan American Health Organization (PAHO), Dr. Vega Garca played a central role in shaping discussions and advancing policies on healthy aging and health systems through a life-course approach.His passing leaves a significant absence in the global health community.Yet his groundbreaking work continues to guide reforms in public …
Regulation and performance of health systems
The private health sector has expanded significantly in recent decades, both in Latin America and other regions. Governments and international organizations have dealt with this process in a heterogeneous manner. A policy approach and, above all, a regulatory framework, are required in order to put health objectives and the right to health above the profit motive that drives private sector participation. This paper reviews frameworks for analyzin…
From hope to reality
Perspectivas para las políticas públicas de Atención Primaria en Salud en Suramérica
El objetivo es realizar un análisis comparativo de la implementación de la APS en nueve países de Suramérica. A partir de fuentes documentales fueron destacadas tres dimensiones: compromiso político, liderazgo y gobernanza; modelo de atención; involucramiento de comunidades y otros actores. Los resultados indican la existencia de compromiso formal que localiza la APS en el centro de los esfuerzos para lograr el acceso universal. Se observan proce…
Perspectives for Primary Health Care public policy in South America
We aim to conduct a comparative analysis of the implementation of PHC in nine South American countries. Three dimensions were highlighted from documentary sources: political commitment, leadership, and governance; care model; and engagement of communities and other stakeholders. The results indicate a formal commitment that places PHC at the center of efforts to achieve universal access. The following can be observed: revitalization processes in …
Social participation in health
This article analyzes the state of social participation in health in the Region of the Americas, framing it within the regional context and commitments assumed by the Member States of the Pan American Health Organization. It aims to provide regional input to the discussion of a resolution on social participation for universal health coverage, health, and well-being at the 77th World Health Assembly in 2024. In the Americas, social participation h…
Scalable policy adoption and sustainable implementation of surgical care in the Americas
On September 29, 2023, the Republic of Ecuador convened a meeting to address surgical system strengthening and urge political leaders to invest in surgical infrastructure. The meeting included experts in health diplomacy, innovative financing, implementation strategy and national surgical plans. The event occurred in parallel with the Sixtieth Directing Council of the Pan American Health Organization, Seventy-fifth session of the World Health Org…
Together towards tomorrow
From national and regional commitments to global impact
Le defi a relever par les soignants dans la prise en soins de personnes âgees dementes doit s'inscrire dans une organisation du travail qui les aide a adopter une posture d'apprenant et a valoriser leur reflexion ethique dans la reponse quotidienne aux besoins de cette population
Regulación y desempeño de los sistemas de salud
The private health sector has expanded significantly in recent decades, both in Latin America and other regions. Governments and international organizations have dealt with this process in a heterogeneous manner. A policy approach and, above all, a regulatory framework, are required in order to put health objectives and the right to health above the profit motive that drives private sector participation. This paper reviews frameworks for analyzin…
Towards 2030
Towards applying the essential public health functions for building health systems resilience
The COVID-19 pandemic, climate change-related events, protracted conflicts, economic stressors and other health challenges, call for strong public health orientation and leadership in health system strengthening and policies. Applying the essential public health functions (EPHFs) represents a holistic operational approach to public health, which is considered to be an integrated, sustainable, and cost-effective means for supporting universal heal…
The Country Connector on Private Sector in Health
Using mixed methods to understand and tackle barriers to accessing health services
This report describes the experience and lessons learnt from designing and implementing a combined quantitative and qualitative method to assess barriers to accessing health services. This approach was developed to study barriers to access in five dimensions: availability; geographical, financial, and organizational accessibility; acceptability; contact; and effective coverage. The study design was used in six countries in the World Health Organi…
La transformación digital como estrategia para el fortalecimiento de las funciones esenciales de salud pública en las Américas
En el presente artículo se sistematizaron las principales acciones de transformación digital (TD) de los sistemas de salud que abordan a las funciones esenciales de la salud pública (FESP). Se realizó una revisión narrativa, donde se interrelacionó el marco conceptual de las funciones esenciales de la salud pública renovadas con los ocho principios rectores de la transformación digital del sector de la salud. En las publicaciones seleccionadas, s…
La importancia del enfoque de género en la construcción de sistemas de salud resilientes, equitativos y universales
La pandemia de la enfermedad por el coronavirus 2019 (COVID-19, por su sigla en inglés) demostró la necesidad de reforzar el enfoque de género desde una perspectiva integradora y multisectorial para el abordaje de las problemáticas en salud. Este artículo busca destacar la importancia de incorporar y fortalecer el enfoque de género en las políticas de construcción de sistemas de salud resilientes, equitativos y universales. Con este objetivo, se …
Barreras de acceso a los servicios de salud para mujeres, niños y niñas en América Latina
Objetivo. Determinar si existe una asociación entre las barreras de acceso informadas por mujeres de 15-49 años y la utilización de servicios esenciales de salud para mujeres, niños y niñas en América Latina. Método. Estudio transversal con base en modelos de regresión multivariada logística a partir de las Encuestas de Demografía y Salud de Bolivia, Haití, Honduras, Guatemala, Guyana, Nicaragua, Perú y República Dominicana. Resultados. Las barre…
Aportes del nuevo marco para las funciones esenciales de salud pública a la lucha contra la pandemia de Covid-19
En el presente artículo se utiliza una perspectiva de rectoría de la salud, con el fin de interpretar las fortalezas y los obstáculos relativos a las capacidades de las autoridades nacionales de salud para responder ante la pandemia de COVID-19, a través del marco renovado de las funciones esenciales de salud pública (FESP). Sobre la base de una revisión bibliográfica, se sostiene que las capacidades institucionales que necesitan los países de la…
Contributions of the New Framework for Essential Public Health Functions to Addressing the Covid-19 Pandemic
This article uses a health stewardship perspective to interpret the strengths of and challenges to national health authorities’ capacities to respond to the COVID-19 pandemic through the renewed essential public health functions (EPHF) framework. Based on a literature review, this article argues that the institutional capacities required by countries to respond to the COVID-19 pandemic in the Americas included all 4 stages of the new EPHF policy …
Covid-19
box The COVID-19 pandemic has resulted in terrible loss of life, disproportionately impacting the poor and those with underlying health conditions, devastating lives and livelihoods as a consequence of its effect on economic activity. Weak health system responses, chronic and longstanding underinvestment, and inadequate policies to tackle the root causes of inequity that most affect those living in conditions of vulnerability to access needed hea…
Gobernanza en salud
Existe una notoria ausencia de coherencia conceptual en el uso de los términos gobernabilidad y gobernanza (considerado sinónimo de "gobernancia") en América Latina, tanto en ciencias sociales y políticas, como en el dominio de la salud. Esto se expresa con mayor fuerza en una diferente comprensión del término gobernanza por parte de los investigadores, un uso heterogéneo en ámbitos académicos, su desconocimiento por parte de los tomadores de dec…
El proceso de interacción investigadores y tomadores de decisiones
Este artículo analiza el proceso de interacción entre el equipo de investigación del Instituto de la Salud Juan Lazarte y el equipo de gestión del Seguro Público de Salud (SPS) de la Provincia de Buenos Aires, Argentina, durante el diseño y desarrollo de la investigación Análisis de las Capacidades Institucionales y Evaluación de Desempeño del SPS. Dada la existencia de distintos espacios de interacción entre el equipo de gestión del SPS y el equ…
The authors reply
Use of research results in policy decision-making, formulation, and implementation
This paper offers a critical review of the theoretical literature on the relationship between the production of scientific knowledge and its use in policy formulation and implementation. Extensive academic output, using a diversity of approaches and analytical frameworks, has sought to systematize knowledge transfer categories and strategies with a view to improving the application of scientific knowledge. A considerable part of this thinking add…
Gobernanza en salud
Existe una notoria ausencia de coherencia conceptual en el uso de los términos gobernabilidad y gobernanza (considerado sinónimo de "gobernancia") en América Latina, tanto en ciencias sociales y políticas, como en el dominio de la salud. Esto se expresa con mayor fuerza en una diferente comprensión del término gobernanza por parte de los investigadores, un uso heterogéneo en ámbitos académicos, su desconocimiento por parte de los tomadores de dec…
El proceso de interacción investigadores y tomadores de decisiones
Este artículo analiza el proceso de interacción entre el equipo de investigación del Instituto de la Salud Juan Lazarte y el equipo de gestión del Seguro Público de Salud (SPS) de la Provincia de Buenos Aires, Argentina, durante el diseño y desarrollo de la investigación Análisis de las Capacidades Institucionales y Evaluación de Desempeño del SPS. Dada la existencia de distintos espacios de interacción entre el equipo de gestión del SPS y el equ…
Gobernanza y economía política de las políticas de APS en América Latina
El desarrollo de los procesos de implementación de las políticas de APS en América Latina sigue siendo un desafío pendiente. Es necesario reconocer la economía política de los procesos de implementación de las políticas de APS desde una perspectiva de gobernanza, caracterizada por las estrategias de regulación promovidas y los procesos políticos. La promoción de valores sociales, normas organizacionales o la introducción de nuevos incentivos econ…
Comparing the performance of the public social security and private health sub-system in Rosario (Argentina) / Comparacion del desempeño de la seguridad social pública y del sub-sistema de salud priva…
Comparing the performance of the public social security and private health sub-system in Rosario (Argentina) / Comparacion del desempeo de la seguridad social pblica y del sub-sistema de salud privado en Rosario (Argentina)
The influence of political processes of health systems reforms based on primary health care in institutional and organizational innovations and health services performance
The influence of political processes of health systems reforms based on primary health care in institutional and organizational innovations and health services performance: a case study of three municipal settings in Argentina and Bolivia / La influencia
Litigio judicial y el derecho a la salud en Argentina
El propósito de este trabajo es explorar el perfil del litigio por el acceso a la atención de la salud, tramitado ante la Corte Suprema de Justicia Argentina, y reflexionar sobre su potencial para influir sobre la equidad y el derecho a la salud, en el marco de un proceso de crecimiento de la judicialización. Se llevó a cabo un análisis documental de 125 litigios con sentencias dictadas entre 1994 y 2013. Se observó una preeminencia de la reclama…
El desafío de la sostenibilidad de los programas ampliados de inmunizaciones
Objetivo. Analizar la sostenibilidad y la integración de los programas prioritarios en el marco de la Estrategia para el acceso universal a la salud y la cobertura universal de salud (Salud Universal) de la Organización Panamericana de la Salud de 2014 . Métodos. Se llevó a cabo una revisión no sistemática de la bibliografía reciente enfocada al análisis de la integración y la sostenibilidad . Resultados. El principal resultado que se extrae de l…
Determinantes sociais, condicionantes e desempenho dos serviços de saúde em países da América Latina, Portugal e Espanha
A comparação é um recurso importante para identificar tendências ou intervenções que melhorem a qualidade dos serviços. Os países ibero-americanos não têm sido objeto de estudos dessa ordem, embora Portugal e Espanha venham acumulando um conhecimento relevante na condução de sistemas nacionais orientados pela atenção primária. O trabalho apresenta os resultados da matriz analítica do Observatório Iberoamericano de Políticas e Sistemas de Saúde, d…
Construcción de un marco de monitoreo para la salud universal
The objective of the study is to construct a conceptual framework for monitoring progress on policies and actions aimed at reaching universal health.Conceptual models and proposed methodologies for monitoring universal health coverage and access were reviewed. A literature review was also done to select relevant indicators. This review was supplemented with a process of consultation with health systems experts from the Region of the Americas.A co…
Lógicas de transformación de los sistemas de salud en América Latina y resultados en acceso y cobertura de salud
Health system reforms can be described in terms of the type of transformations promoted. Reforms that focus on expanding insurance coverage improve financial protection but do not result in positive changes in access. Reforms that prioritize transformations in the organization of health services lead to improved access, yet a large proportion of the population continues to report barriers to access in the countries studied. The socioeconomic cond…
Espacio fiscal para salud en las Américas
This analysis demonstrates the limitations of economic growth as a source of fiscal space. Other sources will need to be tapped, such as increased tax collection, specific health taxes, and greater efficiency in public spending, which will require social and political dialogue in the countries regarding their commitment to universal health principles
Fiscal space for Health in the Americas
Objective. In 2014, the member countries of the Pan American Health Organization signed the Strategy for Universal Access to Health and Universal Health Coverage. In it, they committed to increasing public expenditure on health until reaching the benchmark of 6% of gross domestic product (GDP). The objective of this paper is to determine, for each country in the Region, whether they can reach this target through economic growth alone and, if so, …
Covid-19
box The COVID-19 pandemic has resulted in terrible loss of life, disproportionately impacting the poor and those with underlying health conditions, devastating lives and livelihoods as a consequence of its effect on economic activity. Weak health system responses, chronic and longstanding underinvestment, and inadequate policies to tackle the root causes of inequity that most affect those living in conditions of vulnerability to access needed hea…
Monitoring access barriers to health services in the Americas
Objective. To map the range of access barriers indicators for which data can be derived from household surveys in the Americas. Methods. A systematic mapping review study was conducted to identify access dimensions and indicators of access barriers for general health services already described in the literature; and identify whether data for those indicators could be derived from household surveys in the Americas and what was the methodology used…
A renewed framework for the essential public health functions in the Americas
This report presents the results of a consensus decision making process conducted to elaborate a renewed conceptual framework of the essential public health functions for the Americas. The emerging framework consists of four pillars encompassing action-oriented components relating to the new scope and concerns of public health. The four pillars call for adopting a human rights approach to public health, addressing the social determinants of healt…
Leveraging household survey data to measure barriers to health services access in the Americas
Objective. To identify advantages and challenges of using household survey data to measure access barriers to health services in the Americas and to report findings from most recent surveys. Methods. Descriptive cross-sectional study using data retrieved from publicly available nationally representative household surveys carried out in 27 countries of the Americas. Values for indicators of access barriers for forgone care were generated using ava…
Socioeconomic inequalities in access barriers to seeking health services in four Latin American countries
Objective. To present summary measures of socioeconomic inequalities in access barriers to health services in Colombia, El Salvador, Paraguay, and Peru. Methods. This cross-sectional study used data from nationally - representative household surveys in Colombia, El Salvador, Peru, and Paraguay to analyze income-related inequalities in barriers to seeking health services. Households that reported having a health problem (disease/accident) and not …
Barreras de acceso a los servicios de salud para mujeres, niños y niñas en América Latina
Objetivo. Determinar si existe una asociación entre las barreras de acceso informadas por mujeres de 15-49 años y la utilización de servicios esenciales de salud para mujeres, niños y niñas en América Latina. Método. Estudio transversal con base en modelos de regresión multivariada logística a partir de las Encuestas de Demografía y Salud de Bolivia, Haití, Honduras, Guatemala, Guyana, Nicaragua, Perú y República Dominicana. Resultados. Las barre…
Aportes del nuevo marco para las funciones esenciales de salud pública a la lucha contra la pandemia de Covid-19
En el presente artículo se utiliza una perspectiva de rectoría de la salud, con el fin de interpretar las fortalezas y los obstáculos relativos a las capacidades de las autoridades nacionales de salud para responder ante la pandemia de COVID-19, a través del marco renovado de las funciones esenciales de salud pública (FESP). Sobre la base de una revisión bibliográfica, se sostiene que las capacidades institucionales que necesitan los países de la…
Contributions of the New Framework for Essential Public Health Functions to Addressing the Covid-19 Pandemic
This article uses a health stewardship perspective to interpret the strengths of and challenges to national health authorities’ capacities to respond to the COVID-19 pandemic through the renewed essential public health functions (EPHF) framework. Based on a literature review, this article argues that the institutional capacities required by countries to respond to the COVID-19 pandemic in the Americas included all 4 stages of the new EPHF policy …
Towards applying the essential public health functions for building health systems resilience
The COVID-19 pandemic, climate change-related events, protracted conflicts, economic stressors and other health challenges, call for strong public health orientation and leadership in health system strengthening and policies. Applying the essential public health functions (EPHFs) represents a holistic operational approach to public health, which is considered to be an integrated, sustainable, and cost-effective means for supporting universal heal…
The Country Connector on Private Sector in Health
Using mixed methods to understand and tackle barriers to accessing health services
This report describes the experience and lessons learnt from designing and implementing a combined quantitative and qualitative method to assess barriers to accessing health services. This approach was developed to study barriers to access in five dimensions: availability; geographical, financial, and organizational accessibility; acceptability; contact; and effective coverage. The study design was used in six countries in the World Health Organi…
Political science (33 works) · Healthcare Systems and Reforms (20 works) · Medicine (19 works) · Business (16 works) · Economics (16 works) · Health care (14 works) · Computer Science (12 works) · Global Maternal and Child Health (12 works) · Economic growth (11 works) · Global Public Health Policies and Epidemiology (11 works)