Las reformas sanitarias y los modelos de gestión

Bibliographic Data

ID14967012
AuthorsGinés González García (Universidad Isalud, corresponding author)
Year2001
Volume9
Issue6
Pages406-412
Publication date2001-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueRevista Panamericana de Salud Pública (JOURNAL)
Journal identifiersISSN: 1020-4989 • E-ISSN: 1680-5348
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s1020-49892001000600013
PMID11550583
OpenAlexW2159999015
SCIELO_PIDS1020-49892001000600013
LanguageES
Citations received6

This article tries to indicate the direction of progress in management being taken in health sector reforms in Latin America. The piece first discusses the tension between local forces and international neoliberal trends being manifested in the reform in various countries. The article next looks at the distinction between the tools and the management models that are being applied, presenting a taxonomy of three management levels: macromanagement (national health systems), midlevel management (hospitals, insurers, and other such institutions) and micromanagement (clinics). The piece concludes by reflecting on the future of management in the health sector in Latin America, where health systems are overadministered and undermanaged. Their future depends on multiple factors, most of which are outside the health care field itself. Better management of policies, institutions, and patients would be a tremendous tool in directing the future. Management is here to stay, with greater emphasis on either supply--hospitals and physicians--or demand--citizens or clients. For both the public and private sectors, health management is central to health sector reforms in Latin America

Business · Economic growth · Economics · Environmental health · Health care · Health management system · Health sector · Health services · Healthcare system · Latin Americans · Political science · Private sector · Public health · Medicine · Nursing · Public Administration · Public Health and Social Inequalities · Public Health in Brazil

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