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Health-system reform and universal health coverage in Latin America

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dc.contributor.author Atun, Rifat
dc.contributor.author de Andrade, Luiz Odorico Monteiro
dc.contributor.author Almeida, Gisele
dc.contributor.author Cotlear, Daniel
dc.contributor.author Dmytraczenko, T.
dc.contributor.author Frenz, Patricia
dc.contributor.author Garcia Funegra, Patricia Jannet
dc.contributor.author Gómez-Dantés, Octavio
dc.contributor.author Knaul, Felicia M.
dc.contributor.author Muntaner, Carles
dc.contributor.author de Paula, Juliana Braga
dc.contributor.author Rígoli, Felix
dc.contributor.author Serrate, Pastor Castell-Florit
dc.contributor.author Wagstaff, Adam
dc.date.accessioned 2019-02-06T14:53:06Z
dc.date.available 2019-02-06T14:53:06Z
dc.date.issued 2015
dc.identifier.uri https://hdl.handle.net/20.500.12866/5361
dc.description.abstract Starting in the late 1980s, many Latin American countries began social sector reforms to alleviate poverty, reduce socioeconomic inequalities, improve health outcomes, and provide financial risk protection. In particular, starting in the 1990s, reforms aimed at strengthening health systems to reduce inequalities in health access and outcomes focused on expansion of universal health coverage, especially for poor citizens. In Latin America, health-system reforms have produced a distinct approach to universal health coverage, underpinned by the principles of equity, solidarity, and collective action to overcome social inequalities. In most of the countries studied, government financing enabled the introduction of supply-side interventions to expand insurance coverage for uninsured citizens--with defined and enlarged benefits packages--and to scale up delivery of health services. Countries such as Brazil and Cuba introduced tax-financed universal health systems. These changes were combined with demand-side interventions aimed at alleviating poverty (targeting many social determinants of health) and improving access of the most disadvantaged populations. Hence, the distinguishing features of health-system strengthening for universal health coverage and lessons from the Latin American experience are relevant for countries advancing universal health coverage. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Lancet
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humans en_US
dc.subject Latin America en_US
dc.subject Delivery of Health Care/organization & administration en_US
dc.subject Life Expectancy en_US
dc.subject Health Care Reform/organization & administration en_US
dc.subject Health Expenditures en_US
dc.subject Health Services Accessibility/organization & administration en_US
dc.subject Healthcare Disparities en_US
dc.subject Healthcare Financing en_US
dc.subject Human Rights en_US
dc.subject Universal Health Insurance/organization & administration en_US
dc.title Health-system reform and universal health coverage in Latin America en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/S0140-6736(14)61646-9
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00
dc.relation.issn 1474-547X

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