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Gobernanza de las organizaciones de salud basados en Atención Primaria de Salud / Governance of primary health-care-based health-care organization
Báscolo, Ernesto.
  • Báscolo, Ernesto; s.af
Rev. salud pública ; 12(supl.1): 8-27, 2010.
Article in Spanish | LILACS | ID: lil-561467
RESUMEN
Se desarrolla un marco analítico para explicar las condiciones de efectividad de diferentes estrategias que promueven sistemas integrados de servicios de salud basados en atención primaria de la salud (APS) en América Latina. Con una perspectiva de economía política, se caracterizan diferentes modos de gobernanza (clan, incentivos y jerárquicos) para representar alternativas formas de regulación que promueven innovaciones en organización de la provisión de los servicios. Se presentan condiciones necesarias para garantizar la efectividad de los modos de gobernanza y sus implicancias en términos de puestas en juego. La construcción institucional de un sistema integrado de salud es interpretado como producto de un proceso social, en donde se combinan diferentes modos de gobernanza, que operan con diferentes formas de resolución de los aspectos normativos de regulación de la provisión de los servicios (con el modo jerárquico), de la distribución de recursos (con el modo incentivos) y sobre los valores sociales que legitiman este proceso (con el modo clan).
ABSTRACT
An analytical framework was developed for explaining the conditions for the effectiveness of different strategies promoting integrated primary health-care (PHC) service-based systems in Latin-America. Different modes of governance (clan, incentives and hierarchy) were characterised from a political economics viewpoint for representing alternative forms of regulation promoting innovation in health-service-providing organisations. The necessary conditions for guaranteeing the modes of governance's effectiveness are presented, as are their implications in terms of posts in play. The institutional construction of an integrated health system is interpreted as being a product of a social process in which different modes of governance are combined, operating with different ways of resolving normative aspects for regulating service provision (with the hierarchical mode), resource distribution (with the incentives mode) and on the social values legitimising such process (with the clan mode).
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Primary Health Care / Decision Making, Organizational / Health Services Administration / Delivery of Health Care / Health Services Research Type of study: Prognostic study Language: Spanish Journal: Rev. salud pública Journal subject: Public Health Year: 2010 Type: Article

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Full text: Available Index: LILACS (Americas) Main subject: Primary Health Care / Decision Making, Organizational / Health Services Administration / Delivery of Health Care / Health Services Research Type of study: Prognostic study Language: Spanish Journal: Rev. salud pública Journal subject: Public Health Year: 2010 Type: Article