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Determinantes sociopolíticos de las políticas internacionales de salud / Sociopolitical determinants of international health policies
De Vos, Pol; Van der Stuyft, Patrick.
  • De Vos, Pol; General Epidemiology and Disease Control Unit. Public Health Department. Institute of Tropical Medicine. Antwerp. BE
  • Van der Stuyft, Patrick; General Epidemiology and Disease Control Unit. Public Health Department. Institute of Tropical Medicine. Antwerp. BE
Rev. peru. med. exp. salud publica ; 30(2): 288-298, abr.-jun. 2013.
Article in Spanish | LILACS, LIPECS | ID: lil-681017
RESUMEN
Desde hace décadas, dos lógicas opuestas dominan el debate político de la salud el enfoque de atención integral de salud, con la Declaración de Alma Ata de 1978 como piedra angular, y la lógica de la competencia privada, haciendo hincapié en el papel del sector privado. Presentamos este debate y su influencia en las políticas internacionales de salud en el contexto de las relaciones de poder económicas y sociopolíticas globales. Se ilustra el enfoque neoliberal de la reforma del sector salud de Chile en la década de 1980 y de la reforma colombiana desde 1993. La lógica pública integral se ilustra a través de los modelos de seguridad social en Costa Rica y en Brasil, y a través de los sistemas nacionales de salud pública en Cuba vigentes desde 1959, y en Nicaragua, durante la década de 1980. Estas experiencias ponen de relieve que los sistemas de salud no gravitan naturalmente hacia una mayor equidad y eficiencia, sino que requieren de decisiones políticas explícitas.
ABSTRACT
For decades, two opposing logics dominate the health policy debate A comprehensive health care approach, with the 1978 Alma Ata Declaration as its cornerstone, and private competition logic, emphasizing the role of the private sector. We present this debate and its influence on international health policies in the context of changing global economic and sociopolitical power relations. The neoliberal approach is illustrated with Chile’s health sector reform in the 1980s and the Colombian reform since 1993. The comprehensive ‘public logic’ is shown through the social insurance models in Costa Rica and in Brazil, and through the national public health systems in Cuba since 1959, and in Nicaragua -during the 1980s. These experiences emphasize that health (care) systems do not naturally gravitate towards greater fairness and efficiency, but that they require deliberate policy decisions.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Health Policy Type of study: Prognostic study Limits: Humans Language: Spanish Journal: Rev. peru. med. exp. salud publica Year: 2013 Type: Article Institution/Affiliation country: General Epidemiology and Disease Control Unit/BE

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Full text: Available Index: LILACS (Americas) Main subject: Health Policy Type of study: Prognostic study Limits: Humans Language: Spanish Journal: Rev. peru. med. exp. salud publica Year: 2013 Type: Article Institution/Affiliation country: General Epidemiology and Disease Control Unit/BE