Health-System Reform and Universal Health Coverage in Latin America
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...
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Elsevier
2016
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| Online Access: | http://hdl.handle.net/10986/23552 |
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okr-10986-235522021-04-23T14:04:16Z Health-System Reform and Universal Health Coverage in Latin America Atun, Rifat Monteiro de Andrade, Luiz Odorico Almeida, Gisele Cotlear, Daniel Dmytraczenko, T Wagstaff, Adam health systems reforms health system financing universal health coverage 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. 2016-01-04T18:17:31Z 2016-01-04T18:17:31Z 2015 Journal Article The Lancet http://hdl.handle.net/10986/23552 en_US CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Elsevier Publications & Research :: Journal Article Publications & Research |
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Digital Repository |
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Foreign Institution |
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Digital Repositories |
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World Bank Open Knowledge Repository |
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World Bank |
| language |
en_US |
| topic |
health systems reforms health system financing universal health coverage |
| spellingShingle |
health systems reforms health system financing universal health coverage Atun, Rifat Monteiro de Andrade, Luiz Odorico Almeida, Gisele Cotlear, Daniel Dmytraczenko, T Health-System Reform and Universal Health Coverage in Latin America |
| description |
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. |
| author2 |
Wagstaff, Adam |
| author_facet |
Wagstaff, Adam Atun, Rifat Monteiro de Andrade, Luiz Odorico Almeida, Gisele Cotlear, Daniel Dmytraczenko, T |
| format |
Journal Article |
| author |
Atun, Rifat Monteiro de Andrade, Luiz Odorico Almeida, Gisele Cotlear, Daniel Dmytraczenko, T |
| author_sort |
Atun, Rifat |
| title |
Health-System Reform and Universal Health Coverage in Latin America |
| title_short |
Health-System Reform and Universal Health Coverage in Latin America |
| title_full |
Health-System Reform and Universal Health Coverage in Latin America |
| title_fullStr |
Health-System Reform and Universal Health Coverage in Latin America |
| title_full_unstemmed |
Health-System Reform and Universal Health Coverage in Latin America |
| title_sort |
health-system reform and universal health coverage in latin america |
| publisher |
Elsevier |
| publishDate |
2016 |
| url |
http://hdl.handle.net/10986/23552 |
| _version_ |
1764454259630276608 |