En los últimos 30 años, la ciencia médica ha mostrado un significativo desarrollo mediado por la acelerada innovación tecnológica, condición que trajo aparejada a su vez profundos cambios en los esquemas habituales de diagnóstico y tratamiento, así como un incremento significativo en el costo de la atención médica. Tanto en la introducción de nuevas prácticas, fármacos y equipos sofisticados, es...

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Uno de los cinco proyectos de ley que conforman la Reforma de Salud lo constituye el denominado "Autoridad Sanitaria y Gestión", que terminó su trámite legislativo el día 21 de enero al ser aprobado por la cámara de diputados y queda en condiciones de ser promulgado como ley. Entre otros aspectos, este proyecto crea establecimientos de salud públicos autogestionados en red. El objetivo de esto es...

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En este documento se comparten algunas ideas sobre algunos de los rasgos más significativos de lo que se está discutiendo en ciertos ámbitos importantes de la esfera social y del sector salud en los últimos años, en torno a la cuestión de la salud del adulto mayor. In this paper some ideas on some of the most significant of what is being discussed in certain important areas of social sphere...

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In this issue of Well-being and Social Policy we have tried to include articles that support the debate around social insurance in health. This is an issue in which simple answers are hardly ever found, and a long term effort is required to understand the idiosyncrasy of each country and the best mix of regulation and financing options. Additionally, the studied cases point out to the need of a...

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The model of health care financing and delivery for which Canada is best known internationally is its universal, single-payer, first-dollar system of coverage for physician and hospital services. For several decades following its establishment in the late 1950's and 1960's, this model provided public finance from the general tax base (like the UK), at levels of generosity, relative to GDP, like...

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This study analyzes achievements and obstacles in the process of moving towards universal coverage of essential health care services in Costa Rica. It describes the country as exemplary in the region, both in terms of population health status as well as health financing indicators. Life expectancy and the level of pre-payment are both comparable to high income countries. However, the process that...

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The paper discusses the financing of the health care reform implemented in Colombia since the early nineties and explains the obstacles faced on the way to universal enrollment to social health insurance. The paper describes the reform and the sources created for its financing. It presents the observed trends in the financing of the insurance schemes created by the reform, identifies the...

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The book by Cristian Baeza and Truman Packard is based on the next hypothesis: adverse health events reduce the consumption of goods and services different from health services, and many households become poor because of that. While the authors recognize that the evidence they present on the topic is limited, they propose the use of a “universal risk pool” as a way to eliminate the problem of...

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The Mexican Social Security Institute, as a part of the National Health System, endeavors to observe the social security principies, i.e.: universality, solidarity, integrity, equity and efficiency; assisting the beneficiaries with opportuneness, quality and kindness; assuming, since fifty three years ago, the responsibiiity of looking over the health of more than fifty per cent of the population...

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This paper analyzes the response of Trinidad and Tobago and the actions taken by its social security systems to face the covid-19 pandemic during the first year of pandemic. The approach consists of two phases. Firstly, literature and public statistics were collected and analyzed. Secondly, meetings and information requests were conducted with public officials to provide additional information...

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The document begins with a summary of Belize’s general characteristics, followed by a brief description of the development of the pandemic, including the spread of the virus, quarantine measures, mortality rate, and vaccination. The third section describes the different branches covered by the social security system and the way they responded to covid-19. Finally, any other program or policy...

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