Health-system reform and universal health coverage in Latin AmericaReport as inadecuate

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Starting in the late 1980s, many Latin American countries began social sector reforms to alleviate poverty, reducesocioeconomic inequalities, improve health outcomes, and provide fi nancial risk protection. In particular, starting inthe 1990s, reforms aimed at strengthening health systems to reduce inequalities in health access and outcomes focusedon expansion of universal health coverage, especially for poor citizens. In Latin America, health-system reforms haveproduced a distinct approach to universal health coverage, underpinned by the principles of equity, solidarity, andcollective action to overcome social inequalities. In most of the countries studied, government fi nancing enabled theintroduction of supply-side interventions to expand insurance coverage for uninsured citizens—with defi ned andenlarged benefi ts packages—and to scale up delivery of health services. Countries such as Brazil and Cuba introducedtax-fi nanced universal health systems. These changes were combined with demand-side interventions aimed atalleviating poverty targeting many social determinants of health and improving access of the most disadvantagedpopulations. Hence, the distinguishing features of health-system strengthening for universal health coverage andlessons from the Latin American experience are relevant for countries advancing universal health coverage.Nota general

Artículo de publicación ISI

Author: Atun, Rifat; - Monteiro de Andrade, Luiz; - Almeida, Gisele; - Cotlear, Daniel; - Dmytraczenko, T.; - Frenz Yonechi, Patricia; -



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