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Sistemas de Aseguramiento en Salud 2006-2010 - Las Reformas de Salud en América Disponible solo en íngles

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2006-2010 Health Reforms in the Americas
1
Conferencia Interamericana de Seguridad Social
Inter-American Conference on Social Security March 2011
English – Or. English
CISS Health Systems and Insurance Report
2006-2010 Health Reforms in the Americas
For comments and suggestions please contact Gabriel Martínez at
gabriel.martinez@ciss.org.mx, Nelly Aguilera at nelly.aguilera@ciss.org.mx or
María Quintana at maria.quintana@ciss.org.mx
2006-2010 Health Reforms in the Americas
2
Abstract
During the past years we have witnessed an important number of
healthcare systems reforms in the continent, being more radical in
Colombia, Dominican Republic, Mexico, Turks and Caicos Islands,
United States and Uruguay. As part of its CISS Health System and
Insurance Report (CISS 2008), the organization is issuing this
document that describes in an ordered way the major reforms
undertaken in the mentioned countries during the period 2006-2010.
In doing so, the document not only synthesizes the information
available but also presents some lessons that can be useful for other
countries. The analysis follows the theoretical background used in the
main report (CISS 2008): the Emerging Paradigm (EP) developed by
Chernichovsky (1995) and Chernichovsky (2002). The reason of our
choice, among alternative con ceptual frameworks, is that the EP can be
viewed as a positive m odel that helps us understand how health
systems actually work and also as a normative guide for policymaking
(CISS 2008). The studied cases allow us to conclude that most
countries, with the exception of Mexico an d United States, are
following in their reform many of the principles of the Emerging
Paradigm.
JEL Classification: I11, I18

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