gobernanza y economía política de las políticas de aps en américa latina governance and political economy of phc policies in latin america

Clicks: 238
ID: 211881
2011
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Abstract
El desarrollo de los procesos de implementación de las políticas de APS en América Latina sigue siendo un desafío pendiente. Es necesario reconocer la economía política de los procesos de implementación de las políticas de APS desde una perspectiva de gobernanza, caracterizada por las estrategias de regulación promovidas y los procesos políticos. La promoción de valores sociales, normas organizacionales o la introducción de nuevos incentivos económicos serán componentes de diferentes modos de gobernanza promovidos en las reformas de los sistemas de salud. Se consideran los factores institucionales de los sistemas de protección social en AL, sus capacidades, limitaciones redistributivas y las disputas de economía política presentes en las estrategias de reforma, explicadas por la conflictividad entre los intereses (económicos y necesidades) y valores presentes en los actores involucrados. La forma en cómo se dirimen este proceso político influye sobre los modos de regulación instalados en los procesos de implementación de las políticas de APS. La capacidad de rectoría del Estado y los niveles de segmentación de los sistemas de salud condicionan la efectividad de las estrategias de reforma para dirimir la conflictividad de las políticas implementadas.
The development of implementation processes of PHC policies in Latin America, is a challenge yet to be tackled. It is necessary to acknowledge the political economy related to the implementation processes of PHC policies in Latin America from a governance perspective, characterized by the regulatory strategies used and the political processes. The promotion of social values, organizational policies or the introduction of new financial incentives are components of different forms of governance used in health system reforms. The institutional factors of social protection systems in Latin America are considered. Their potential, redistribution limitations and the political economy disputes of the reform strategies are explained by the conflict between the economic and related interests and values of the actors involved. This dynamic of the political process influences regulatory modes inherent in the processes of implementation of PHC policies. The State's governing capacity and levels of health system segmentation impinge on the effectiveness of reform strategies for resolving the conflicts in the policies implemented.
Reference Key
bscolo2011cinciagobernanza Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Ernesto Báscolo
Journal journal of physical activity & health
Year 2011
DOI
10.1590/S1413-81232011000600015
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232011000600015
Keywords
governance primary healthcarepublic aspects of medicine

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