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Authordc.contributor.authorCotlear, Daniel 
Authordc.contributor.authorGómez Dantés, Octavio 
Authordc.contributor.authorKnaul, Felicia 
Authordc.contributor.authorAtun, Rifat 
Authordc.contributor.authorBarreto, Ivana 
Authordc.contributor.authorCetrángolo, Oscar 
Authordc.contributor.authorCueto, Marcos 
Authordc.contributor.authorFrancke, Pedro 
Authordc.contributor.authorFrenz Yonechi, Patricia 
Authordc.contributor.authorGuerrero, Ramiro 
Authordc.contributor.authorLozano, Rafael 
Authordc.contributor.authorMarten, Robert 
Authordc.contributor.authorSáenz, Rocío 
Admission datedc.date.accessioned2015-08-22T20:05:01Z
Available datedc.date.available2015-08-22T20:05:01Z
Publication datedc.date.issued2015
Cita de ítemdc.identifier.citationLancet 2015; 385: 1248–59en_US
Identifierdc.identifier.issn0140-6736
Identifierdc.identifier.otherDOI: 10.1016/S0140-6736(14)61647-0
Identifierdc.identifier.urihttps://repositorio.uchile.cl/handle/2250/133034
General notedc.descriptionArtículo de publicación ISIen_US
Abstractdc.description.abstractLatin America continues to segregate diff erent social groups into separate health-system segments, including two separate public sector blocks: a well resourced social security for salaried workers and their families and a Ministry of Health serving poor and vulnerable people with low standards of quality and needing a frequently impoverishing payment at point of service. This segregation shows Latin America’s longstanding economic and social inequality, cemented by an economic framework that predicted that economic growth would lead to rapid formalisation of the economy. Today, the institutional setup that organises the social segregation in health care is perceived, despite improved life expectancy and other advances, as a barrier to fulfi lling the right to health, embodied in the legislation of many Latin American countries. This Series paper outlines four phases in the history of Latin American countries that explain the roots of segmentation in health care and describe three paths taken by countries seeking to overcome it: unifi cation of the funds used to fi nance both social security and Ministry of Health services (one public payer); free choice of provider or insurer; and expansion of services to poor people and the non-salaried population by making explicit the health-care benefi ts to which all citizens are entitled.en_US
Lenguagedc.language.isoenen_US
Publisherdc.publisherElsevieren_US
Type of licensedc.rightsAtribución-NoComercial-SinDerivadas 3.0 Chile*
Link to Licensedc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/cl/*
Títulodc.titleOvercoming social segregation in health care in Latin Americaen_US
Document typedc.typeArtículo de revista


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Atribución-NoComercial-SinDerivadas 3.0 Chile
Except where otherwise noted, this item's license is described as Atribución-NoComercial-SinDerivadas 3.0 Chile