Abstract
Marked changes in political regimes have left their imprint on health sector reforms in South American countries. In the 1970s, most of the countries - starting with Brazil in 1964 — were oppressed by authoritarian regimes under military dictatorships. The 1980s and 1990s brought the ‘debt crisis’ and struc- tural adjustment policies imposed by international financial institutions, which fostered fiscal adjustments and cuts in public social spending, causing increases in poverty, inequalities, and violence. By the 2000s, operating at different times and pace, processes of transition to democracy had culminated in left-wing and centre-left governments in many of the countries. These expanded social poli- cies and worked to reduce poverty and social inequalities and to improve access to healthcare services (Fleury, 2011; ISAGS, 2012).
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References
Acosta, A. (2010) ‘El Buen Vivir en el Camino del Post-desanollo — Una Lectura desde la Constitucion de Montecristi’, Policy Paper 9, Fundacion Friedrich Ebert, at: http://library.fes.de/pdf-files/bueros/quito/07671.pdf, accessed 13 January 2014.
Alleyne, G. A. O. (2000) ‘A Vision for Health System Reform in the Americas’, Revista Panamericana de Salud Publica, 8(1-2), 1–6.
Anetche, M. (2013) ‘Demos-Constraining or Demos-Enabling Federalism? Political Institutions and Policy Change in Brazil’, journal of Politics in Latin America, 5(2), 133–50.
Briggs, C. L. and C. Mantini-Briggs (2007) ‘Mision Barrio Adentro: Medicina Social, Movimientos Sociales de los Pobres y Nuevas Coaliciones en Venezuela’, Salud Colectiva, 3(2), 159–76.
Buss, P. M. and J. R. Feneira (2011) ‘Cooperaçào e Integraçào Regional em Saude na America do Sul: A Contribuiçào da Unasul-Saôde’, Ciência Sc Saude Coletiva, 16(6), 2699–711.
Conill, E. M., M. C. R. Fausto and L. Giovanella (2010) Contribuiçôes da anâlise com-parada para urn marco abrangente na avaliaçào de sistemas orientados pela atençào primaria na America Latina. Revista Brasileira de Saude Materno Infantil, 10 (Supl. 1), 14–27.
De Groote, T., P. De Paepe and J. P. Unger (2007) ‘Colombia: Prueba in Vivo de la Privatizaciön del Sector Salud en Pafses en Desarrollo’, Revista Facultad National de Salud Publica, 25(1), 106–17.
ECLAC — Economic Commission for Latin America and the Caribbean (2012) Social Panorama of Latin America (Santiago de Chile: ECLAC).
Espinel, J. E. G. (2013) ‘Desafios de la Salud Publica en la Gestion Sanitaria’, Observatorio de la Seguridad Social, 12(26), 17–19.
Fleury, S. (2001) ‘Universal, Dual or Plural? Health Care Models and Dilemmas in Latin America: Chile, Brazil and Colombia’, in C. G. Molina and J. N. del Arco (eds.), Health Services in Latin America and Asia (Washington, DC: IDB — Inter-American Development Bank), 3–36.
Heury, S. (2011) ‘Direitos Sociais e Restriçôes Financeiras: Escolhas Trâgicas sobre Univer-salizaçâo’, Ciência & Saude Coletiva, 16(6), 2686–8.
Franco-Giraldo, A., M. Palma and C. Alvarez-Dardet (2006) ‘Efecto del Ajuste Estructural sobre la Situacion de Salud en America Latina y el Caribe, 1980–2000’, Revista Panamericana de Salud Publica, 19(5), 291–9.
Giovanella, L., M. H. M. Mendonca and A. I. Carvalho (2012a) ‘Brazil’, in B. Fried and L. Gaydos (eds.), World Health Systems Challenges and Perspectives, second edition (Chicago/Arlington: HAP/AUPHA), 341–79.
Giovanella, L., G. Ruiz, O. Feo, M. Faria and S. Tobar (2012b) ‘Sistemas de Salud en America del Sur’, in ISAGS (eds.), Sistemas de Salud en Suramérica: Desafïos para la Universalidad, la ïntegralidad y la Equidad (Rio de Janeiro: ISAGS), 21–69.
Hernandez, M. (2002) ‘Reforma Sanitaria, Equidad y Derecho a la Salud en Colombia’, Cadernos de Saude Publica, 18(4), 991–1001.
Holst, J., U. Laaser and J. Oman (2004) ‘Chilean Health Insurance System: A Source of Inequity and Selective Social Insecurity’, journal of Public Health, 12, 271–82.
Homedes, N. and A. Ugalde (2005) ‘Las Reformas de Salud Neoliberales en America Latina: Una Vision Critica a Través de dos Estudios de Caso’, Pan-American journal of Public Health, 17(3), 210–20.
ISAGS (2012) Health Systems in South America: Challenges to the Universality, Integrality and Equity (Rio de Janeiro: ISAGS).
Labra, M. E. (2002) ‘Neoliberal Reinvention of Inequality in Chile: The Case of the Health Sector’, Cademos de Saude Publica, 18(4), 1041–52.
Londono, J. L. (1996) ‘Estructurando Pluralismo en los Servicios de Salud: La Experiencia Colombiana’, Revista de Anâlisis Econômico, 11(2), 37–60.
Lujân, F. J. Y. and L. H. S. Gomez (1998) ‘Las Ultimas Reformas de la Salud en Colombia’, Colombia Ciencia Se Tecnologïa, 16(1), 14–24.
Ministerio de Salud de Chile (2013) ‘Guias Clôiicas AUGE’, at: www.minsal.cl/portal/url/ page/minsalcl/g_gesauge/guias.html, accessed 23 November 2013.
PAHO — Pan American Health Organization (2012) Health in the Americas: 2012 Edition, Regional Outlook and Country Profiles (Washington, DC: PAHO).
Paim J. C. Travassos C. Almeida L. Bahia and J. Macinko 2011 ‘The Brazilian Health System History Advances and Challenges’ The Lancet 3119779, 1778–97
Ramirez, N. A., J. P. Ruiz, R. V. Romero and R. Labonté (2011) ‘Comprehensive Primary Health Care in South America: Contexts, Achievements and Policy Implications’, Cadernos de Saude Publica, 27(10), 1875–90.
RIMISP — Latin American Center for Rural Development Poverty and Inequality (2012) Latin American Report (Santiago de Chile: RIMISP).
Serafim, L. and J. A. Moroni (eds.) (2009) Sociedade Civil e Novas Institucionalidades Democrâticas na America Latina: Dilemas e Perspectivas (Sào Paulo: Institut o Polis e INESC).
Soares, L. T. (2001) Ajuste Neoliberal e Desajuste Social na America Latina (Petropolis/Rio De Janeiro: Vozes).
Sojo, A. (2011) ‘Condiciones para el Acceso Universal a la Salud en America Latina: Derechos Sociales, Polfticas de Protection Social y Restricciones Financieras y Polfticas’, Ciência & Saude Coletiva, 16(6), 2673–85.
Sollazzo, A. and R. Bertenetche (2011) ‘El Sistema National ïntegrado de Salud en Uruguay y los Desafïos para la Atencion Primaria’, Ciência & Saude Coletiva, 16(6), 2829–40.
Tejerina, S. H., W. Soors, P. Paepe, E. A. Santacruz, M. C. Closon and J. P. Unger(2009) ‘Reformas de gobiernos socialist as alas polfticas de salud en Bolivia y Ecuador’, Medicina Social, 4(4), 273–82.
Titelman, D., A. Uthoff and L. F. Jiménez (2000) ‘Hacia una Nueva Seguridad Social en el Siglo XXI: Sin Solidaridad en el Financiamiento no Habrâ Universalidad’, Pan-American journal of Public Health, 8(1-2), 112–17.
Victora, C. G., M. L. Barreto, M. do Carmo Leal, C. A. Monteiro, M. I. Schmidt, J. Paim, R I. Bastos, C. Almeida, L. Bahia, C. Travassos, M. Reichenheim, R C. Barros and the Lancet Brazil Series Working Group (2011) ‘Health Conditions and Health-policy Innovations in Brazil: The Way Forward’, The Lancet, 377(9782), 2042–53.
Yamin, A., O. Parra-Vera and C. Gianella (2011) ‘Judicial Protection of the Right to Health in Colombia: An Elusive Promise?’, in A. Yamin and S. Gloppen (eds.), Litigating Health Rights, Can Courts Bring More Justice to Health (Cambridge, MA: Harvard University Press), 103–31.
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© 2015 Ligia Giovanella and Mariana Faria
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Giovanella, L., Faria, M. (2015). Health Policy Reform in South America. In: Kuhlmann, E., Blank, R.H., Bourgeault, I.L., Wendt, C. (eds) The Palgrave International Handbook of Healthcare Policy and Governance. Palgrave Macmillan, London. https://doi.org/10.1057/9781137384935_13
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DOI: https://doi.org/10.1057/9781137384935_13
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