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Instituto Nacional de Salud Pública

2016, Number 5

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salud publica mex 2016; 58 (5)

Financing, organization, costs and services performance of the Argentinean health sub-systems

Yavich N, Báscolo EP, Haggerty J

Language: Spanish
References: 17
Page: 504-513
PDF size: 267.40 Kb.


ABSTRACT

Objective. To analyze the relationship between health system financing and services organization models with costs and health services performance in each of Rosario’s health sub-systems. Materials and methods. The financing and organization models were characterized using secondary data. Costs were calculated using the WHO/SHA methodology. Healthcare quality was measured by a household survey (n=822). Results. Public subsystem: Vertically integrated funding and primary healthcare as a leading strategy to provide services produced low costs and individual-oriented healthcare but with weak accessibility conditions and comprehensiveness. Private subsystem: Contractual integration and weak regulatory and coordination mechanisms produced effects opposed to those of the public sub-system. Social security: Contractual integration and strong regulatory and coordination mechanisms contributed to intermediate costs and overall high performance. Conclusion. Each subsystem financing and services organization model had a strong and heterogeneous influence on costs and health services performance.


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