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dc.contributor.authorDe Vos, Polen
dc.contributor.authorDe Ceukelaire, Wimen
dc.contributor.authorVan der Stuyft, Patricken
dc.date.accessioned2019-08-23T12:41:01Z
dc.date.available2019-08-23T12:41:01Z
dc.date.issued2006-09-21
dc.identifier.citationDe Vos, P., De Ceukelaire, W. & Van der Stuyft, P. (2006) Colombia and Cuba, contrasting models in Latin America's health sector reform. Tropical Medicine & International Health, 11(10), pp. 1604-1612.en
dc.identifier.issn1365-3156en
dc.identifier.issn1360-2276
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/9934
dc.identifier.urihttps://doi.org/10.1111/j.1365-3156.2006.01702.x
dc.descriptionDe Vos, Pol - ORCID 0000-0002-1672-6469 https://orcid.org/0000-0002-1672-6469en
dc.descriptionItem not available in this repository.
dc.description.abstractLatin American national health systems were drastically overhauled by the health sector reforms the 1990s. Governments were urged by donors and by the international financial institutions to make major institutional changes, including the separation of purchaser and provider functions and privatization. This article first analyses a striking paradox of the far‐reaching reform measures: contrary to what is imposed on public health services, after privatization purchaser and provider functions are reunited. Then we compare two contrasting examples: Colombia, which is internationally promoted as a successful – and radical – example of ‘market‐oriented’ health care reform, and Cuba, which followed a highly ‘conservative’ path to adapt its public system to the new conditions since the 1990s, going against the model of the international institutions. The Colombian reform has not been able to materialize its promises of universality, improved equity, efficiency and better quality, while Cuban health care remains free, accessible for everybody and of good quality. Finally, we argue that the basic premises of the ongoing health sector reforms in Latin America are not based on the people's needs, but are strongly influenced by the needs of foreign – especially North American – corporations. However, an alternative model of health sector reform, such as the Cuban one, can probably not be pursued without fundamental changes in the economic and political foundations of Latin American societies.en
dc.description.urihttps://doi.org/10.1111/j.1365-3156.2006.01702.xen
dc.format.extent1604-1612en
dc.language.isoenen
dc.publisherWileyen
dc.relation.ispartofTropical Medicine & International Healthen
dc.subjectLatin Americaen
dc.subjectCubaen
dc.subjectColombiaen
dc.subjectHealth Sector Reformen
dc.subjectPrivatizationen
dc.subjectNational Health Systemen
dc.titleColombia and Cuba, contrasting models in Latin America's health sector reformen
dc.title.alternativeColombie et Cuba, deux modèles opposés de réforme du secteur de santé en Amérique Latineen
dc.title.alternativeColombia y Cuba, dos modelos contrastantes en la reforma del sector sanitario de América Latinaen
dc.typeArticleen
dcterms.accessRightsnone
dc.description.volume11en
dc.description.ispublishedpub
rioxxterms.typeJournal Article/Reviewen
rioxxterms.publicationdate2006-09-21
refterms.dateFCD2019-08-23
refterms.depositExceptionNAen
refterms.accessExceptionNAen
refterms.technicalExceptionNAen
refterms.panelUnspecifieden
qmu.authorDe Vos, Polen
qmu.centreInstitute for Global Health and Developmenten
dc.description.statuspub
dc.description.number10en
refterms.versionNAen
refterms.dateDeposit2019-08-23


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