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Methodological Guidelines for Applied Research on Decentralization of Health Systems in Latin Americ Methodological Guidelines for Applied Research on Decentralization of Health Systems in Latin Americ

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Date added: 06/13/2007
Date modified: 11/03/2008
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Downloads: 1740

Decentralization of Health Systems: Decision space, Innovation and Performance Decentralization of Health Systems: Decision space, Innovation and Performance

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Date added: 06/13/2007
Date modified: 11/03/2008
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Decentralization of Health Systems In LA: Comparative Analysis of Chile, Colombia, and Bolivia Decentralization of Health Systems In LA: Comparative Analysis of Chile, Colombia, and Bolivia

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Date added: 06/13/2007
Date modified: 11/03/2008
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Combating Health Care Fragmentation through Integrated Health Service Delivery Networks in the Americas: Lessons Learned  (2011) Combating Health Care Fragmentation through Integrated Health Service Delivery Networks in the Americas: Lessons Learned (2011)

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Date added: 11/14/2011
Date modified: 11/14/2011
Filesize: 148.2 kB
Downloads: 4149

Hernán Montenegro, Reynaldo Holder, Caroline Ramagem, Soledad Urrutia, Ricardo Fabrega, Renato Tasca, Osvaldo Salgado, Gerardo Alfaro, Maria Angélica Gomes.  Combating Health Care Fragmentation through Integrated Health Service Delivery Networks in the Americas: Lessons Learned.  (2011)


..."Abstract —  Purpose: This paper analyzes the challenge of health services fragmentation, presents the attributes of Integrated Health Service Delivery Networks (IHSDNs), reviews lessons learned on integration, examines recent developments in selected countries, and discusses policy implications of implementing IHSDNs. Design/methodology/approach: A literature review, expert meetings and country consultations (national, subregional and regional) in the Americas resulted in a set of consensus-based essential attributes for implementing IHSDNs. The analysis of eleven country case studies on integration allowed for the identification of lessons learned. Findings: Studies suggest that IHSDN could improve health systems performance. Principal findings include: i) integration processes are difficult, complex and long term; (ii) integration requires extensive systemic changes and a commitment by health workers, health service managers and policymakers; and, iv) multiple modalities and degrees of integration can coexist within a system. The public policy objective is to propose a design that meets each system’s specific organizational needs. Research limitations/implications: The analysis presented in this paper is qualitative. Practical implications: Some policy implications for implementing IHSDNs are presented in this paper.  Originality/value: The research and evidence on integration remains limited. The paper expands the knowledge-base on the topic, presenting lessons learned on integration and recent developments in selected countries, which can support integration efforts in the region." ...  (Au) 

Keywords — Fragmentation, health services, integration, networks, Region of the Americas


This article is © Emerald Group Publishing and permission has been granted for this version to appear here. Emerald does not grant permission for this article to be further copied/distributed or hosted elsewhere without the express permission from Emerald Group Publishing Limited

Applied Research on Decentralization of Health Systems in Latin America: Colombia Applied Research on Decentralization of Health Systems in Latin America: Colombia

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Date added: 06/13/2007
Date modified: 11/03/2008
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Downloads: 1478

Applied Research on Decentralization of Health Systems in Latin America: Chile Applied Research on Decentralization of Health Systems in Latin America: Chile

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Date added: 06/13/2007
Date modified: 11/03/2008
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Downloads: 1420

Applied Research on Decentralization of Health Systems in Latin America: Bolivia Applied Research on Decentralization of Health Systems in Latin America: Bolivia

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Date added: 06/13/2007
Date modified: 11/03/2008
Filesize: Unknown
Downloads: 1992

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