دورية أكاديمية
[Payment mechanisms and financial resources management for consolidation of Ecuador's health system].
| العنوان: | [Payment mechanisms and financial resources management for consolidation of Ecuador's health system]. |
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| عنوان ترانسليتريتد: | Mecanismos de pago y gestión de recursos financieros para la consolidación del Sistema de Salud de Ecuador. |
| المؤلفون: | Villacrés T; Pontificia Universidad Católica del Ecuador, Quito, Ecuador., Mena AC; Ministerio de Salud Pública de Ecuador, Quito, Ecuador. |
| المصدر: | Revista panamericana de salud publica = Pan American journal of public health [Rev Panam Salud Publica] 2017 Jun 08; Vol. 41, pp. e51. Date of Electronic Publication: 2017 Jun 08. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | Spanish; Castilian |
| بيانات الدورية: | Publisher: Pan American Health Organization Country of Publication: United States NLM ID: 9705400 Publication Model: Electronic Cited Medium: Internet ISSN: 1680-5348 (Electronic) Linking ISSN: 10204989 NLM ISO Abbreviation: Rev Panam Salud Publica Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Washington, D.C. : Pan American Health Organization, [1997?- |
| مواضيع طبية MeSH: | Financing, Government* , Healthcare Financing*, Ecuador ; Health Care Reform |
| مستخلص: | Objective: Analyze the proposal by the Ministry of Public Health to reform the public financing model in Ecuador with regard to pooling of funds and payment mechanisms. Method: A literature review was done of the financing model, the current legal framework, and the budgetary bases in Pubmed, SciELO, LILACS Ecuador, and regional LILACS using the key words health financing, health financing systems, capitation, pooling of funds, health system reform Ecuador, health system Ecuador, and health payment mechanisms. Books and other documents suggested by health systems experts were also included. Results: Review of the financing model enabled identifying the historical segmentation of Ecuador's health system; out of this, the Ministry of Public Health conceived its proposal to reform the financing model. The Ministry's proposed solutions are pooling of funds and payment of services at the first level of care through payment per capita adjusted for socioeconomic and demographic risks. Progress made in reforming the financing model includes design of the proposals and their implementation mechanisms, and discussions with stakeholders. Conclusions: Implementation of these changes may produce improvements for the health system in efficiency, spreading of risks, incentives for meeting health objectives, as well as contribute to its sustainability and advance toward universal health coverage. Nevertheless, legal, political, and operational constraints are hampering their implementation. |
| References: | Gac Sanit. 2007 Mar-Apr;21(2):114-23. (PMID: 17419927) Gac Sanit. 2008 May-Jun;22(3):218-26. (PMID: 18579047) Salud Publica Mex. 2011;53 Suppl 2:s177-87. (PMID: 21877083) Bull World Health Organ. 2013 Aug 1;91(8):602-11. (PMID: 23940408) |
| تواريخ الأحداث: | Date Created: 20170615 Date Completed: 20180517 Latest Revision: 20220317 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC6612724 |
| PMID: | 28614471 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1680-5348 |
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