Neoliberalism in Latin America: effects on health system reforms
OBJECTIVE To analyze the recommendations of international organizations based on the Washington Consensus on health system reforms of selected countries in Latin America and the Caribbean in the 1980s and 1990s and to investigate the effects of the competitive market logic on public action in the he...
Saved in:
| Published in: | Revista de saúde pública Vol. 54; p. 74 |
|---|---|
| Main Authors: | , |
| Format: | Journal Article |
| Language: | English Portuguese |
| Published: |
Brazil
Faculdade de Saúde Pública da Universidade de São Paulo
01-01-2020
Universidade de São Paulo |
| Subjects: | |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | OBJECTIVE To analyze the recommendations of international organizations based on the Washington Consensus on health system reforms of selected countries in Latin America and the Caribbean in the 1980s and 1990s and to investigate the effects of the competitive market logic on public action in the health system. METHODS Comparative analysis of the characteristics of health system reforms conducted in the 1980s and 1990s, still seen in Brazil, Argentina, Chile, Colombia, Mexico and Peru. Data were collected by documental analysis and literature review. The systems were described based on the characteristics of: co-payment, privatization mechanisms, decentralization, fragmentation of the system, integration of funding sources and coverage of the population (universal or segmented). RESULTS The reforms were implemented differently, worsening inequalities in health service delivery systems. Changes related to the neoliberal idea of transforming public action in the direction of private logic point to the predominance of competition rules and the reduction in economic costs in all countries analyzed, contrary to the logic of universal health systems. CONCLUSION The reduction in economic costs, the fragmentation of systems and inequalities in the provision of health services, among others, may mean other future costs resulting from low protection to the population's health. A striking and multidimensional counter-reform is essential to make health a right of all again, in a solidarity system that can lead to the reduction in inequalities and a more democratic society. |
|---|---|
| AbstractList | ABSTRACT OBJECTIVE To analyze the recommendations of international organizations based on the Washington Consensus on health system reforms of selected countries in Latin America and the Caribbean in the 1980s and 1990s and to investigate the effects of the competitive market logic on public action in the health system. METHODS Comparative analysis of the characteristics of health system reforms conducted in the 1980s and 1990s, still seen in Brazil, Argentina, Chile, Colombia, Mexico and Peru. Data were collected by documental analysis and literature review. The systems were described based on the characteristics of: co-payment, privatization mechanisms, decentralization, fragmentation of the system, integration of funding sources and coverage of the population (universal or segmented). RESULTS The reforms were implemented differently, worsening inequalities in health service delivery systems. Changes related to the neoliberal idea of transforming public action in the direction of private logic point to the predominance of competition rules and the reduction in economic costs in all countries analyzed, contrary to the logic of universal health systems. CONCLUSION The reduction in economic costs, the fragmentation of systems and inequalities in the provision of health services, among others, may mean other future costs resulting from low protection to the population’s health. A striking and multidimensional counter-reform is essential to make health a right of all again, in a solidarity system that can lead to the reduction in inequalities and a more democratic society. OBJECTIVE To analyze the recommendations of international organizations based on the Washington Consensus on health system reforms of selected countries in Latin America and the Caribbean in the 1980s and 1990s and to investigate the effects of the competitive market logic on public action in the health system. METHODS Comparative analysis of the characteristics of health system reforms conducted in the 1980s and 1990s, still seen in Brazil, Argentina, Chile, Colombia, Mexico and Peru. Data were collected by documental analysis and literature review. The systems were described based on the characteristics of: co-payment, privatization mechanisms, decentralization, fragmentation of the system, integration of funding sources and coverage of the population (universal or segmented). RESULTS The reforms were implemented differently, worsening inequalities in health service delivery systems. Changes related to the neoliberal idea of transforming public action in the direction of private logic point to the predominance of competition rules and the reduction in economic costs in all countries analyzed, contrary to the logic of universal health systems. CONCLUSION The reduction in economic costs, the fragmentation of systems and inequalities in the provision of health services, among others, may mean other future costs resulting from low protection to the population's health. A striking and multidimensional counter-reform is essential to make health a right of all again, in a solidarity system that can lead to the reduction in inequalities and a more democratic society.OBJECTIVE To analyze the recommendations of international organizations based on the Washington Consensus on health system reforms of selected countries in Latin America and the Caribbean in the 1980s and 1990s and to investigate the effects of the competitive market logic on public action in the health system. METHODS Comparative analysis of the characteristics of health system reforms conducted in the 1980s and 1990s, still seen in Brazil, Argentina, Chile, Colombia, Mexico and Peru. Data were collected by documental analysis and literature review. The systems were described based on the characteristics of: co-payment, privatization mechanisms, decentralization, fragmentation of the system, integration of funding sources and coverage of the population (universal or segmented). RESULTS The reforms were implemented differently, worsening inequalities in health service delivery systems. Changes related to the neoliberal idea of transforming public action in the direction of private logic point to the predominance of competition rules and the reduction in economic costs in all countries analyzed, contrary to the logic of universal health systems. CONCLUSION The reduction in economic costs, the fragmentation of systems and inequalities in the provision of health services, among others, may mean other future costs resulting from low protection to the population's health. A striking and multidimensional counter-reform is essential to make health a right of all again, in a solidarity system that can lead to the reduction in inequalities and a more democratic society. OBJECTIVE: To analyze the recommendations of international organizations based on the Washington Consensus on health system reforms of selected countries in Latin America and the Caribbean in the 1980s and 1990s and to investigate the effects of the competitive market logic on public action in the health system. METHODS: Comparative analysis of the characteristics of health system reforms conducted in the 1980s and 1990s, still seen in Brazil, Argentina, Chile, Colombia, Mexico and Peru. Data were collected by documental analysis and literature review. The systems were described based on the characteristics of: co-payment, privatization mechanisms, decentralization, fragmentation of the system, integration of funding sources and coverage of the population (universal or segmented). RESULTS: The reforms were implemented differently, worsening inequalities in health service delivery systems. Changes related to the neoliberal idea of transforming public action in the direction of private logic point to the predominance of competition rules and the reduction in economic costs in all countries analyzed, contrary to the logic of universal health systems. CONCLUSION: The reduction in economic costs, the fragmentation of systems and inequalities in the provision of health services, among others, may mean other future costs resulting from low protection to the population’s health. A striking and multidimensional counter-reform is essential to make health a right of all again, in a solidarity system that can lead to the reduction in inequalities and a more democratic society. |
| Author | Mollo, Maria de Lourdes Rollemberg Göttems, Leila Bernarda Donato |
| AuthorAffiliation | I Universidade de Brasília Faculdade de Economia, Administração, Contabilidade e Gestão de Políticas Públicas Programa de Pós-Graduação em Economia Brasília DF Brasil Universidade de Brasília. Faculdade de Economia, Administração, Contabilidade e Gestão de Políticas Públicas. Programa de Pós-Graduação em Economia. Brasília, DF, Brasil |
| AuthorAffiliation_xml | – name: I Universidade de Brasília Faculdade de Economia, Administração, Contabilidade e Gestão de Políticas Públicas Programa de Pós-Graduação em Economia Brasília DF Brasil Universidade de Brasília. Faculdade de Economia, Administração, Contabilidade e Gestão de Políticas Públicas. Programa de Pós-Graduação em Economia. Brasília, DF, Brasil – name: Universidade de Brasília |
| Author_xml | – sequence: 1 givenname: Leila Bernarda Donato surname: Göttems fullname: Göttems, Leila Bernarda Donato organization: Programa de Pós-Graduação em Economia, Faculdade de Economia, Administração, Contabilidade e Gestão de Políticas Públicas, Universidade de Brasília, Brasília, DF, Brasil – sequence: 2 givenname: Maria de Lourdes Rollemberg surname: Mollo fullname: Mollo, Maria de Lourdes Rollemberg organization: Programa de Pós-Graduação em Economia, Faculdade de Economia, Administração, Contabilidade e Gestão de Políticas Públicas, Universidade de Brasília, Brasília, DF, Brasil |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32725099$$D View this record in MEDLINE/PubMed |
| BookMark | eNpVkU9vEzEQxS1URNPSr4CWG5cN43-7NgdEVbVQKYID9Gx5vePG0e662BukfnucpETkYkueeW_Gv3dBzqY4ISHvKSwpbaD5mKmkqlatapcMGIAUAFRB84osjpUzsgDgolaawjm5yHkDwDjj6g0556xlErRekC_fMQ6hw2SHkMcqTNXKzuW8HjEFZz9V6D26OVdxqtZoh3ld5ec841gl9DGN-S157e2Q8erlviQPd7e_br7Vqx9f72-uV7WTTM01A2nbVjddA72mynOvKNOyo53VfacE9KxBgQ0463uBXmsnO6Glt5a5zgt-Se4Pvn20G_OUwmjTs4k2mP1DTI_Gpjm4AQ2wRvmm00xpLlqJGqymkkuv2_IX6IvX8uCVXcAhmk3cpqksb37uiJkdsT3WArWwBVUEnw-Cp203Yu9wmguwky1OK1NYm8f4x7S8pQJ0MfjwYpDi7y3m2YwhOxwGO2HcZsMEU4IqJqC06kOrSzHnQvk4hoLZx2_28ZtdyOYk_qJ99_-eR-W_vPlf_XCqng |
| CitedBy_id | crossref_primary_10_1213_ANE_0000000000006336 crossref_primary_10_1186_s12913_021_07333_z crossref_primary_10_1177_0094582X231164127 crossref_primary_10_1186_s12939_020_01359_1 crossref_primary_10_1111_blar_13374 crossref_primary_10_15388_omee_2022_13_81 crossref_primary_10_1080_10304312_2021_2020724 crossref_primary_10_1016_j_jsbmb_2022_106195 crossref_primary_10_1186_s13690_024_01248_x crossref_primary_10_1093_heapol_czad083 crossref_primary_10_3390_ijerph20126095 crossref_primary_10_1080_02255189_2020_1843009 |
| ContentType | Journal Article |
| Copyright | This work is licensed under a Creative Commons Attribution 4.0 International License. |
| Copyright_xml | – notice: This work is licensed under a Creative Commons Attribution 4.0 International License. |
| DBID | CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 5PM GPN DOA |
| DOI | 10.11606/s1518-8787.2020054001806 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef MEDLINE - Academic PubMed Central (Full Participant titles) SciELO Directory of Open Access Journals |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic CrossRef MEDLINE |
| Database_xml | – sequence: 1 dbid: DOA name: Directory of Open Access Journals url: http://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: ECM name: MEDLINE url: https://search.ebscohost.com/login.aspx?direct=true&db=cmedm&site=ehost-live sourceTypes: Index Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Public Health |
| DocumentTitleAlternate | Neoliberalismo na América Latina: efeitos nas reformas dos sistemas de saúde |
| EISSN | 1518-8787 |
| ExternalDocumentID | oai_doaj_org_article_0268f6b92893475e90a91535f97fec0d S0034_89102020000100508 10_11606_s1518_8787_2020054001806 32725099 |
| Genre | Journal Article |
| GeographicLocations | Latin America |
| GeographicLocations_xml | – name: Latin America |
| GroupedDBID | 123 29P 2WC 53G 5VS ABXHO ACHQT ADBBV ADRAZ AENEX ALMA_UNASSIGNED_HOLDINGS AOIJS APOWU AZFZN BAWUL BCNDV CGR CUY CVF DIK DU5 E3Z ECM EIF F5P GROUPED_DOAJ GX1 HYE IPNFZ KQ8 M48 M~E NPM OK1 P2P PGMZT RIG RNS RPM RSC RSL SCD XSB AAYXX CITATION 7X8 5PM GPN |
| ID | FETCH-LOGICAL-c528t-205a7796b60d918f3f81295b1ba9db840d26e4e60cafd4ef99c5b495faa2cbf43 |
| IEDL.DBID | RPM |
| ISSN | 0034-8910 1518-8787 |
| IngestDate | Tue Oct 22 15:12:04 EDT 2024 Tue Nov 19 21:48:16 EST 2024 Tue Sep 17 21:08:19 EDT 2024 Sat Oct 26 04:31:12 EDT 2024 Thu Nov 21 21:46:50 EST 2024 Sat Nov 02 12:30:16 EDT 2024 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Keywords | Health Systems Health Care Reform Política de Saúde Reforma dos Serviços de Saúde América Latina Sistemas de Saúde Health Policy Latin America |
| Language | English Portuguese |
| License | This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This work is licensed under a Creative Commons Attribution 4.0 International License. http://creativecommons.org/licenses/by/4.0 |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c528t-205a7796b60d918f3f81295b1ba9db840d26e4e60cafd4ef99c5b495faa2cbf43 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Conflict of Interest: The authors declare no conflict of interest. Author’s Contribution: Study design and planning: LBDG and MLRM. Data collection, analysis and interpretation: LBDG and MLRM. Development or review of the manuscript: LBDG and MLRM. Approval of the final version: LBDG and MLRM. |
| ORCID | 0000-0002-4303-6914 0000-0002-2675-8085 |
| OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7371409/ |
| PMID | 32725099 |
| PQID | 2428418240 |
| PQPubID | 23479 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_0268f6b92893475e90a91535f97fec0d scielo_journals_S0034_89102020000100508 pubmedcentral_primary_oai_pubmedcentral_nih_gov_7371409 proquest_miscellaneous_2428418240 crossref_primary_10_11606_s1518_8787_2020054001806 pubmed_primary_32725099 |
| PublicationCentury | 2000 |
| PublicationDate | 2020-01-01 |
| PublicationDateYYYYMMDD | 2020-01-01 |
| PublicationDate_xml | – month: 01 year: 2020 text: 2020-01-01 day: 01 |
| PublicationDecade | 2020 |
| PublicationPlace | Brazil |
| PublicationPlace_xml | – name: Brazil |
| PublicationTitle | Revista de saúde pública |
| PublicationTitleAlternate | Rev Saude Publica |
| PublicationYear | 2020 |
| Publisher | Faculdade de Saúde Pública da Universidade de São Paulo Universidade de São Paulo |
| Publisher_xml | – name: Faculdade de Saúde Pública da Universidade de São Paulo – name: Universidade de São Paulo |
| References | Del Valle, AH 2010 Levcovitz, E; Couto, MHC 2019 Cruces, G 2006 Holst, J; Giovanella, L; Andrade, GCL 2016; 40 Saad-Filho, A 2011 Brunhoff, S; Finhesnais, F; Duménil, G; Levy, D; Husson, M 2010 1996 Alvarez, MH; Restrepo Botero, DI 2003 López-Arellano, O; Jarillo-Soto, EC 2017; 33 1995 1993 Mesa-Lago, C 2005 Bisoto Junior, G; Silva, PLB; Dain, S 2006 Duménil, G; Lévy, D; Saad-Filho, A; Johnston, D 2005 Birn, AE; Nervi, L; Siqueira, E 2016; 47 Levino, A; Carvalho, EF 2011; 30 Palley, TJ; Saad-Filho, A; Johnston, D 2005 Homedes, N; Ugalde, A 2005; 71 Mollo, MLR 2011; 20 2018; 17 Noronha, JC 2013; 29 Piola, SF; França, JRM; Nunes, A 2016; 21 Londoño, JL; Frenk, J 1997; 41 Bértola, L; Ocampo, JA 2010 Sánchez-Moreno, F 2014; 31 2018 Duménil, G; Lévy, D; Fine, B; Saad-Filho, A; Boffo, M 2012 Conill, EM; Campos, GWS; Minayo, MCS; Akerman, M; Drumond Júnior, M; Carvalho, YM 2006 Pereira, JMM 2018; 23 Dardot, P; Laval, C 2016 Almeida, C; Pereira, JMM; Pronki, M 2014 Titelman, D; Cetrángolo, O; Acosta, OL 2015; 17 |
| References_xml | – year: 2016 publication-title: Uma nova razão do mundo: ensaio sobre a sociedade neoliberal contributor: fullname: Dardot, P; Laval, C – volume: 17 start-page: 2 year: 2018 end-page: 3 article-title: ¿A dónde va el estado de bienestar? 70 años de Sistemas de Salud Universales, 1948-2018 publication-title: Salud al Sur – volume: 31 start-page: 747 issue: 4 year: 2014 end-page: 753 article-title: El sistema nacional de salud en el Perú publication-title: Rev Peru Med Exp Salud Publica contributor: fullname: Sánchez-Moreno, F – volume: 23 start-page: 2187 issue: 7 year: 2018 end-page: 2196 article-title: Banco Mundial, reforma dos Estados e ajuste das políticas sociais na América Latina publication-title: Cienc Saude Coletiva contributor: fullname: Pereira, JMM – volume: 29 start-page: 847 issue: 5 year: 2013 end-page: 849 article-title: Cobertura universal de saúde: como misturar conceitos, confundir objetivos, abandonar princípios publication-title: Cad Saude Publica contributor: fullname: Noronha, JC – start-page: 61 issue: 88 year: 2010 end-page: 76 article-title: Comparando regimens de bienestar en América Latina publication-title: Rev Eur Estud Latinoam Caribe contributor: fullname: Del Valle, AH – volume: 41 start-page: 1 issue: 1 year: 1997 end-page: 36 article-title: Structural pluralism: towards an innovative model for health system reform in Latin America publication-title: Health Policy contributor: fullname: Londoño, JL; Frenk, J – volume: 47 start-page: 734 issue: 4 year: 2016 end-page: 759 article-title: Neoliberalism Redux: The Global Health Policy Agenda and the Politics of Cooptation in Latin America and Beyond publication-title: Dev Change contributor: fullname: Birn, AE; Nervi, L; Siqueira, E – year: 2012 publication-title: The Elgar Companion to Marxist Economics contributor: fullname: Duménil, G; Lévy, D; Fine, B; Saad-Filho, A; Boffo, M – start-page: 347 year: 2003 end-page: 361 publication-title: La falacia neoliberal: críticas y alternativas contributor: fullname: Alvarez, MH; Restrepo Botero, DI – year: 2006 publication-title: Regulação do setor saúde nas Américas: as relações entre o público e o privado numa abordagem sistêmica contributor: fullname: Bisoto Junior, G; Silva, PLB; Dain, S – year: 2019 publication-title: Sistemas de saúde na América Latina no século XXI contributor: fullname: Levcovitz, E; Couto, MHC – volume: 20 start-page: 449 issue: 3 year: 2011 end-page: 474 article-title: Crédito, capital fictício, fragilidade financeira e crises: discussões teóricas, origens e formas de enfrentamento da crise atual publication-title: Econ Soc contributor: fullname: Mollo, MLR – year: 2005 publication-title: Las reformas de salud em América Latina y el Caribe: su impacto em los principios de la seguridad social contributor: fullname: Mesa-Lago, C – volume: 40 start-page: 213 issue: Espec year: 2016 end-page: 226 article-title: Porque não instituir copagamento no Sistema Único de Saúde: efeitos nocivos para o acesso a serviços e a saúde dos cidadãos publication-title: Saúde Debate contributor: fullname: Holst, J; Giovanella, L; Andrade, GCL – year: 2010 publication-title: Desarrollo, vaivenes y desigualdad: una historia económica de América Latina desde la independencia contributor: fullname: Bértola, L; Ocampo, JA – year: 2011 article-title: Crisis in neoliberalism or crisis of the neoliberalism? publication-title: Socialist Register contributor: fullname: Saad-Filho, A – year: 1996 publication-title: Panorama social de América Latina – year: 2018 publication-title: A ineficiência da desigualdade 2018 – year: 2010 publication-title: A finança capitalista contributor: fullname: Brunhoff, S; Finhesnais, F; Duménil, G; Levy, D; Husson, M – start-page: 20 year: 2005 end-page: 29 publication-title: Neoliberalism – a critical reader contributor: fullname: Palley, TJ; Saad-Filho, A; Johnston, D – start-page: 9 year: 2005 end-page: 19 publication-title: Neoliberalism: a critical reader contributor: fullname: Duménil, G; Lévy, D; Saad-Filho, A; Johnston, D – volume: 71 start-page: 83 issue: 1 year: 2005 end-page: 96 article-title: Why neoliberal health reforms have failed in Latin America publication-title: Health Policy contributor: fullname: Homedes, N; Ugalde, A – volume: 33 year: 2017 article-title: La reforma neoliberal de un sistema de salud: evidencia del caso mexicano publication-title: Cad Saude Publica contributor: fullname: López-Arellano, O; Jarillo-Soto, EC – start-page: 563 year: 2006 end-page: 614 publication-title: Tratado de Saúde Coletiva contributor: fullname: Conill, EM; Campos, GWS; Minayo, MCS; Akerman, M; Drumond Júnior, M; Carvalho, YM – year: 1993 publication-title: World Development Report 1993: investing in health – year: 2006 publication-title: Protección social y sistemas de salud: “Los sistemas de salud y de protección social frente a los nuevos escenarios epidemiológicos” contributor: fullname: Cruces, G – volume: 21 start-page: 411 issue: 2 year: 2016 end-page: 422 article-title: Os efeitos da Emenda Constitucional 29 na alocação regional dos gastos públicos no Sistema Único de Saúde no Brasil publication-title: Cienc Saude Coletiva contributor: fullname: Piola, SF; França, JRM; Nunes, A – volume: 17 start-page: S68 year: 2015 end-page: S72 article-title: La cobertura universal de salud en los países de América Latina: cómo mejorar los esquemas basados en la solidaridad publication-title: MEDICC Rev contributor: fullname: Titelman, D; Cetrángolo, O; Acosta, OL – volume: 30 start-page: 490 issue: 5 year: 2011 end-page: 500 article-title: Análise comparativa dos sistemas de saúde da tríplice fronteira: Brasil/Colômbia/Peru publication-title: Rev Panam Salud Publica contributor: fullname: Levino, A; Carvalho, EF – start-page: 183 year: 2014 end-page: 232 publication-title: A demolição de direitos: um exame das políticas do Banco Mundial para a educação e a saúde (1980-2013) contributor: fullname: Almeida, C; Pereira, JMM; Pronki, M – year: 1995 publication-title: Panorama social de América Latina |
| SSID | ssj0023238 |
| Score | 2.390069 |
| Snippet | OBJECTIVE To analyze the recommendations of international organizations based on the Washington Consensus on health system reforms of selected countries in... OBJECTIVE: To analyze the recommendations of international organizations based on the Washington Consensus on health system reforms of selected countries in... ABSTRACT OBJECTIVE To analyze the recommendations of international organizations based on the Washington Consensus on health system reforms of selected... |
| SourceID | doaj scielo pubmedcentral proquest crossref pubmed |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database |
| StartPage | 74 |
| SubjectTerms | Health Care Reform Health Care Reform - organization & administration Health Policy Health Policy & Services Health Systems Humans Latin America Politics Review |
| SummonAdditionalLinks | – databaseName: Directory of Open Access Journals dbid: DOA link: http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1LSx0xFD5YkVKQUvvQqW2JIHQ1GDN5dmUfigtxY4XuQpJJqKBzxfH-_54kcy8dWuim2xkyk5yT5HxfcvIF4FAKZ0RwsTWdYy1XmrZGxNQ6EZ3k1CUm8-Hk8yt1-UN_O80yOeurvnJOWJUHroY7Qo6gk_QGiUHHlYiGOoOjVCSjUgy0L7MvlSsyNVGtDiPRUzgoUwJC9KMRA5vGka8VUkJWcEpWrpKzaFRE-_-GNP9MmNzK8en291B09gKeTxiSfK5134GNOLyE7boAR-q5oldwchkXJXckKxzekZuBXKATBjJt0XwiUyYHWQykHoYkVdWZYC0RyI6v4frs9PvX83a6LqENgulH7O_CKWWkl7Q3xzp1CYO3Ef7YO9N7JHI9k5FHSYNLPY_JmCA88qPkHAs-8e4NbA6LIe4BUVEqL1JULAQsxz2NiktnjPNc9SI0wFZms_dVFcMWNoG2tsXWNtvazmzdwJds4HWBLGxdHqC77eRu-y93N3Cwco_FgZB3N9wQF8vRItbQHNkSpw3sVnetf9UxhVDPmAbUzJGzuszfDDc_i9i2KpKGWPJjdbmdxvhor7K2j9WIt0ozM7umCHff_o9m7sOz_NG61vMONh8flvE9PBn75YfS0X8B8J78gA priority: 102 providerName: Directory of Open Access Journals |
| Title | Neoliberalism in Latin America: effects on health system reforms |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/32725099 https://www.proquest.com/docview/2428418240 https://pubmed.ncbi.nlm.nih.gov/PMC7371409 http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102020000100508&lng=en&tlng=en https://doaj.org/article/0268f6b92893475e90a91535f97fec0d |
| Volume | 54 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwEB6xFUJICPEmPCpXQuKUbur4yQkorXqACqkgcbNsxy4rdZOq6f5_xnZSWMGJayLHzszY833O-AvAG8Gt5t6GWreW1kyqptY8xNryYAVrbKQiHU4-OZOnP9SnoySTw-ezMLlo37vVfn-x3u9XP3Nt5eXaL-c6seXXL4cyy8zp5QIWiA1nij6xrJa2ZfltWa0wGd6BvbwyIFJfjpjfFC4ASiIzpBmuJAGr9B-jlkpEA1kC9nd-yjL-_8Kef5dQ3k4Z6-LP5HT8AO5PqJJ8KKN_CLdC_wjulS05Uk4aPYb3p2HI1SRJ83BNVj35jG7pyfTR5h2ZajvI0JNyPJIUnWeCo0RoOz6B78dH3w5P6ukHCrXnVF3jDOBWSi2caDp9oGIbMZ1r7g6c1Z1DatdREVgQjbexYyFq7blDxhStpd5F1j6FnX7ow3MgMgjpeAySeo_tmGuCZMJqbR2THfcV0Nls5rLoZJjML9DsJpvdJLObLbNX8DEZ-KZBkrrOF4arczM53CBJVFE4jcywZZIH3ViNyzSPWqJRmq6Cvdk9BqdG-t5h-zBsRoPoQzHkT6yp4Flx101Xs7srkFuO3BrL9h2Mxiy_PUVfBW-Ly80060dzloLOpKDLr5n4doMA-MV_9_ES7qYnlS2fV7BzfbUJr2ExdpvdvHmwm0P_F8x-AK4 |
| link.rule.ids | 230,315,729,782,786,866,887,2106,27933,27934,53800,53802 |
| linkProvider | National Library of Medicine |
| linkToHtml | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3bbtQwEB3RggAJcb-Eqysh8ZSu6_gS8wSUVovYrpBaJN4sO7FhpW5Sdbv_z9hOCit46utGSdY-45lzkvEJwFsprBaN9aWuLCu5qmmphQ-lFd5KTm1gMm5Onh6r-Y_680G0yRHjXpjUtN-4xW53utztFr9Sb-XZspmMfWKTb0f7KtnM6ckWXMf1Suko0gedVbEqJ-CKlzWWw5uwk3IDcvXJCitcjSmgVqgNWSIs0cIqfsmoYgr5QDKB_VOhkpH__9jnv02UN2LNOv27PB3eu-LA7sPdgY-Sj_nwA7jmu4dwJz_MI3mP0iP4MPd96kOJbolLsujIDAHtyPC65z0ZukJI35G8sZJkh2iCo0NSvHoM3w8PTvan5fDphbIRrL7AtSOsUlo6SVu9V4cqIBHQwu05q1uHorBl0nMvaWNDy33QuhEOtVawljUu8OoJbHd9558BUV4qJ4JXrGnwPO6oV1xara3jqhVNAWycbnOWHTZMUiYIl0lwmQiX2YCrgE8RmMsTokl2-qE__2mGGTUoL-sgnUZNWXElvKZWY4IXQSucFNoWsDPCanBRxTcltvP9emWQt9QclRenBTzNMF_eagyTAtRGAGz8l80jCHcy7h7gLeBdDhUz5IuVOY7BamKwpmFGpU6ROj-_8j3ewK3pydHMzL7Mv76A2_Gq-cHRS9i-OF_7V7C1atev08L5DSvUFUA |
| linkToPdf | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lb9QwEB7RgqpKiDclPF0JiVMa17HjmBPQdlVEWVUqSNws27FhpW6yarr_n7GTXVjBCa552994Zj5n_BngdSWMEs74XJWG5VzWNFfCh9wIbypOTWBVXJx8eiGn3-rjkyiTs97qKxXtOzs7aC_nB-3sR6qtXMxdsaoTK84_H8kkM6eKRROKLbiJY5ayFVEfuVbJysEJlzyvMSTuwH7yD5ivFz1GuRrdQC2RH7KUtEQZq7ibUckk5gRJCPZXlEpi_n_LQP8spLwV49bl7yFqcvc_GncP7ox5KXk_XHIfbvj2AdweJvXIsFbpIbyb-i7Vo0TVxDmZteQMgW3J-NvnLRmrQ0jXkmGBJRmUogm2EJPj_hF8nZx8OTrNxy0YcidYfY1jSBgpVWUr2qjDOpQBEwIl7KE1qrFIDhtWee4r6kxouA9KOWGRcwVjmLOBl49hu-1a_wSI9JW0InjJnMP7uKVe8sooZSyXjXAZsFWX68WgtKETQ0HIdIJMR8j0BmQZfIjgrG-IYtnpQHf1XY-9qpFm1qGyCrllyaXwihqFjl4EJbFTaJPB_gpajYMr_jExre-Wvcb8pebIwDjNYG-Aev2qlalkIDeMYONbNs8g5EnAe4Q4gzeDuejRb_T6IhqsjgabmhkZO8UU-uk_v-MV7JwfT_TZx-mnZ7AbHzrMHz2H7eurpX8BW32zfJnGzk8UIBfA |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Neoliberalism+in+Latin+America%3A+effects+on+health+system+reforms&rft.jtitle=Revista+de+sa%C3%BAde+p%C3%BAblica&rft.au=G%C3%B6ttems%2C+Leila+Bernarda+Donato&rft.au=Mollo%2C+Maria+de+Lourdes+Rollemberg&rft.date=2020-01-01&rft.issn=1518-8787&rft.eissn=1518-8787&rft.volume=54&rft.spage=74&rft_id=info:doi/10.11606%2Fs1518-8787.2020054001806&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0034-8910&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0034-8910&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0034-8910&client=summon |