This chapter argues that striving for universal health coverage alone is insufficient in inequitable societies. Integrated care models that take into account social determinants are necessary. It discusses the Pan American Health Organization proposal of Integrated Health Services Networks (IHSNs) as a response to fragmented health systems in the Americas, advocating for community-centered primary care services integrated with specialized care. The importance of citizen empowerment and state accountability in securing the right to health is emphasized. Different approaches to integrated care are presented as case studies from Latin America, including Chile’s pilot program for universalizing primary care, Bolivia’s community-oriented health initiatives during the COVID-19 pandemic, Costa Rica’s culturally sensitive maternity care models, and Buenos Aires’ social dialogue initiative for community-based mental health.

错误:搜索内容不能为空,请输入英文关键词
错误:关键词超出字数限制,请精简
高级检索

Integrated Care in Latin America

  • Nieves Ehrenberg,
  • Osvaldo Artaza,
  • Ingrid Gómez-Duarte,
  • Christine Leyns,
  • Gastón Perman,
  • Rocío Sáenz,
  • Galileo Pérez-Hernández,
  • Wilmer Sancho

摘要

This chapter argues that striving for universal health coverage alone is insufficient in inequitable societies. Integrated care models that take into account social determinants are necessary. It discusses the Pan American Health Organization proposal of Integrated Health Services Networks (IHSNs) as a response to fragmented health systems in the Americas, advocating for community-centered primary care services integrated with specialized care. The importance of citizen empowerment and state accountability in securing the right to health is emphasized. Different approaches to integrated care are presented as case studies from Latin America, including Chile’s pilot program for universalizing primary care, Bolivia’s community-oriented health initiatives during the COVID-19 pandemic, Costa Rica’s culturally sensitive maternity care models, and Buenos Aires’ social dialogue initiative for community-based mental health.