1.

Record Nr.

UNINA9910450105003321

Titolo

Health system innovations in Central America [[electronic resource] ] : lessons and impact of new approaches / / edited by Gerard M. La Forgia

Pubbl/distr/stampa

Washington, DC, : World Bank, 2005

ISBN

1-280-16886-2

9786610168866

0-8213-6279-8

Descrizione fisica

1 online resource (228 p.)

Collana

World Bank working paper ; ; no. 57

Altri autori (Persone)

La ForgiaGerard M (Gerard Martin)

Disciplina

362.1/0425

Soggetti

Health care reform - Central America

Medical policy - Central America

Medical care - Central America

Electronic books.

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Description based upon print version of record.

Nota di bibliografia

Includes bibliographical references.

Nota di contenuto

Contents; Foreword; Acknowledgments; Acronyms and Abbreviations; Introduction; 1. Is the Perfect the Enemy of the Good? A Case Study on Large-Scale Contracting for Basic Health Services in Rural Guatemala; 2. Contracting for Basic Health Care in Rural Guatemala-Comparison of Performance of the Performance of Three Delivery Models; 3. The San Miguelito Hospital Reform in Panama-Evaluation and Lessons; 4. Contracting Primary Health Care Services-The Case of Costa Rica; 5. The Nicaraguan Social Security Health Insurance Scheme- A Promising Work in Progress

6. A New Dimension for Health Reform-The Integrated Community Child Health Program in Honduras7. Improving Efficiency and Impact in Health Care Services- Lessons from Central America; Contributors

Sommario/riassunto

Similar to developing countries elsewhere, during the 1990's, Central American countries faced pressures to improve the performance of their health systems. In most countries, there was a consensus that the systems were failing to live up to their potential. Rather than take on system-wide change, each country opted to step into reform through



launching innovations to address specific problems or deficiencies in a particular program, function or intervention of the system. Health Systems Innovations in Central America reports on how these experiences fared -- a hospital in Panama, a nutrition