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Sociopolitical determinants of international health policy

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Abstract
For decades, two opposing logics have dominated the health policy debate: a comprehensive health care approach, with the 1978 Alma Ata Declaration as its cornerstone, and a private competition logic, emphasizing the role of the private sector. We present this debate and its influence on international health policies in the context of changing global economic and sociopolitical power relations in the second half of the last century. The neoliberal approach is illustrated with Chile's health sector reform in the 1980s and the Colombian reform since 1993. The comprehensive public logic is shown through the social insurance models in Costa Rica and in Brazil and through the national public health systems in Cuba since 1959 and in Nicaragua during the 1980s. These experiences emphasize that health care systems do not naturally gravitate toward greater fairness and efficiency, but require deliberate policy decisions.
Keywords
international health policy, social and political determinants, health care system, Alma Ata, Brazil, Chile, Colombia, Costa Rica, Cuba, Nicaragua, LATIN-AMERICA, MANAGED CARE, WORLD-BANK, DEVELOPING-COUNTRIES, SECTOR REFORM, NICARAGUA, BRAZIL, LESSONS, COLOMBIA, SERVICES

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Chicago
De Vos, Pol, and Patrick Van Der Stuyft. 2015. “Sociopolitical Determinants of International Health Policy.” International Journal of Health Services 45 (2): 363–377.
APA
De Vos, Pol, & Van Der Stuyft, P. (2015). Sociopolitical determinants of international health policy. INTERNATIONAL JOURNAL OF HEALTH SERVICES, 45(2), 363–377.
Vancouver
1.
De Vos P, Van Der Stuyft P. Sociopolitical determinants of international health policy. INTERNATIONAL JOURNAL OF HEALTH SERVICES. 2015;45(2):363–77.
MLA
De Vos, Pol, and Patrick Van Der Stuyft. “Sociopolitical Determinants of International Health Policy.” INTERNATIONAL JOURNAL OF HEALTH SERVICES 45.2 (2015): 363–377. Print.
@article{6997594,
  abstract     = {For decades, two opposing logics have dominated the health policy debate: a comprehensive health care approach, with the 1978 Alma Ata Declaration as its cornerstone, and a private competition logic, emphasizing the role of the private sector. We present this debate and its influence on international health policies in the context of changing global economic and sociopolitical power relations in the second half of the last century. The neoliberal approach is illustrated with Chile's health sector reform in the 1980s and the Colombian reform since 1993. The comprehensive public logic is shown through the social insurance models in Costa Rica and in Brazil and through the national public health systems in Cuba since 1959 and in Nicaragua during the 1980s. These experiences emphasize that health care systems do not naturally gravitate toward greater fairness and efficiency, but require deliberate policy decisions.},
  author       = {De Vos, Pol and Van Der Stuyft, Patrick},
  issn         = {0020-7314},
  journal      = {INTERNATIONAL JOURNAL OF HEALTH SERVICES},
  keyword      = {international health policy,social and political determinants,health care system,Alma Ata,Brazil,Chile,Colombia,Costa Rica,Cuba,Nicaragua,LATIN-AMERICA,MANAGED CARE,WORLD-BANK,DEVELOPING-COUNTRIES,SECTOR REFORM,NICARAGUA,BRAZIL,LESSONS,COLOMBIA,SERVICES},
  language     = {eng},
  number       = {2},
  pages        = {363--377},
  title        = {Sociopolitical determinants of international health policy},
  url          = {http://dx.doi.org/10.1177/0020731414568514},
  volume       = {45},
  year         = {2015},
}

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