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Sociopolitical determinants of international health policy

Pol De Vos and Patrick Van Der Stuyft UGent (2015) INTERNATIONAL JOURNAL OF HEALTH SERVICES. 45(2). p.363-377
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.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
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
journal title
INTERNATIONAL JOURNAL OF HEALTH SERVICES
Int. J. Health Serv.
volume
45
issue
2
pages
363 - 377
Web of Science type
Article
Web of Science id
000352002700010
JCR category
HEALTH POLICY & SERVICES
JCR impact factor
0.782 (2015)
JCR rank
64/74 (2015)
JCR quartile
4 (2015)
ISSN
0020-7314
DOI
10.1177/0020731414568514
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
6997594
handle
http://hdl.handle.net/1854/LU-6997594
date created
2015-12-01 11:30:53
date last changed
2016-12-19 15:45:18
@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},
}

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.