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Salud Pública de México
Print version ISSN 0036-3634
Abstract
YAVICH, Natalia; BASCOLO, Ernesto Pablo and HAGGERTY, Jeannie. Financing, organization, costs and services performance of the Argentinean health sub-systems. Salud pública Méx [online]. 2016, vol.58, n.5, pp.504-513. ISSN 0036-3634. https://doi.org/10.21149/spm.v58i5.7827.
Objective:
To analyze the relationship between health system financing and services organization models with costs and health services performance in each of Rosario's health sub-systems.
Materials and methods:
The financing and organization models were characterized using secondary data. Costs were calculated using the WHO/SHA methodology. Healthcare quality was measured by a household survey (n=822).
Results:
Public subsystem:Vertically integrated funding and primary healthcare as a leading strategy to provide services produced low costs and individual-oriented healthcare but with weak accessibility conditions and comprehensiveness. Private subsystem: Contractual integration and weak regulatory and coordination mechanisms produced effects opposed to those of the public sub-system. Social security: Contractual integration and strong regulatory and coordination mechanisms contributed to intermediate costs and overall high performance.
Conclusion:
Each subsystem financing and services organization model had a strong and heterogeneous influence on costs and health services performance.
Keywords : efficiency; health policy, planning and management; costs and cost analysis; quality of health care.