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Territorial Inequality in Health Service Delivery: Lessons from Latin America’s Federations
Latin American Politics and Society ( IF 1.673 ) Pub Date : 2020-06-29 , DOI: 10.1017/lap.2020.5
Agustina Giraudy , Jennifer Pribble

Access to quality healthcare varies across the national territory inside Latin American countries, with some subnational units enjoying higher-quality care than others. Such territorial inequality is consequential, as residents of particular regions face shorter life spans and an increased risk of preventable disease. This article analyzes trajectories of territorial healthcare inequality across time in Argentina, Brazil, and Mexico. The data reveal a large decline in Brazil, a moderate decline in Mexico, and low levels of change followed by a moderate decline in Argentina. The article argues that two factors account for these distinct trajectories: the nature of the coalition that pushed health decentralization forward and the existence of mechanisms for central government oversight and management.

中文翻译:

卫生服务提供中的地域不平等:拉丁美洲联邦的经验教训

拉美国家在全国范围内获得优质医疗保健的机会各不相同,一些地方单位享有比其他国家更高质量的医疗保健。这种领土不平等是必然的,因为特定地区的居民面临着更短的寿命和更高的可预防疾病的风险。本文分析了阿根廷、巴西和墨西哥的地域医疗保健不平等轨迹。数据显示,巴西大幅下降,墨西哥温和下降,变化幅度较小,随后阿根廷温和下降。本文认为,有两个因素可以解释这些不同的轨迹:推动卫生权力下放的联盟的性质以及中央政府监督和管理机制的存在。
更新日期:2020-06-29
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