Operation and Governance of the National Health System of Ecuador
The National Health System of Ecuador (SNS) is characterized by its segmentation and fragmen-tation, which limits the implementation of public policies in the sector and provisional services. This study was conducted using an analytical framework of governance in health and observation...
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Format: | Article |
Language: | Spanish |
Published: |
Facultad Latinoamericana de Ciencias Sociales, Sede Ecuador
2019-01-01
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Series: | Íconos |
Subjects: | |
Online Access: | http://revistas.flacsoandes.edu.ec/iconos/article/view/3070 |
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Summary: | The National Health System of Ecuador (SNS) is characterized by its segmentation and fragmen-tation, which limits the implementation of public policies in the sector and provisional services. This study was conducted using an analytical framework of governance in health and observations of the type of principal-agent relations in the provision of public services. It is based on a case study that shows how the institutional configuration of SNS in Ecuador unfolds and how this affects the implementation of public policies. The results show that despite the designed mechanisms in place to improve the coordination of the health system, the institutional structure hinders the implemen-tation of integrated networks of provision services |
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ISSN: | 1390-1249 2224-6983 |