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 |
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Facultad Latinoamericana de Ciencias Sociales, Sede Ecuador
2019-01-01
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| Series: | Íconos |
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| Online Access: | http://revistas.flacsoandes.edu.ec/iconos/article/view/3070 |
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| _version_ | 1832572351971065856 |
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| author | Adriano Molina Guzmán |
| author_facet | Adriano Molina Guzmán |
| author_sort | Adriano Molina Guzmán |
| collection | DOAJ |
| description | 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 |
| format | Article |
| id | doaj-art-7cb9c35e953645298f97f719450cb5c2 |
| institution | Kabale University |
| issn | 1390-1249 2224-6983 |
| language | Spanish |
| publishDate | 2019-01-01 |
| publisher | Facultad Latinoamericana de Ciencias Sociales, Sede Ecuador |
| record_format | Article |
| series | Íconos |
| spelling | doaj-art-7cb9c35e953645298f97f719450cb5c22025-02-02T10:51:45ZspaFacultad Latinoamericana de Ciencias Sociales, Sede EcuadorÍconos1390-12492224-69832019-01-01236318520510.17141/iconos.63.2019.3070Operation and Governance of the National Health System of EcuadorAdriano Molina Guzmán0Ministerio del Interior, EcuadorThe 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 serviceshttp://revistas.flacsoandes.edu.ec/iconos/article/view/3070National System of HealthGovernancePrincipal-Agent RelationsSegmentationFragmentation |
| spellingShingle | Adriano Molina Guzmán Operation and Governance of the National Health System of Ecuador Íconos National System of Health Governance Principal-Agent Relations Segmentation Fragmentation |
| title | Operation and Governance of the National Health System of Ecuador |
| title_full | Operation and Governance of the National Health System of Ecuador |
| title_fullStr | Operation and Governance of the National Health System of Ecuador |
| title_full_unstemmed | Operation and Governance of the National Health System of Ecuador |
| title_short | Operation and Governance of the National Health System of Ecuador |
| title_sort | operation and governance of the national health system of ecuador |
| topic | National System of Health Governance Principal-Agent Relations Segmentation Fragmentation |
| url | http://revistas.flacsoandes.edu.ec/iconos/article/view/3070 |
| work_keys_str_mv | AT adrianomolinaguzman operationandgovernanceofthenationalhealthsystemofecuador |