Health system reforms in latin america

Abstract

In the past five years most of the countries have begun or are continuing with processes of health sector reform which are intended to modify the management and financing of health services provision. Most of the legislative changes relating to health have altered the balance between private and public health services. There has also been some degree of re–establishing the role of the state as provider and regulator, with decentralizing of services management, promotion of the private sector and the control of escalating costs.