El buen gobierno de los servicios de salud de producción pública: ideas para avanzar

Ciência & Saúde Coletiva

José Manuel Freire²  Jose Ramon Repullo¹ 

[1],Ministerio de Ciencia e Innovación Instituto de Salud Carlos III Escuela Nacional de SanidadMadrid,España

关键词: Good governance;    Publicly-produced health services;    Management;    International comparisons;    Contractual management;    New public service;    Buen gobierno;    Servicios sanitarios de producción pública;    Ggestión;    Comparación internacional;    Gestión contractual;    Nuevo servicio público;   

DOI  :  10.1590/S1413-81232011000600012

来源: SciELO

【 摘 要 】

The good performance of publicly-produced health services is of vital importance, well beyond the health sector. Taking into account the great complexity of the health services in the public sector due both to their public and professional nature, we identify seven Gordian Knots as being responsible for the most frequent problems of publicly produced health services in Spain and Latin America. From the concept of good governance we take its character as a normative and ethical benchmark and its potential to renew and invigorate the government of the public sector. From comparative analysis of publicly-produced health services in the best performing countries, we extract eight characteristics which contribute significantly to good performance. A final reflection is on the relevance of the importance of offsetting the potential hostility to a reformist impulse of the status-quo with alliances that strengthen public trust and the social contract between health professionals and citizens based on the values of public health systems.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License