Financing, organization, costs and services performance of the Argentinean health sub-systems.

• Published in: Salud pública de México 2016-09, Vol.58 (5), p.504-513
• Main Authors: Yavich, Natalia, Báscolo, Ernesto Pablo, Haggerty, Jeannie
• Format: Article
• Language: Spanish
• Subjects: Argentina; Financing, Government; Health Care Costs - statistics & numerical data; Health Care Surveys; Health Expenditures - statistics & numerical data; Health Services - economics; Healthcare Financing; Humans; Primary Health Care - economics; Primary Health Care - organization & administration; Private Sector - economics; Public Sector - economics; Urban Health - economics
• ISSN: 1606-7916
• DOI: 10.21149/spm.v58i5.7827

To analyze the relationship between health system financing and services organization models with costs and health services performance in each of Rosario's health sub-systems. The financing and organization models were characterized using secondary data. Costs were calculated using the WHO/SHA methodology. Healthcare quality was measured by a household survey (n=822). Public subsystem:Vertically integrated funding and primary healthcare as a leading strategy to provide services produced low costs and individual-oriented healthcare but with weak accessibility conditions and comprehensiveness. Private subsystem: Contractual integration and weak regulatory and coordination mechanisms produced effects opposed to those of the public sub-system. Social security: Contractual integration and strong regulatory and coordination mechanisms contributed to intermediate costs and overall high performance. Each subsystem financing and services organization model had a strong and heterogeneous influence on costs and health services performance.