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Lessons from local engagement in Latin American health systems
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Meads, Geoffrey D., Griffiths, Frances, Goode, Sarah D. and Iwami, Michiyo (2007) Lessons from local engagement in Latin American health systems. HEALTH EXPECTATIONS, 10 (4). pp. 407-418. doi:10.1111/j.1369-7625.2007.00468.x ISSN 1369-6513.
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Official URL: http://dx.doi.org/10.1111/j.1369-7625.2007.00468.x
Abstract
Objectives To examine the management of recent policies for stronger patient and public involvement in Latin American health systems, identifying common features and describing local practice examples of relevance to the UK.
Context Participation is a core principle of many contemporary policies for health system reform. In Latin America, as in the UK, it is frequently associated with innovations in primary care services and their organizational developments. This shared interest in alternative models of local engagement offers new opportunities for collaborative research and policy development.
Design Commissioned by UK policy makers, a 4-year research programme was designed to promote exchanges with international counterparts focusing on how modern reform policies are being implemented. The selected countries possessed comparable principles and timeframes for their reforms. A series of individual country case studies were undertaken. Data were drawn from literature and documentary reviews; semi-structured interviews with national policy makers and expert advisers; and with management representatives at local exemplar sites. The aggregate data were subjected to thematic analysis applying a model for sustainable development.
Results Six common factors were identified in Latin American policies for stronger patient and public involvement. From these the most significant transferable learning for the UK relates to the position and status of professions and non-governmental agencies. Illustrative case exemplars were located in each of the eight countries studied.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
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| Journal or Publication Title: | HEALTH EXPECTATIONS | ||||
| Publisher: | BLACKWELL PUBLISHING | ||||
| ISSN: | 1369-6513 | ||||
| Official Date: | December 2007 | ||||
| Dates: |
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| Volume: | 10 | ||||
| Number: | 4 | ||||
| Number of Pages: | 12 | ||||
| Page Range: | pp. 407-418 | ||||
| DOI: | 10.1111/j.1369-7625.2007.00468.x | ||||
| Publication Status: | Published |
Data sourced from Thomson Reuters' Web of Knowledge
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