Health systems, mechanisms of governance, and governmental porosity in a comparative perspective
This paper presents a comparative analysis of ten selected countries regarding the established relationships of participative governance, socioeconomic profiles, and health care systems with health outcomes and Global Governance Indicators. Significant sources were databases produced or compile...
| Autores: | , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2023 |
| País: | Brasil |
| Institución: | Centro Brasileiro de Estudos de Saude |
| Repositorio: | Saude em Debate |
| Idioma: | portugués inglés |
| OAI Identifier: | oai:ojs.saudeemdebate.emnuvens.com.br:article/6697 |
| Acceso en línea: | https://www.saudeemdebate.org.br/sed/article/view/6697 |
| Access Level: | acceso abierto |
| Palabra clave: | Governança em saúde. Políticas de saúde. Participação social. Health governance. Health policies. Societal participation. |
| Sumario: | This paper presents a comparative analysis of ten selected countries regarding the established relationships of participative governance, socioeconomic profiles, and health care systems with health outcomes and Global Governance Indicators. Significant sources were databases produced or compiled by the World Bank. The analytical model adopts an institutionalist approach to address social protection and participative governance – the latter, as used, recovers notions of societal participation, government porosity, and responsive regulation. Outcomes show a solid convergence of more distributive socioeconomic profiles, more universalist health systems with higher government financing, and better governance indicators. This analysis supports the arguments that socially virtuous institutional paths subjected to positive feedback favor better social and political outcomes over time. Analysis is supported in data about health sector policies and World Governance Indicators. The results sustain arguments of more socially protective relations with quality of democratic institutions and participative governance, government porosity, greater public financing in health sector, delivery, and better health results. Institutional configurations stablished along time reveals convergence in terms of greater protection or greater vulnerability according to capacity and quality of public institutions considering government porosity, societal participation, and government capacity in health policies. |
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