COVID-19 Disruption To Routine Health Care Services: How 8 Latin American And Caribbean Countries Responded

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dc.catalogadorjca
dc.contributor.authorHerrera, Cristian A.
dc.contributor.authorJuárez-Ramírez, Clara
dc.contributor.authorReyes-Morales, Hortensia
dc.contributor.authorBedregal, Paula
dc.contributor.authorReartes-Peñafiel, Diana L.
dc.contributor.authorDíaz-Portillo, Sandra P.
dc.contributor.authorKlazinga, Niek
dc.contributor.authorKringos, Dionne S.
dc.contributor.authorVeillard, Jeremy
dc.contributor.authorHerrera, Cristian
dc.date.accessioned2023-12-19T18:22:59Z
dc.date.available2023-12-19T18:22:59Z
dc.date.issued2023
dc.description.abstractLatin America and the Caribbean was one of the regions hardest hit globally by SARS-CoV-2. This qualitative exploratory study examined how the COVID-19 pandemic disrupted the delivery of routine health services from the perspective of health care system decision makers and managers. Between May and December 2022, we conducted forty-two semistructured interviews with decision makers from ministries of health and health care managers with responsibilities during the COVID-19 pandemic in eight countries in Latin America and the Caribbean. On the basis of these interviews, we identified themes in three domains: impacts on the provision of routine health services, including postponed and forgone primary care and hospital services; barriers to maintaining routine health services due to preexisting structural health care system weaknesses and difficulties attributed to the pandemic; and innovative strategies to sustain and recover services such as public-private financing and coordination, telemedicine, and new roles for primary care. In the short term, policy efforts should focus on recovering postponed services, including those for noncommunicable diseases. Medium- and long-term health care system reforms should strengthen primary care and address structural issues, such as fragmentation, to promote more resilient health care systems.
dc.fechaingreso.objetodigital2023-12-15
dc.fuente.origenORCID
dc.identifier.doi10.1377/hlthaff.2023.00694
dc.identifier.eissn1544-5208
dc.identifier.issn0278-2715
dc.identifier.urihttps://doi.org/10.1377/hlthaff.2023.00694
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/75537
dc.information.autorucEscuela de medicina ; Bedregal, Paula ; 0000-0003-3550-9117 ; 79369
dc.issue.numero12
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final1674
dc.pagina.inicio1667
dc.revistaHealth Affairs
dc.rightsacceso abierto
dc.subjectGlobal health
dc.subjectCovid-19
dc.subjectSystems of care
dc.subjectPandemic
dc.subjectShealth services
dc.subjectAccess to care
dc.subjectPrimary care
dc.subjectDecision making
dc.subjectPublic health
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleCOVID-19 Disruption To Routine Health Care Services: How 8 Latin American And Caribbean Countries Responded
dc.typeartículo
dc.volumen42
sipa.codpersvinculados79369
sipa.trazabilidadORCID;2023-12-11
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