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Revista de Saúde Pública

On-line version ISSN 1518-8787Print version ISSN 0034-8910


GOLDSTEEN, Raymond L.; PEREIRA, Julio Cesar R.  and  GOLDSTEEN, Karen. The engine or the caboose: health policy in developing countries. Rev. Saúde Pública [online]. 1990, vol.24, n.6, pp.523-527. ISSN 1518-8787.

A discussion of health policy in developing countries is presented. It argues that developing countries must adopt a progressive approach to health policy which rejects the two-tiered system of public and private health care. However, it also points out that ideology is not sufficient to maintain support. A progressive health system must utilize administrative and social and behavioral sciences to achieve effectiveness and efficiency in health care delivery. It cannot ignore these goals any more than a private health care system can.

Keywords : Health policy; Developing countries; Health system.

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