SciELO - Scientific Electronic Library Online

vol.16 issue1Validity of neonatal clinical assessment for estimation of gestational age: comparison of New Ballard score with date of last menstrual period and ultrasonographyDevelopment of a dietary assessment method for people of Japanese descent living in São Paulo, Brazil author indexsubject indexarticles search
Home Page  

Services on Demand




Related links


Cadernos de Saúde Pública

On-line version ISSN 1678-4464Print version ISSN 0102-311X


IRIART, Celia; MERHY, Emerson Elias  and  WAITZKIN, Howard. Managed care in Latin America: transnationalization of the health sector in a context of reform. Cad. Saúde Pública [online]. 2000, vol.16, n.1, pp.95-105. ISSN 1678-4464.

This article presents the results of the comparative research project "Managed Care in Latin America: Its Role in Health Reform". The project was conducted by teams in Argentina, Brazil, Chile, Ecuador, and the United States. The study's objective was to analyze the process by which managed care is exported, especially from the United States, and how managed care is adopted in Latin American countries. Our research methods included qualitative and quantitative techniques. Adoption of managed care reflects transnationalization of the health sector. Our findings demonstrate the entrance of large multinational financial capital into the private insurance and health services sectors and their intention of participating in the administration of government institutions and medical/social security funds. We conclude that this basic change involving the slow adoption of managed care is facilitated by ideological changes with discourses accepting the inexorable nature of public sector reform.

Keywords : Managed Care; Medical Services; Health Policy; Latin America.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )