Cadernos de Saúde Pública
On-line version ISSN 1678-4464Print version ISSN 0102-311X
PALMA-SOLIS, Marco Antonio; FRANCO GIRALDO, Álvaro and ALVAREZ-DARDET, Carlos. Influences and hegemonies in health reform research. Cad. Saúde Pública [online]. 2006, vol.22, n.12, pp.2527-2537. ISSN 1678-4464. http://dx.doi.org/10.1590/S0102-311X2006001200003.
The authors analyze the evolution in publications indexed in MEDLINE, LILACS, and Sociological Abstracts concerning health reforms around the world and the determinants of their orientation and distribution from 1990 to 2004. A total of 8,729 publications were selected. The principles of "sustainability" and "quality and effectiveness" were dealt with most frequently, with different patterns of attention, depending on the regions and countries. Of 199 countries, 61% included references as to their health reform processes, with the largest numbers in the United States and the Great Britain. The British and U.S. standards for attention to health reform principles displayed strong influences on the study of health reforms elsewhere. This may limit the scientific visibility of issues like equity, participation, and efficiency.
Keywords : Health Care Reform; Organized Financing; Quality of Health Care; Organizational Efficiency.