Subject(s)
Accreditation , Hospitals/standards , Brazil , Latin America , Pan American Health OrganizationABSTRACT
Costa Rica has been unusually successful in providing high levels of health for its people given its economic resources. It is proposed that there are two reasons for its success. Having no military, Costa Rica has had resources to invest in health care. Having a relatively equal income and education distribution and a democratic government, it has been able to provide health care widely rather than just to the elites. This paper examines production functions for health and possible directions for appropriate management of health as Costa Rica confronts the chronic disease pattern of the developed world.
Subject(s)
Health Planning/economics , Health Resources/economics , Health Status , Costa Rica/epidemiology , Health Expenditures/statistics & numerical data , Health Policy , Humans , Infant Mortality , Infant, Newborn , Life Expectancy , Military Personnel , Models, Econometric , Mortality , Quality Assurance, Health Care/economics , Quality Assurance, Health Care/organization & administration , Quality Assurance, Health Care/standardsABSTRACT
No cabe duda de la funcion esencial que tiene en los servicio modernos el hospital grande, generalemtne urbano, afiliado a una universidad, que presta servicios de atención terciaria. Su gran tamano le permite ofrecer una amplia gama de servicios y desmpena un papel importante el la ensenanza de la medician sin embargo, esta expuesto a abusos, puede ser utilizado con ineficiencia en funcion de los costos y (como todas las entidades de atención médica) debe ser regulado para garantizaar una atención de calidad. En el futuro, esas instituciones tendran que demos trar que son usadas eficiente, apropiada y efectivamente para justificar su financiamiento