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Health systems, mechanisms of governance and governmental porosity in comparative perspective / Sistemas de saúde, mecanismos de governança e porosidade governamental em perspectiva comparada
SciELO Preprints; fev. 2022.
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in Pt
| PREPRINT-SCIELO
| ID: pps-3549
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ABSTRACT
This article presents a comparative analysis of 10 selected countries about stablished relations of participative governance, socioeconomic profiles and health care systems with health outcomes and World Governance Indicators. Major sources were databases produced and/or compiled by World Bank. Analytical model adopts institutionalist approach to deal with social protection and participative governance. Participative governance, as used, recovers notions of societal participation, government porosity and responsive regulation. Outcomes show a solid convergence of more distributive socioeconomic profiles, heath systems more universalist and with higher government financing and better governance indicators. This analysis supports arguments that socially virtuous institutional paths subjected to positive feedback favors better social and political outcomes along time.
RESUMO
O artigo apresenta uma análise comparada de 10 países selecionados sobre as relações entre governança participativa, perfis socioeconômicos e sistemas de saúde com resultados sanitários e de Indicadores de Governança Global. As fontes principais foram bases de dados produzidas e/ou compiladas pelo Banco Mundial. O modelo analítico se apoia em enfoque institucionalista para tratar de proteção social e governança participativa. Governança participativa, como utilizada, recobre as noções de participação social, porosidade governamental e regulação responsiva. Os resultados mostram uma sólida convergência entre perfis socioeconômicos mais distributivos, sistemas sanitários com maior financiamento público e universalismo e melhores indicadores de governança. Esta análise reforça os argumentos sobre trajetórias institucionais socialmente virtuosas e sujeitas a reforços positivos capazes de produzir melhores resultados sociais e políticos ao longo do tempo.
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PREPRINT-SCIELO
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Pt
Year:
2022
Document type:
Preprint