Health, 2019, 11, 1299-1319
https://www.scirp.org/journal/health
ISSN Online: 1949-5005
ISSN Print: 1949-4998
DOI: 10.4236/health.2019.1110100 Oct. 16, 2019 1299 Health
Health Systems in Latin America:
Principal Components of Attention
Cristina Gomes
Facultad Latinoamericana de Ciencias Sociales, FLACSO Mexico, Population and Develpment, Mexico City, Mexico
Abstract
This article discusses the evolution of healthcare systems in Latin American
countries, their origins and main characteristics and sources of financing,
coverage and the availability of services and human resources from the Do-
nabedian perspective, which also considers indicators of behaviors and prefe-
rences and social values underlying healthcare in different societies. The me-
thod adopted is the estimation of correlations and principal components to
explore how health expenditures, poverty and inequalities are associated with
healthcare indicators such as life expectancy, immunizations, treatments of-
fered by health systems in transmissible and chronic diseases, considering in-
direct indicators of patient’s behaviors and preferences, as well as social val-
ues and cultural diversity in Latin American societies. The results show that
the expansion and actual availability of immunization, treatments against
transmissible diseases and hospital beds are the main criteria responsible for
the results in healthcare and increase in life expectancy; the availability of
health services is an important component for secondary level of care and al-
lows the population to be committed to positive behaviors in a context of po-
verty and inequalities, with disadvantages for indigenous people.
Keywords
Healthcare, Poverty, Inequalities, Latin America, Indigenous
1. Introduction
Healthcare systems in Latin America originated in the early twentieth century.
Initially corporate insurance was created by workers in sectors such as industry,
commerce, banking, and public service, among others. In these corporate insti-
tutions of mutualism, workers and employers both contributed to ensuring that
healthcare was available to staff. On the other hand, philanthropic institutions,
How to cite this paper: Gomes, C. (2019)
Health Systems in Latin America: Principal
Components of Attention. Health, 11, 1299-
1319.
https://doi.org/10.4236/health.2019.1110100
Received: September 6, 2019
Accepted: October 13, 2019
Published: October 16, 2019
Copyright © 2019 by author(s) and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access