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[Challenges for developing a comparative analytical model for health services]
V A Hortale1, E M Conill, M Pedroza
1Departamento de Administração e Planejamento em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rua Leopoldo Bulhões, 1480, 7o. Andar, Rio de Janeiro, RJ 21041-210, Brasil.
Cadernos De Saude Publica
|April 15, 1999
Summary
This study explores health models, distinguishing between health status and healthcare circuits. It introduces decentralization and access as key factors for developing new health system models.
Area of Science:
- Health systems research
- Health services research
- Comparative health policy
Background:
- Existing models for health determinants, services, and systems are diverse.
- The Contandriopoulos model offers a framework separating health status and healthcare circuits.
- Comparative analysis of health systems requires robust theoretical and methodological approaches.
Purpose of the Study:
- To contribute a new theoretical, methodological, and evaluative approach to comparative health system analysis.
- To identify challenges in developing novel health system models.
- To explore the potential role of decentralization and access in new health models.
Main Methods:
- Review and analysis of existing health system models.
- Theoretical development of a new analytical framework.
- Identification of key variables for model construction.
Main Results:
- Challenges were encountered in the development of a new comprehensive health model.
- Decentralization and access emerged as significant categories for consideration.
- The proposed approach facilitates a more nuanced comparative analysis.
Conclusions:
- Further research is needed to refine the proposed theoretical and methodological framework.
- Incorporating decentralization and access is crucial for understanding contemporary health systems.
- The study provides a foundation for future comparative health system evaluations.