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Financiamiento innovador para la salud: ¿qué es realmente innovador?
Rifat Atun1, Felicia Marie Knaul, Yoko Akachi
1The Business School and Faculty of Medicine, Imperial College London, UK. r.atun@imperial.ac.uk
Lancet (London, England)
|October 30, 2012
Resumen
Mecanismos de financiación innovadores como GAVI, el Fondo Mundial y UNITAID han mejorado la financiación de la salud mundial. Estos modelos integrados canalizan eficientemente los recursos a los países de bajos ingresos, ofreciendo futuras plataformas de financiación de la salud.
Área de la Ciencia:
- Salud Global La salud global.
- Economía de la salud Economía de la salud
- Financiamiento para el desarrollo Financiamiento para el desarrollo.
Sus antecedentes:
- La asistencia al desarrollo para la salud aumentó de 2000 a 2010, pero las crisis económicas limitan el financiamiento tradicional de los donantes.
- Sostener las ganancias mundiales en salud y lograr los Objetivos de Desarrollo del Milenio requiere financiación innovadora.
- Las enfermedades no transmisibles emergentes requieren nuevas estrategias de financiación.
Objetivo del estudio:
- Conceptualizar el financiamiento innovador de la salud utilizando un enfoque de cadena de valor.
- Para identificar y analizar a gran escala, los mecanismos de financiación innovadores integrados.
- Evaluar la efectividad de estos mecanismos en la movilización, puesta en común, asignación e implementación de recursos.
Principales métodos:
- Análisis de la cadena de valor aplicado a la financiación innovadora de la salud.
- Identificación y examen de GAVI, el Fondo Mundial y UNITAID como estudios de caso.
- Evaluación de los flujos financieros y la integración organizativa dentro de estos mecanismos.
Principales resultados:
- Tres mecanismos integrados (GAVI, Fondo Mundial, UNITAID) innovaron en toda la cadena de valor de la financiación.
- Estos mecanismos canalizan efectivamente los fondos a los países de ingresos bajos y medios para las principales enfermedades.
- La financiación innovadora movilizó recursos modestos en comparación con la ayuda tradicional, pero la innovación organizativa fue clave.
Conclusiones:
- Los mecanismos de financiación integrados representan una innovación significativa en la financiación de la salud mundial.
- Estos modelos mejoran la eficiencia y la eficacia en la movilización y asignación de recursos.
- Las lecciones aprendidas pueden guiar el desarrollo futuro de la financiación internacional innovadora para las necesidades mundiales de salud.
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