Mónica Valenzuela, Osvaldo Artaza, Javier Santa Cruz, Marcelo Fagalde, Mónica Espinoza, Sandra Oyarzo, Erich V. De Paula, Rogelio Pizzi
Archives of Medical Research
2025
REVISAR PUBLICACIÓN ACÁ
Resumen:
Healthcare systems in Latin America are characterized by segmentation and fragmentation, which contribute significantly to inequalities in access and power imbalance between citizens and other stakeholders in health services (1). These inequalities are further exacerbated by social determinants such as social exclusion and the lack of effective guarantees of the right to health, especially for the poor, indigenous populations, and women. These factors create barriers to access to comprehensive and quality services, which were exacerbated during the COVID-19 pandemic. The prevailing biomedical paradigm plays a role in perpetuating these inequalities (2., 3., 4.).
The growing prevalence of chronic diseases and the corresponding increase in demand for health services require a radical transformation in the approach to service delivery. Current care modalities for chronic diseases are often fragmented, episodic, monodisciplinary, and disease-centered. Such fragmented care, lacking coordination across disciplines and between different levels of service complexity and the patients’ living environment, can result in unmet health needs, duplication of services, conflicting treatment plans, and the over- or under-prescription of medications. Ultimately, this leads to a loss of quality and efficiency of care…
REVISAR PUBLICACIÓN ACÁ