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dc.creatorMartínez Franzoni, Juliana
dc.creatorSánchez Ancochea, Diego
dc.date.accessioned2019-01-21T20:24:50Z
dc.date.available2019-01-21T20:24:50Z
dc.date.issued2018-09-02
dc.identifier.citationhttps://onlinelibrary.wiley.com/doi/10.1111/spol.12434
dc.identifier.issn1467-9515
dc.identifier.urihttps://hdl.handle.net/10669/76446
dc.description.abstractFor all the agreement regarding the segmented character of Latin America's social policy, few studies define it clearly, let alone suggest exact ways to measure it. This article provides a more precise definition based on a threefold policy output comprising coverage, generosity, and equity. Empirically, the article explores the cross‐national variation in segmentation in health care within Latin America in 2000 and 2013, before and after Latin America's economic boom. The article clusters countries, evaluates which ones improved their relative position during the 2000s, and determines the overall level of segmentation in the region. Findings are twofold. First, we identify three clusters: countries that respectively do particularly well and poorly across policy dimensions in 2000 and 2013, and a smaller set of countries that improved significantly, particularly regarding coverage and generosity. Second, despite cross‐national differences, there are shared regional challenges—the risk of catastrophic expenditure being a case in point. Our analysis demonstrates the need to move beyond coverage as a policy goal and pay more attention to gaps in generosity in every country. We also call for better indicators to measure performance beyond coverage across countries, and more studies that explain the similarities and differences between countries that improved considerably during the 2000s.es_ES
dc.language.isoen_USes_ES
dc.sourceSocial Policy & Administration, vol.52(6), pp. 1181-1200.es_ES
dc.subjectHealth carees_ES
dc.subjectLatin Americaes_ES
dc.subjectSegmentationes_ES
dc.subjectSocial policyes_ES
dc.titleUndoing segmentation? Latin American health care policy during the economic boomes_ES
dc.typeartículo original
dc.identifier.doi10.1111/spol.12434
dc.description.procedenceUCR::Vicerrectoría de Docencia::Ciencias Sociales::Facultad de Ciencias Sociales::Escuela de Ciencias Políticases_ES


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