Resumo

GUZMAN URREA, María del Pilar. Análisis de las principales estrategias de racionalización de los recursos sanitarios en las reformas sanitarias actuales. Rev. Gerenc. Polit. Salud [online]. 2007, vol.6, n.13, pp.66-84. ISSN 1657-7027.

The common factors in most of the health care reforms held from the nineties are the searching of mechanisms to face the scare of resources, the achievement of an equitable and sustainable financing, the goal of a more efficient sanitary production and an effective way for distribution of resources in the sanitary systems. All those factors constitute news challenges for the actual sanitary policies. Theoretical foundations of the main sanitary resources rationalization strategies and the ethical dilemmas that they cause in health sector will be analyzed here, especially the establishment of share costs, definition of what to give priority in the selection for clinical or public health interventions, the role of experts and community in the process of priority definitions and the tensions when trying to balance the targets to equity, efficiency and economical sustainability of the health services.

Palavras-chave : Health Priorities; Resource Allocation; Equity in Health; Public Health; Health Policy; Health Systems.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )