<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0124-0064</journal-id>
<journal-title><![CDATA[Revista de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud pública]]></abbrev-journal-title>
<issn>0124-0064</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Salud Publica, Facultad de Medicina - Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0124-00642022000100110</article-id>
<article-id pub-id-type="doi">10.15446/rsap.v24n1.103173</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[América Latina y el Caribe. Equidad y calidad frente al desafío de la segmentación]]></article-title>
<article-title xml:lang="en"><![CDATA[Latin America and the Caribbean. Equity and quality in the face of the challenge of segmentation]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maceira]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Estudios de Estado y Sociedad  ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2022</year>
</pub-date>
<volume>24</volume>
<numero>1</numero>
<fpage>1</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0124-00642022000100110&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0124-00642022000100110&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0124-00642022000100110&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Por primera vez en la historia reciente somos testigos de cómo los sistemas de salud ocupan un lugar central en la agenda política. Ello ocurre bajo las peores circunstancias: una epidemia global que golpea a todos los países, sobre la cual, en un principio, no había información suficiente sobre cómo combatirla efectivamente. Intentando identificar aprendizajes y oportunidades de la adversidad, propongo esbozar algunos elementos que contribuyan al debate sobre cómo fortalecer la capacidad de respuesta de los esquemas de cobertura en salud de América Latina y el Caribe ante estos fenómenos que ponen a prueba la capacidad de las redes de atención sanitaria y desnudan las limitaciones de los mecanismos de protección financiera. La segmentación sistémica solo permite una respuesta equitativa y de calidad para la pandemia, si la coordinación entre las partes involucra todas las dimensiones del modelo organizacional, particularmente vigilancia epidemiológica, funcionamiento en red y gestión de la información.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT For the first time in recent history, we are witnessing health systems taking center stage on the political agenda. This is happening under the worst circumstances: a global epidemic that is hitting all countries, about which, at the beginning, there was not enough information on how to fight it effectively. To identify lessons learned and opportunities from adversity, I propose to outline some elements to contribute to the debate on how to strengthen the response capacity of health coverage schemes in Latin America and the Caribbean to these phenomena that test the capacity of health care networks and expose the limitations of financial protection mechanisms. Systemic segmentation only allows an equitable and quality response to the pandemic if the coordination between the parties involves all the dimensions of the organizational model, particularly epidemiological surveillance, networking and information management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Sistemas de salud]]></kwd>
<kwd lng="es"><![CDATA[América Latina y el Caribe]]></kwd>
<kwd lng="es"><![CDATA[equidad]]></kwd>
<kwd lng="es"><![CDATA[calidad]]></kwd>
<kwd lng="es"><![CDATA[Covid-19 (fuente: DeCS, BIREME)]]></kwd>
<kwd lng="en"><![CDATA[Health care systems]]></kwd>
<kwd lng="en"><![CDATA[Latin America and the Caribbean]]></kwd>
<kwd lng="en"><![CDATA[equity]]></kwd>
<kwd lng="en"><![CDATA[quality]]></kwd>
<kwd lng="en"><![CDATA[Covid-19 (source: MeSH, NLM)]]></kwd>
</kwd-group>
</article-meta>
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