How to Cite
Abstract
Rev. Gerenc. Polit. Salud, Bogotá (Colombia), 6 (12): 12-30, enero-junio de 2007
12
Abstract
Using a methodology which examines the perceptions of stakeholders, including policy-makers,
healthcare professionals and community members, this paper details a preliminary evaluation
of the impact thus far of the Basic Integrated Health System (
Sibasi) program on quality of
healthcare in El Salvador. The paper gives a brief overview of health systems reform in El
Salvador, outlines the logic behind the sibasi and presents theoretical perspectives on quality
in healthcare. The study found that although the sibasi was “good on paper” and had definite
potential, it had not met with a great deal of success. Additionally, existing barriers in the health
system in El Salvador- extreme poverty, ineffective governance, politicization, poor financing,
and contention in the reform process- severely limited the success of the
Sibasi program.
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