PMID: 11314850Apr 21, 2001Paper

Beyond health gain: the range of health system benefits expressed by social groups in Mexico and Central America

Social Science & Medicine
M A González BlockJ Rovira

Abstract

Current health reform proposals in most developing countries stress health gain as the chief evaluation criterion. Essential service packages are formulated using cost-effectiveness methods for the selection of interventions without sufficient regard for other factors that are significant for successful implementation and acceptance by the needy. This paper presents the results of research undertaken in Mexico and Central America to test the hypothesis that population groups view health gain as only one among several benefits derived from health systems. The goal at this stage was two-fold: (a) to identify through qualitative methods the range of benefits that are significant for a wide cross-section of social groups and (b) to classify such benefits in types amenable to be used in the development of instruments to measure the benefits intended and actually produced by health systems. Fourteen focus groups were undertaken in Costa Rica, El Salvador, Guatemala, Mexico and Nicaragua representing diverse age, gender, occupation and social conditions. Six major types of health system benefits were identified besides health gain: reassurance/uncertainty reduction, economic security, confidence in health system quality, financial ben...Continue Reading

Citations

Nov 26, 2008·Reproductive Health Matters·Vivien D Tsu, Carol E Levin
Dec 28, 2018·Health Marketing Quarterly·Mauricio Losada OtaloraAugusto Rodríguez Orejula
Sep 17, 2004·Disability and Rehabilitation·Carrie SaetermoeCristina Gallardo
Feb 22, 2018·PharmacoEconomics Open·Anita LalRobert Carter

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