Latin America and the Caribbean. Equity and quality in the face of the challenge of segmentation América Latina y el Caribe. Equidad y calidad frente al desafío de la segmentación

MACEIRA, DANIEL

Revista de Salud Publica

Universidad Nacional de Colombia

Año: 2022 vol. 24

0124-0064

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 epi-demic 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 epide-miological surveillance, networking and information management.