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<p class=MsoNormal style='margin-left:.5in'><b><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399;
font-weight:bold'>From:</span></font></b><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399'> A. Arredondo
[mailto:aarredon@insp.mx] <br>
<b><span style='font-weight:bold'>Sent:</span></b> Wednesday, November 02, 2005
11:54 AM<br>
<b><span style='font-weight:bold'><br>
</span></b></span></font><b><i><font size=2 color=maroon face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:maroon;font-weight:bold;
font-style:italic'>Evidences on weaknesses and strengths from health financing
after decentralization: lessons from <st1:place w:st="on">Latin America</st1:place>
countries</span></font></i></b><b><font size=2 color=maroon face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:maroon;font-weight:bold'><br>
</span></font></b><b><font size=2 color="#333399" face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:#333399;font-weight:bold'><br>
Armando Arredondo, Emanuel Orozco y Esteban De Icaza <br>
<br>
<i><span style='font-style:italic'>International Journal of Health
Planning and </span></i>Management 2005; 20: 181-204. <br>
<br>
</span></font></b><font size=2 color="#333399" face=Arial><u1:p></u1:p><u2:p></u2:p><span
style='font-size:10.0pt;font-family:Arial;color:#333399'><a
href="http://www3.interscience.wiley.com/cgi-bin/abstract/110528955/ABSTRACT"><font
color="#333399"><span style='color:#333399'>http://www3.interscience.wiley.com/cgi-bin/abstract/110528955/ABSTRACT</span></font></a><br>
<br>
<o:p></o:p></span></font></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
margin-left:.5in'><font size=2 color="#333399" face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:#333399'>‘...<i><span
style='font-style:italic'>The main objective was to identify trends and
evidence on health financing after health care decentralization. Evaluative
research with a</span></i></span></font><i><font size=2 color=navy face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:navy;font-style:italic'><br>
</span></font></i><i><font size=2 color="#333399" face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:#333399;font-style:italic'> before-after
design integrating qualitative and quantitative analysis. Taking into account
feasibility, political and technical criteria, three</span></font></i><i><font
size=2 color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy;font-style:italic'><br>
</span></font></i><i><font size=2 color="#333399" face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:#333399;font-style:italic'> Latin
American countries were selected as study populations: <st1:country-region
w:st="on">Mexico</st1:country-region>, <st1:country-region w:st="on">Nicaragua</st1:country-region>
and <st1:country-region w:st="on"><st1:place w:st="on">Peru</st1:place></st1:country-region>...Weaknesses:
a lack of human resources</span></font></i><i><font size=2 color=navy
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:navy;
font-style:italic'><br>
</span></font></i><i><font size=2 color="#333399" face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:#333399;font-style:italic'>trained
in health economics who can implement changes, a lack of financial resource
independence between the local and central levels.....</span></font></i><i><font
size=2 color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy;font-style:italic'><br>
</span></font></i><i><font size=2 color="#333399" face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:#333399;font-style:italic'>Strengths:
the sharing between the central level and local levels of responsibility for
financing health services, the implementation o</span></font></i><i><font
size=2 color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy;font-style:italic'><br>
</span></font></i><i><font size=2 color="#333399" face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:#333399;font-style:italic'>new
organizational structures for the follow-up of financial changes at the local
level...”</span></font></i><font size=2 color="#333399" face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:#333399'><o:p></o:p></span></font></p>
<p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:
12.0pt;margin-left:.5in'><font size=2 color="#333399" face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:#333399'>*
* * * </span></font><font
color="#333399"><span style='color:#333399'> </span></font><font color=black><span
style='color:windowtext'><o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-left:.5in'><font size=1 color="#333399"
face=Arial><span lang=EN-GB style='font-size:7.5pt;font-family:Arial;
color:#333399'>This message from the Pan American Health Organization,
PAHO/WHO, is part of an effort to disseminate <br>
information Related to: Equity; Health inequality; Socioeconomic inequality in
health; Socioeconomic <br>
health differentials; Gender; Violence; Poverty; Health Economics; Health
Legislation; Ethnicity; Ethics; <br>
Information Technology - Virtual libraries; Research & Science
issues. [DD/ IKM Area] </span></font><font color="#333399"><span
lang=EN-GB style='color:#333399'> </span><o:p></o:p></font></p>
<p class=MsoNormal style='margin-left:.5in'><font size=1 color="#333399"
face=Arial><span lang=EN-GB style='font-size:7.5pt;font-family:Arial;
color:#333399'>“Materials provided in this electronic list are provided
"as is".Unless expressly stated otherwise, the findings <br>
and interpretations included in the Materials are those of the authors and not
necessarily of The Pan American <br>
Health Organization PAHO/WHO or its country members”.</span></font><font
size=1 color="#333399" face=Arial><span lang=EN-GB style='font-size:8.0pt;
font-family:Arial;color:#333399'> <br>
</span></font><font size=1 color="#333399" face=Arial><span lang=EN-GB
style='font-size:7.5pt;font-family:Arial;color:#333399'>---------------------------------------------------------------------------------------------------</span></font><font
color="#333399"><span lang=EN-GB style='color:#333399'> </span><o:p></o:p></font></p>
<p class=MsoNormal style='margin-left:.5in'><font size=1 color="#333399"
face=Arial><span lang=EN-GB style='font-size:7.5pt;font-family:Arial;
color:#333399'>PAHO/WHO Website: <a href="http://www.paho.org/"
title="http://www.paho.org/
http://content.nejm.org/cgi/content/full/353/17/1850
http://www.paho.org/"><font
color="#333399"><span style='color:#333399'>http://www.paho.org/</span></font></a>
</span></font><font color="#333399"><span style='color:#333399'><o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-left:.5in'><font size=1 color="#333399"
face=Arial><span lang=EN-GB style='font-size:7.5pt;font-family:Arial;
color:#333399'>EQUITY List - Archives - Join/remove: <a
href="http://listserv.paho.org/Archives/equidad.html"
title="http://listserv.paho.org/Archives/equidad.html
http://content.nejm.org/cgi/content/full/353/17/1850
http://listserv.paho.org/Archives/equidad.html"><font
color="#333399"><span style='color:#333399'>http://listserv.paho.org/Archives/equidad.html</span></font></a><o:p></o:p></span></font></p>
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face=Arial><span lang=EN-GB style='font-size:10.0pt;font-family:Arial;
color:#333399'><o:p> </o:p></span></font></p>
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size=1 color=black face=Verdana><span lang=EN-GB style='font-size:9.0pt;
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