Impact on equity of access and efficiency of Integrated Health care Networks (IHN) in Colombia and Brazil

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Contract/Grant agreement number
: 223123
EC contribution
: € 1,722,059.00
: 54 months
Starting date
: 01/03/2009
: Access to health care; integrated healthcare networks; coordination of care; health policy; integration of care; quality; Colombia, Brazil.
Project web-site
: http://www.equity-la.eu

Integrated health care networks (IHN) as a way of organising health care have been widely promoted in Latin America. Equity-LA aimed at providing evidence on the impact of different types of IHN on a) health care access and b) health care provision efficiency, in Colombia and Brazil. The analysis combined qualitative with quantitative research methods and was carried out within and cross-country.

Findings indicate that in both countries difficulties are faced in the implementation of the IHN policy, identifying a series of important weaknesses regarding the IHNs’ results regarding intermediary outcomes (access, care coordination, and continuity of care) and final outcomes (equity of access and quality of care). Equity-LA provides evidence to develop policies conducive to better quality and more efficient health care provision and contributes to reducing inequities in access to health care. It has also further developed methods and tools to assess health providers’ performance and strengthen the research capacity of the institutions involved.

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