Governance of health care networks: Assessment of the health care integrating councils in the context of the health sector reform in Chile.

Objective. This paper aims at assessing the contribution of Chile’s Health Care Integrating Councils (CIRA, Spanish acronym) to strengthening governance in health. Materials and methods. A literature review on the official documents related to the process of creation and development of CIRA was carr...

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Main Authors: Osvaldo Artaza-Barrios, Olga Toro-Devia, Alejandra Fuentes-García, Alex Alarcón-Hein, Oscar Arteaga-Herrera
Format: Article
Language:English
Published: Instituto Nacional de Salud Pública 2013-11-01
Series:Salud Pública de México
Subjects:
Online Access:http://www.saludpublica.mx/index.php/spm/article/view/7311
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author Osvaldo Artaza-Barrios
Olga Toro-Devia
Alejandra Fuentes-García
Alex Alarcón-Hein
Oscar Arteaga-Herrera
author_facet Osvaldo Artaza-Barrios
Olga Toro-Devia
Alejandra Fuentes-García
Alex Alarcón-Hein
Oscar Arteaga-Herrera
author_sort Osvaldo Artaza-Barrios
collection DOAJ
description Objective. This paper aims at assessing the contribution of Chile’s Health Care Integrating Councils (CIRA, Spanish acronym) to strengthening governance in health. Materials and methods. A literature review on the official documents related to the process of creation and development of CIRA was carried out; an ad hoc questionnaire was applied to all 29 health services of the country; finally, 35 semi-structure in-depth interviews were carried on a sample of six CIRA. Results. The CIRAs have become a tool for functional integration and a valuable space for dialogue, cooperation and learning for all of the actors of the Chilean public health network. Conclusions. In this study, we conclude that there is room for improvements of CIRA’s role regarding governance of the health care network as long as CIRA is authorized to deal with strategic topics, such as investment in infrastructure, technology and human resources, and budgeting.
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spelling doaj.art-e0cd8f8a88cb4da4ad8c286df68687442022-12-22T01:33:41ZengInstituto Nacional de Salud PúblicaSalud Pública de México0036-36341606-79162013-11-0155665065810.21149/spm.v55i6.731115770Governance of health care networks: Assessment of the health care integrating councils in the context of the health sector reform in Chile.Osvaldo Artaza-Barrios0Olga Toro-Devia1Alejandra Fuentes-García2Alex Alarcón-Hein3Oscar Arteaga-Herrera4Organización Panamericana de la Salud/Organización Mundial de la Salud. México.Escuela de Salud Pública, Universidad de Chile. Santiago, ChileEscuela de Salud Pública, Universidad de Chile. Santiago, Chile.Escuela de Salud Pública, Universidad de Chile. Santiago, ChileEscuela de Salud Pública, Universidad de Chile. Santiago, ChileObjective. This paper aims at assessing the contribution of Chile’s Health Care Integrating Councils (CIRA, Spanish acronym) to strengthening governance in health. Materials and methods. A literature review on the official documents related to the process of creation and development of CIRA was carried out; an ad hoc questionnaire was applied to all 29 health services of the country; finally, 35 semi-structure in-depth interviews were carried on a sample of six CIRA. Results. The CIRAs have become a tool for functional integration and a valuable space for dialogue, cooperation and learning for all of the actors of the Chilean public health network. Conclusions. In this study, we conclude that there is room for improvements of CIRA’s role regarding governance of the health care network as long as CIRA is authorized to deal with strategic topics, such as investment in infrastructure, technology and human resources, and budgeting.http://www.saludpublica.mx/index.php/spm/article/view/7311investigación sobre servicios de saludreforma de la atención de saludprestación integrada de atención en saludcreación de capacidadChile
spellingShingle Osvaldo Artaza-Barrios
Olga Toro-Devia
Alejandra Fuentes-García
Alex Alarcón-Hein
Oscar Arteaga-Herrera
Governance of health care networks: Assessment of the health care integrating councils in the context of the health sector reform in Chile.
Salud Pública de México
investigación sobre servicios de salud
reforma de la atención de salud
prestación integrada de atención en salud
creación de capacidad
Chile
title Governance of health care networks: Assessment of the health care integrating councils in the context of the health sector reform in Chile.
title_full Governance of health care networks: Assessment of the health care integrating councils in the context of the health sector reform in Chile.
title_fullStr Governance of health care networks: Assessment of the health care integrating councils in the context of the health sector reform in Chile.
title_full_unstemmed Governance of health care networks: Assessment of the health care integrating councils in the context of the health sector reform in Chile.
title_short Governance of health care networks: Assessment of the health care integrating councils in the context of the health sector reform in Chile.
title_sort governance of health care networks assessment of the health care integrating councils in the context of the health sector reform in chile
topic investigación sobre servicios de salud
reforma de la atención de salud
prestación integrada de atención en salud
creación de capacidad
Chile
url http://www.saludpublica.mx/index.php/spm/article/view/7311
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