Building the PCIPHC System in Uruguay: Historical Foundations, Achievements, and Current Challenges

Wilson Benia, Marcela Schenck, Pablo Anzalone, Rosario Berterretche and Hernán Montenegro

Chapter 10 in People-Centered Integrated Primary Healthcare System Development in Asia and Beyond, 2025, pp 301-320 from World Scientific Publishing Co. Pte. Ltd.

Abstract: The PCIPHC approach is more likely to succeed when integrated with broader efforts to improve health equity and establish rights, as demonstrated in Uruguay.The evolution of PHC in Uruguay has been a gradual process with the participation of different stakeholders. By 2007, a comprehensive Health System reform was put in place aiming to guarantee UHC, prioritizing PHC and fostering primary care, and focusing on integration.Long-term perspectives are essential for sustainable change. The SNIS reform endured as a state policy, underscoring the importance of sustained regulatory frameworks and stakeholder coalitions to support reform processes.

Keywords: Primary Healthcare; Primary Care; People Centeredness; Integrated Healthcare; Health System; Health Financing; Health Economics; Healthcare Delivery; Health Policy; Public Policy; Universal Health Coverage; People-Centered Integrated Primary Healthcare; People-Centered Integrated Healthcare; Integrated People-Centered Delivery System (search for similar items in EconPapers)
JEL-codes: H51 I11 I15 I18 O53 (search for similar items in EconPapers)
Date: 2025
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