Integrated Care in Latin America

Nieves Ehrenberg (), Osvaldo Artaza (), Ingrid Gómez-Duarte, Christine Leyns (), Gastón Perman (), Rocío Sáenz, Galileo Pérez-Hernández and Wilmer Sancho
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Nieves Ehrenberg: VM Partners Integrating Health and Care
Osvaldo Artaza: Universidad de las Américas
Ingrid Gómez-Duarte: Universidad de Costa Rica
Christine Leyns: Universidad Mayor de San Simón, Facultad de Ciencias Sociales, INCISO
Gastón Perman: Hospital Italiano de Buenos Aires
Rocío Sáenz: Universidad de Costa Rica
Galileo Pérez-Hernández: International Foundation for Integrated Care
Wilmer Sancho: Universidad de Costa Rica

Chapter 65 in Handbook of Integrated Care, 2025, pp 1267-1282 from Springer

Abstract: Abstract This chapter argues that striving for universal health coverage alone is insufficient in inequitable societies. Integrated care models that take into account social determinants are necessary. It discusses the Pan American Health Organization proposal of Integrated Health Services Networks (IHSNs) as a response to fragmented health systems in the Americas, advocating for community-centered primary care services integrated with specialized care. The importance of citizen empowerment and state accountability in securing the right to health is emphasized. Different approaches to integrated care are presented as case studies from Latin America, including Chile’s pilot program for universalizing primary care, Bolivia’s community-oriented health initiatives during the COVID-19 pandemic, Costa Rica’s culturally sensitive maternity care models, and Buenos Aires’ social dialogue initiative for community-based mental health.

Date: 2025
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DOI: 10.1007/978-3-031-96286-8_86

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