Bermúdez-Madriz Juan Luis, Sáenz María del Rocío, Muiser Jorine, Acosta Mónica
Consultores en Desarrollo, Sociedad y Administración. San José, Costa Rica.
Salud Publica Mex. 2011;53 Suppl 2:s209-19.
This paper describes the health system of Honduras, including its challenges, structure coverage, sources of financing, resources and stewardship activities. This system counts with a public and a private sector. The public sector includes the Ministry of Health (MH) and the Honduran Social Security Institute (HSSI). The private sector is dominated by a set of providers offering services payed mostly out-of-pocket. The National Health Plan 2010-2014 includes a set of reforms oriented towards the creation of an integrated and plural system headed by the MH in its stewardship role. It also anticipates the creation of a public health insurance for the poor population and the transformation of the HSSI into a public insurance agency which contracts services for its affiliates with public and private providers under a family medicine model.
本文介绍了洪都拉斯的卫生系统,包括其面临的挑战、结构覆盖范围、融资来源、资源及管理活动。该系统包括公共部门和私营部门。公共部门包括卫生部和洪都拉斯社会保障局。私营部门主要由一系列提供服务的机构主导,这些服务大多由患者自掏腰包支付费用。《2010 - 2014年国家卫生计划》包括一系列改革措施,旨在建立一个以卫生部为管理核心的综合多元体系。该计划还预计为贫困人口创建公共医疗保险,并将洪都拉斯社会保障局转变为一个公共保险机构,按照家庭医疗模式为其附属机构与公共和私营服务提供商签订服务合同。