Problems affecting the Costa Rican Social Security System from the perspective of the determinants of health
DOI:
https://doi.org/10.51481/amc.v55i3.802Keywords:
Public health, Health services, Health determinantsAbstract
The problems affecting the Costa Rican Social Security System (CCSS) lie beyond financial difficulties, as they also include a serious management deficiency and bureaucratic gridlock that has turned the institution into an extremely rigid structure, unable to meet the needs and demands of the population with the promptness required. The CCSS is probably the largest ""firm"" in Central America; it employs approximately 55,000 people, of which 10% are medical professionals. It is the institution that sustains part of the social security which Costa Ricans enjoy today. However, its operation and thus its problems should be analysed linked to the concept of social production of health, as this is a social product.
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References
Marmot M. Health in an unequal world. Lancet 2006; 368(9552): 2081-2094.
CSDH. Closingthe gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. Geneva, World Health Organization. 2008.
Lalonde M. A new perspective on the health of canadians, a working document. Canada: Government of Canada, Ministry of National Health and Welfare, 1974.
Ministerio de Salud de Costa Rica. Modelo conceptual y estratégico de la rectoría de la producción social de la salud, junio 2007.
WHO Equity, social determinants and public health programmes / editors Erik Blas and Anand Sivasankara Kurup. Geneva. 2010.
Nicholls ES. Diferenciales de mortalidad de las enfermedades no transmisibles según el nivel socioeconómico: el caso de América Latina. Bol Of SanitPanam 1993;115: 255-269.
Mosley WH, Bobadilla JL, Jamison DT. 1993. The Health Transition: Implications for Health Policy in Developing Countries.
En: Disease Control Priorities in Developing Countries. Jamison DT, Mosley WH, Measham AR, Bobadilla JL (Eds). Washington, USA: World Bank, Oxford University Press. 673-699.
Morice A, Achío M. Tendencias, costos y desafíos para la atención de las enfermedades crónicas en Costa Rica. Revista de Gestión 2003;11:18-34.
Siegrist J. Social differentials in chronic disease: what can sociological knowledge offertor explain and possibly reduce them? Soc Sci Med 1995; 41:1603-1605.
Castellanos PL. Sobre el concepto de salud - enfermedad. Descripción y explicación de la situación de salud. Bol epidemiol OPS 1990;10:1-7.
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