CONSTRUYENDO SISTEMAS DE SALUD RESILIENTES: Puntos principales y perspectivas esenciales para combatir la corrupción y mejorar la salud poblacional BUILDING RESILIENT HEALTH SYSTEMS: Key points and essential takeaways for combating corruption and improving population health / CRÉER DES SYSTÈMES DE SANTÉ RÉSILIENTS: Principaux points et perspectives essentielles pour lutter contre la corruption et améliorer la santé de la population / CONSTRUINDO SISTEMAS DE SAÚDE RESILIENTES: Principais pontos e perspectivas essenciais para combater a corrupção e melhorar a saúde da população
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Abstract
Introducción: esta publicación explora los desafíos sistémicos, el impacto de la corrupción en los resultados sanitarios y visiones estratégicas para construir sistemas de salud resilientes frente a la realidad global de que muchos sistemas no logran mejorar la salud de sus poblaciones, satisfacer sus expectativas legítimas o protegerlas de gastos médicos catastróficos. Objetivo: desarrollar una síntesis cualitativa de once publicaciones del autor revisadas por pares para generar nueva inteligencia y conocimiento para contribuir a crear sistemas de salud resilientes. Métodos: se analizó literatura sobre fortalecimiento de sistemas de salud, resiliencia y corrupción utilizando métodos de análisis cualitativo. Se emplearon técnicas de minería de datos para identificar patrones y tendencias, generando 44 puntos principales y 44 perspectivas esenciales. Se examinaron enfoques colaborativos, dinámicas de liderazgo y otras publicaciones para proponer soluciones de reforma accionables. Resultados: la corrupción generalizada y las ineficiencias en los sistemas de salud obstaculizan el progreso y erosionan la confianza pública. Un enfoque multifacético es crucial para construir sistemas de salud resilientes, abordándose fallas sistémicas y desigualdades persistentes de manera multisectorial con conocimientos de mundo real y metodologías comprobadas. Los esfuerzos colaborativos y el aprendizaje de experiencias internacionales mejoran la visión estratégica y el apoyo requerido para alcanzar metas. Conclusiones: la rectoría en salud, el liderazgo efectivo y los modelos educativos integrales son vitales para construir sistemas de salud resilientes y superar la corrupción arraigada. Son esenciales las reformas integrales, incluyendo la reestructuración y revitalización de los sistemas de salud y la implementación de modelos de gobernanza efectivos.
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