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Íconos. Revista de Ciencias Sociales
versão On-line ISSN 1390-8065versão impressa ISSN 1390-1249
Resumo
MOLINA-GUZMAN, Adriano. Operation and Governance of the National Health System of Ecuador. Íconos [online]. 2019, n.63, pp.185-205. ISSN 1390-8065. https://doi.org/10.17141/iconos.63.2019.3070.
The National Health System of Ecuador (SNS) is characterized by its segmentation and fragmentation, which limits the implementation of public policies in the sector and provisional services. This study was conducted using an analytical framework of governance in health and observations of the type of principal-agent relations in the provision of public services. It is based on a case study that shows how the institutional configuration of SNS in Ecuador unfolds and how this affects the implementation of public policies. The results show that despite the designed mechanisms in place to improve the coordination of the health system, the institutional structure hinders the implementation of integrated networks of provision services.
Palavras-chave : National System of Health; Governance; Principal-Agent Relations; Segmentation; Fragmentation.