{"id":2629,"date":"2013-02-01T15:56:50","date_gmt":"2013-02-01T15:56:50","guid":{"rendered":"https:\/\/cegss.org.gt\/CEGSS_2016\/2013\/02\/01\/article-conceptos\/"},"modified":"2026-04-29T04:09:11","modified_gmt":"2026-04-29T04:09:11","slug":"article-conceptos","status":"publish","type":"post","link":"https:\/\/cegss.org.gt\/en\/2013\/02\/01\/article-conceptos\/","title":{"rendered":"CORE CONCEPTS"},"content":{"rendered":"
\n\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

Why is governance relevant in health systems?<\/p>

When we talk about health system governance, we move away from the proverbial traditional \u2018box\u2019 in which health care institutions are located. This implies that in the analysis of health system governance, in addition to taking into account the role of traditional actors in the provision of medical services and in the conduct of health policies, we also study the influence of local governments, organized civil society groups - be they community-based organizations, trade unions, and others - as well as academic institutions and economic agents - such as the pharmaceutical and medical technology industries, etc. We can say that our analysis of governance applied to health systems:<\/p>

  • It contributes to identify strategic spaces for political advocacy, social participation and strengthening of citizenship in health. All this is done from the perspective of governance. We also see that social participation goes beyond collaborating in the implementation of medical programs and services and should be a process of building dialogue in the definition and implementation of public policies.<\/li>
  • It contributes to a better understanding of the conflicts of power and interests among the actors, as well as the level of influence that each of them exerts. This influence is reflected in the priorities and policies implemented in health systems.<\/li>
  • It requires the application of strategic thinking that makes it possible to identify the prevailing factors in specific contexts. This can bring important benefits to health systems because a better strategic reading of the elements involved -actors, policies and resources- will make it possible to identify and implement interventions that are both technically feasible and politically viable.<\/li>
  • What is health systems governance?<\/li><\/ul>

    \u00a0<\/p>

    The World Health Organization (WHO) defined health systems governance as \u2018The participation of stakeholders concerned with defining and implementing policies, programs and practices that promote equitable and sustainable health systems\u2019. The WHO definition is limited because it associates governance only with stakeholder participation. Research work by our members (Flores 2010) defines governance in health systems as: The processes for decision making that directly or indirectly affect the health system. In these processes, strategic actors and organizations that apply the rules of the game and other formal and informal procedures interact. Strategic actors use power resources to influence decision-making.<\/p>

    \u00a0<\/span><\/p>

    <\/span><\/p>

    \"\"<\/span><\/p>

    <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

    \u00bfPor qu\u00e9 es relevante la gobernanza en los sistemas de salud? Al hablar de gobernanza del sistema de salud, nos salimos del proverbial \u2018caj\u00f3n\u2019 tradicional en el que las instituciones prestadoras de servicios m\u00e9dicos se encuentran. Esto implica que en el an\u00e1lisis de la gobernanza del sistema de salud, adem\u00e1s de tomar en cuenta el rol de los actores tradicionales en la prestaci\u00f3n de servicios m\u00e9dicos y en la conducci\u00f3n de las pol\u00edticas de salud; tamib\u00e9n estudiamos la influencia que tienen los gobiernos locales, los grupos organizados de la sociedad civi, ya sean organizaciones comunitarias de base, sindicatos, y otros-, as\u00ed como las instancias acad\u00e9micas y los agentes econ\u00f3micos \u2013como por ejemplo, la industria farmac\u00e9utica, de tecnolog\u00eda m\u00e9dica, etc. Podemos decir que nuestro an\u00e1lisis de gobernanza aplicado a los sistemas de salud: Contribuye a identificar los espacios estrat\u00e9gicos para la incidencia pol\u00edtica, la participaci\u00f3n social y el fortalecimiento de la ciudadan\u00eda en salud. Todo esto se hace desde la \u00f3ptica de la gobernanza. Vemos, asimismo, que la participaci\u00f3n social va m\u00e1s all\u00e1 de colaborar en la implementaci\u00f3n de programas y servicios m\u00e9dicos y deber\u00eda serun proceso de construcci\u00f3n del di\u00e1logo en la definici\u00f3n e implementaci\u00f3n de pol\u00edticas p\u00fablicas. Contribuye a comprender de mejor forma los conflictos de poder y de intereses entre los actores, as\u00ed como el nivel de influencia que cada uno de ellos ejerce. Esta influencia se ve reflejada en las prioridades y pol\u00edticas que se implementan en los sistemas de salud. Requiere aplicar un pensamiento estrat\u00e9gico que permite identificar los factores preponderantes en contextos espec\u00edficos. Esto puede traer beneficios importantes a los sistemas de salud porque una mejor lectura estrat\u00e9gica de los elementos implicados -actores, pol\u00edticas y recursos- permitir\u00e1 identificar e implementar intervenciones que posean viabilidad t\u00e9cnica y viabilidad pol\u00edtica. \u00bfQu\u00e9 es la gobernanza de los sistemas de salud? \u00a0 La Organizaci\u00f3n Mundial de la Salud (OMS) defini\u00f3 la gobernanza a los sistemas de salud como \u2018La participaci\u00f3n de actores a los cuales les concierne la definici\u00f3n e implementaci\u00f3n de pol\u00edticas, programas y pr\u00e1cticas que promueven sistemas de salud equitativos y sostenibles\u2019. La definici\u00f3n de la OMS es limitada porque asocia a la gobernanza \u00fanicamente con participaci\u00f3n de actores. Trabajos de investigaci\u00f3n por parte de nuestros miembros (Flores 2010) definen la gobernanza en los sistemas de salud como: Los procesos para la toma de decisiones que afectan de forma directa o indirecta al sistema de salud. En estos procesos interact\u00faan actores estrat\u00e9gicos y organizaciones que aplican las reglas de juego y otros procedimientos -formales e informales-. Los actores estrat\u00e9gicos utilizan recursos de poder para influir en la de toma de decisiones. \u00a0<\/p>","protected":false},"author":4,"featured_media":58,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[],"class_list":["post-2629","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-c18-banner-slidershow"],"acf":[],"_links":{"self":[{"href":"https:\/\/cegss.org.gt\/en\/wp-json\/wp\/v2\/posts\/2629","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cegss.org.gt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cegss.org.gt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cegss.org.gt\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/cegss.org.gt\/en\/wp-json\/wp\/v2\/comments?post=2629"}],"version-history":[{"count":18,"href":"https:\/\/cegss.org.gt\/en\/wp-json\/wp\/v2\/posts\/2629\/revisions"}],"predecessor-version":[{"id":4837,"href":"https:\/\/cegss.org.gt\/en\/wp-json\/wp\/v2\/posts\/2629\/revisions\/4837"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cegss.org.gt\/en\/wp-json\/wp\/v2\/media\/58"}],"wp:attachment":[{"href":"https:\/\/cegss.org.gt\/en\/wp-json\/wp\/v2\/media?parent=2629"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cegss.org.gt\/en\/wp-json\/wp\/v2\/categories?post=2629"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cegss.org.gt\/en\/wp-json\/wp\/v2\/tags?post=2629"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}