Stories from Santiago

HIV/AIDS And Needed Health Systems Change

Lilian M. Ferrer, Michele Issel, Rosina Cianelli

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The incipient HIV/AIDS epidemic in Chile poses challenges for responsiveness of the Chilean national health care system, Fondo Nacional de Salud (FONASA) (National Health Funds), especially given the sociocultural forces for inertia in FONASA. Thus, the issue is what is the nature of the forces for change. A grounded theory approach was applied to interview data from two qualitative studies, one with HIV/AIDS advocates and activists as interviewees and the other with Chilean low-income women. The stories of their experiences with and perceptions of FONASA revealed major issues facing FONASA, including quality of care and ethics. Ways in which these issues are being addressed by the activists result in constructed environmental dynamism. A conceptual model of the forces for change was developed including actors, strategies, and targets of change that constitutes organizational environmental dynamism. The construct of environmental dynamism has international applicability, particularly to governmental health systems, which are influenced by strong sociocultural forces.

Original languageEnglish
Pages (from-to)31-72
Number of pages42
JournalAdvances in Health Care Management
Volume5
DOIs
StatePublished - Dec 1 2005
Externally publishedYes

Fingerprint

Acquired Immunodeficiency Syndrome
HIV
Organizational Innovation
Quality of Health Care
Chile
Health
Financial Management
Ethics
Interviews
Delivery of Health Care
Grounded Theory

ASJC Scopus subject areas

  • Health Policy

Cite this

Stories from Santiago : HIV/AIDS And Needed Health Systems Change. / Ferrer, Lilian M.; Issel, Michele; Cianelli, Rosina.

In: Advances in Health Care Management, Vol. 5, 01.12.2005, p. 31-72.

Research output: Contribution to journalArticle

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