Juan Manuel Castro Albarrán

Objective. To assess the consequences of private outsourcing on the overall supply and filling of prescriptions in state health services. Material and Methods. The research was conducted using quantitative and qualitative techniques in 13 states. The information was collected through interviews and direct observation. The interviews were carried on staff of state health services related to the drug supply chain and users of health services. The quantitative approach examined the percentage of stocked full recipes in a sample of users. Results. States that have opted for the fully outsourced model, and properly monitored this choice, have increased the supply of drugs to their users and guaranteed the supply in the care units in charge. Other states with the outsourced model have multiple problems: direct purchase of drugs not included in the basic drugs catalogue, failure of suppliers and shortage of supplies in the laboratories that provide the company. The main disadvantages ident...

En diciembre de 1996, con la firma de los acuerdos de paz entre la Unidad Revolucionaria Nacional Guatemalteca (URNG) y el gobierno del presidente Alvaro Arzú, parece haber llegado a su fin un largo proceso de inestabilidad política y deterioro social en Guatemala. Tras 14 años ...