PubMed · 2011 · 20 citations · 0 references
Public AffairsCommunity HealthHealth PolicyHealth Care FinancingHealth Care LawPublic Health PolicyCommunity Health PolicyFamily HealthHealth Care Delivery SystemsHealth Care Organizational StructureHealth Services OrganizationHealth Systems ManagementCare Model RedesignFamily Health PolicyFinancial StewardshipHealth System ImplementationHealth System OrganizationNational Health Service ModelsPolicy Implementation InnovationsPublic Health Facilities
This paper describes the health conditions in Nicaragua and discusses the characteristics of its national health system including its structure and coverage, its financial sources its physical, material and human resources the stewardship functions developed by the Ministry of Health the participation of citizens in the operation and evaluation of the system and the level of satisfaction of health care users. It also discusses the most recent policy innovations, including the new General Health Law, the decentralization of the regulation of health facilities and the design and implementation of a new health care model known as Family and Community Health Model.