{"product_id":"9780821363348","title":"Innovaciones en el Sistema de Salud de America Central: Lecciones e Impactos de Nuevos Enfoques","description":"Similar to developing countries elsewhere, during the 1990s, Central American countries faced pressures to improve the performance of their health systems. In most countries, there was a consensus that the systems were failing to live up to their potential. Rather than take on system-wide change, each country opted to step into reform through launching innovations to address specific problems or deficiencies in a particular program, function or intervention of the system.\u003cp\u003e'Health Systems Innovations in Central America' reports on how these experiences fared—a hospital in Panama, a nutrition program in Honduras, primary care extension in Guatemala, a subset of hospitals and primary care units in Costa Rica and a social security-managed health care program in Nicaragua. The studies report on the performance of the innovations, the policy environment in which they were developed as well as nuts-and-bolts features and processes incorporated into their design and implementation.\u003c\/p\u003e","brand":"World Bank Publications","offers":[{"title":"Default Title","offer_id":47015401128176,"sku":"9780821363348","price":30.0,"currency_code":"USD","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0737\/7593\/9824\/files\/9780821363348_p0.jpg?v=1763749933","url":"https:\/\/shop-qa.barnesandnoble.com\/products\/9780821363348","provider":"Barnes \u0026 Noble (DEV)","version":"1.0","type":"link"}