Matus-López, Mauricio

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Universidad Pablo de Olavide
Economía, Métodos Cuantitativos e Historia Económica
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Historia e Instituciones Económicas
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Now showing 1 - 3 of 3
  • Publication
    Transformations in Latin American Healthcare: A Retrospective Analysis of Hospital Beds, Medical Doctors, and Nurses from 1960 to 2022
    (Universitat de Barcelona, 2023-07-01) Matus-López, Mauricio; Fernandez-Pérez, P
    Latin America's healthcare systems evolved nonlinearly, influenced by diverse models, historical events, and political regimes. Limited knowledge exists despite national-level efforts, indicating a need for long-term statistics to assess the effects of reforms and understand healthcare changes in the region. The article contributes to the Actor Network Theory (ANT) claim for better understanding of complex networks through a description of its main long term comparable components with a long term quantitative series for 20 Latin American countries, spanning from 1960 to 2020, on the number of hospital beds, physicians, and nurses (per capita) and healthcare expenditure (in US dollars per capita). The primary goal of this study is to showcase and describe the historical trends and patterns of these variables in the region. The results remain in purpose in this article in a descriptive level, due to the lack of reliable long term series that require in our view to disseminate the data so a broader scientific community may use them to obtain more contextualized interpretations in the different countries involved. The article, nevertheless, shows that there is a very convincing demonstration of the existence of an overall improvement in all the indicators considered and for most Latin American countries. They are leaders in most of the analyses and most of the time, Cuba, Argentina, and Uruguay. They are accompanied, depending on the indicator and the period, by Costa Rica and Panama. On the contrary, there are setbacks in Venezuela and minor progress or stagnation in most Central American countries.
  • Publication
    The COVID-19 pandemic as an opportunity for change: moving towards universal health in Latin America
    (ECLAC, United Nations, 2023-04-01) Matus-López, Mauricio
    In this document, we present a comprehensive review of the evolution of healthcare systems in Latin America during the 20th and 21st centuries. We propose a classification framework for these systems, categorizing them into four types based on their institutional and financial structures.
  • Publication
    Comparison of frailty determinants in Latin America: a national representative study in Brazil and Chile
    (Elsevier, 2024-01-21) Matus-López, Mauricio; Chaverri-Carvajal, Alexander
    Objective: This study aimed to compare the prevalence and socio-economic determinants of frailty in older adults in Brazil and Chile using nationally representative survey data. Study design: Analytical research using data from the Brazilian Longitudinal Study of Aging (ELSI) and the Chilean National Health Survey (ENS) conducted in Brazil and Chile between 2015 and 2017. Methods: The study included 5484 older adults aged 60 years or older in Brazil and 2031 in Chile. Frailty was measured using the FRAIL index, and logistic regression models were used to identify the de terminants of frailty. Results: The prevalence of frailty is 15.6% and 12.6% in Brazil and Chile, respectively. Frailty is associated with several factors, including age, sex, living alone, residing in urban areas, and decreased life satis faction. However, the analysis revealed notable differences between countries. A greater number of significant variables were associated with frailty in Brazil, whereas Chile displayed fewer categories with significant odds. Health insurance had no significant effect in either of the two countries. Conclusions: The limitations in data sources and methodologies make it challenging to compare frailty determinants in Latin America. This study overcomes these barriers and shows that, even within the same region, significant differences exist. Levels and characteristics that are important in one country may not be so in another. The results emphasize the need to consider contextual factors in the implementation of emerging social and healthcare policies, such as home-based long-term care.