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Cobertura Universal en Salud y P4P: Una Exploración Inicial de sus Efectos sobre los Recursos Humanos

Author

Listed:
  • Facundo L. Crosta

    (CEDLAS-IIE-FCE-UNLP)

  • Carlos Vallejos

Abstract

Se evalúa el impacto de los programas de pago por desempeño (P4P) sobre el mercado laboral de la salud, un aspecto poco explorado frente a la abundante evidencia existente sobre sus efectos sanitarios. El foco está en el sector público de salud de Argentina, en el marco del Plan Nacer/Programa SUMAR, considerando que los recursos humanos en salud son un insumo estratégico para avanzar hacia la cobertura universal. El estudio utiliza una base inédita de indicadores laborales del personal de salud del sector público y privado en las provincias argentinas entre 2003 - 2019, a partir de la cual, por medio de modelos de triple diferencia, se evalúan los efectos del programa sobre ellos. Se encuentra que el programa eleva los salarios relativos por lo que mejora la motivación de los trabajadores (margen intensivo) y sostiene la retención de trabajadores. De esta manera, la mejora en los resultados de salud del programa se deberían a aumentos de productividad más que a la incorporación de nuevos trabajadores.

Suggested Citation

  • Facundo L. Crosta & Carlos Vallejos, 2026. "Cobertura Universal en Salud y P4P: Una Exploración Inicial de sus Efectos sobre los Recursos Humanos," CEDLAS, Working Papers 0373, CEDLAS, Universidad Nacional de La Plata.
    • Handle: RePEc:dls:wpaper:0373
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    File URL: http://www.cedlas.econo.unlp.edu.ar/wp/wp-content/uploads/doc_cedlas373.pdf
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    More about this item

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J08 - Labor and Demographic Economics - - General - - - Labor Economics Policies
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

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