This article addresses the question : to what extent do health care strategies in a given political economy increase people's perceptions of responsibility to take charge of their health, but do not structurally empower them to satisfy their health needs.
In shaping health care policies, societies typically adopt one of three broad strategies, linking their larger political economy and modes of exercising power : a marketplace strategy, a state-managerial strategy or a national participatory strategy.
Because of their different arrangements of structural power, these strategies result in three very different approaches to responsibility for health and illness.
Changes in the political economy of health in Nicaragua during the Somoza, Sandinista and Chamorro periods illustrate the changing fields of choice within which care-seekers must make their health care decisions.
Mots-clés Pascal : Santé, Comportement, Attitude, Responsabilité, Stratégie, Politique sanitaire, Système santé, Organisation sociale, Changement social, Etude longitudinale, Nicaragua, Amérique Centrale, Amérique, Homme
Mots-clés Pascal anglais : Health, Behavior, Attitude, Responsibility, Strategy, Health policy, Health system, Social organization, Social change, Follow up study, Nicaragua, Central America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0043623
Code Inist : 002A26N03A. Création : 09/06/1995.