La importancia de la percepción de los stakeholders en la comprensión del impacto: EL PROGRAMA DEL SISTEMA BÁSICO DE SALUD INTEGRAL (SIBASI) Y LA CALIDAD DEL SERVICIO DE SALUD PRIMARIA EN EL SALVADOR.

Using a methodology which examines the perceptions of stakeholders, including policy-makers, health care professionals and community members, this paper details a preliminary evaluation of the impact thus far of the Basic Integrated Health System (SIBASI) program on quality of health- care in El Salvador. The paper gives a brief overview of health systems reform in El Salvador, outlines the logic behind the SIBASI and presents theoretical perspectives on quality in health care. The study found that although the SIBASI was "good on paper" and had definite potential, it had not met with a great deal of success. Additionally, existing barriers in the health system in El Salvador- extreme poverty, ineffective governance, politicization, poor financing, and contention in the reform process- severely limited the success of the SIBASI program. [ABSTRACT FROM AUTHOR]