Resumo

ALCALDE GIOVE, Edith Margot. Public health policies in Peru: decentralization processes and quality of care. Vive Rev. Salud [online]. 2025, vol.8, n.23, pp.646-662.  Epub 01-Maio-2025. ISSN 2664-3243.  https://doi.org/10.33996/revistavive.v8i23.403.

Introduction. Public health policies in Peru face major challenges in coordinating decentralization with improved quality of care. The transfer of powers to regional governments has generated inequalities in access to and quality of services, and how these elements have impacted the health of the population. Objective: To analyze public health policies in Peru, with a focus on decentralization processes and their consequences on the quality of health care. Materials and methods: Qualitative approach, documentary design, based on an exhaustive search of studies in databases such as Wos, Scopus, and SciELO, under PRISMA 2020 guidelines, the search period from 2018 to 2024. Inclusion criteria were applied to restrict studies directly related to decentralization and quality of care in the Peruvian context; non-empirical studies and those focused on other topics were excluded. A total of 31 studies were selected. Results: Decentralization has contributed to greater accessibility to health services in the regions; the quality of care is affected by coordination problems, lack of resources, and inequalities between regions. Conclusions: Health decentralization in Peru depends on the competence of local governments and the availability of resources, but faces challenges such as a shortage of human resources, lack of training, deficient infrastructure, politicization of management, and insufficient intergovernmental coordination, limiting the quality, equity, and efficiency of health services.

Palavras-chave : Care; Quality; Decentralization; Health; Systems.

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