The national health system in Peru


  • Francisco Sánchez-Moreno Academia Peruana de Salud. Lima, Perú Presidente emérito de la Academia Peruana de Salud; exdecano del Colegio Médico del Perú.



National health systems, Right to health, Health expenditures, Social security, Peru


In 1975, a group of professionals in Peru who were experts on national health systems began a process that led the country to be the first in South America to initiate a modern organization of the health system. This pioneering development meant that the creation of the National Health Services System [in Peru] in 1978 occurred before the health system reforms in Chile (1980), Brazil (1990), Colombia (1993), and Ecuador (2008). This encouraging start has had permanent reformist fluctuations since then, with negative development because of the lack of a State policy. Current features of the Peruvian system are inefficient performance, discontinuity, and lack of assessment, which creates a major setback in comparison with other health systems in America. In the 21st century, significant technical efforts have been missed to modernize the system and its functions. The future is worrying and the role of new generations will be decisive.


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How to Cite

Sánchez-Moreno F. The national health system in Peru. Rev Peru Med Exp Salud Publica [Internet]. 2014 Dec. 2 [cited 2024 Apr. 24];31(4). Available from: