Population health management en sistemas de salud fragmentados: hacia un modelo conceptual adaptado al contexto peruano para la coordinación intersectorial y la reducción de inequidades en salud

José Miguel Paolillo Tapia; Isabelle Franchistéguy-Couloume

doi:10.21678/jb.2026.3029

Authors

José Miguel Paolillo Tapia IUT de Bayonne et du Pays Basque, Université de Pau et des Pays de l'Adour
Isabelle Franchistéguy-Couloume IUT de Bayonne et du Pays Basque, Université de Pau et des Pays de l'Adour

DOI:

https://doi.org/10.21678/jb.2026.3029

Keywords:

Population health management, health system fragmentation, integrated care, health inequities, intersectoral coordination

Abstract

The Peruvian healthcare system exhibits marked institutional fragmentation, which generates inequities in access to services, particularly among vulnerable populations. In this context, the Population Health Management (PHM) model serves as a strategic approach to improving health outcomes through population segmentation, risk stratification, and intersectoral coordination. This study aimed to propose a conceptual framework adapted to the Peruvian healthcare system for the implementation of PHM within contexts of institutional fragmentation. A scoping review of literature published between 2015 and 2025 was conducted using international and regional databases. The results highlight gaps in the management of chronic diseases, limited coordination between subsystems, and persistent inequities in access to healthcare services. Furthermore, a scarcity of scientific production aligned with institutional priorities was identified. It is concluded that implementing the PHM approach in Peru requires strengthening integration across subsystems through strategies involving segmentation, risk stratification, and intersectoral articulation. The proposed framework constitutes a relevant tool for health management and policy formulation.

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References

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