{"id":"https://openalex.org/W2129058250","doi":"https://doi.org/10.1377/hlthaff.2010.1038","title":"Confronting The Chronic Disease Burden In Latin America And The Caribbean","display_name":"Confronting The Chronic Disease Burden In Latin America And The Caribbean","publication_year":2010,"publication_date":"2010-12-01","ids":{"openalex":"https://openalex.org/W2129058250","doi":"https://doi.org/10.1377/hlthaff.2010.1038","mag":"2129058250","pmid":"https://pubmed.ncbi.nlm.nih.gov/21134914"},"language":"en","primary_location":{"id":"doi:10.1377/hlthaff.2010.1038","doi":"https://doi.org/10.1377/hlthaff.2010.1038","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.2010.1038","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112306261","display_name":"Amanda L. Glassman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1319597252","display_name":"Center for Global Development","ror":"https://ror.org/0068yvd12","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1319597252"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amanda Glassman","raw_affiliation_strings":["Amanda Glassman ( ) is director of the Global Health Policy Program at the Center for Global Development, in Washington, D.C"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Amanda Glassman ( ) is director of the Global Health Policy Program at the Center for Global Development, in Washington, D.C","institution_ids":["https://openalex.org/I1319597252"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005996449","display_name":"Thomas Andrew Gaziano","orcid":"https://orcid.org/0000-0002-5985-345X","observed_orcids":["https://orcid.org/0000-0002-5985-345X"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas A. Gaziano","raw_affiliation_strings":["Thomas A. Gaziano is a physician at Brigham and Women\u2019s Hospital and Harvard Medical School, in Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Thomas A. Gaziano is a physician at Brigham and Women\u2019s Hospital and Harvard Medical School, in Boston, Massachusetts","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053476553","display_name":"C\u00e9sar Patricio Bouillon","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I184564680","display_name":"Inter-American Development Bank","ror":"https://ror.org/02gjn4306","country_code":"US","type":"other","lineage":["https://openalex.org/I184564680"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"C\u00e9sar Patricio Bouillon Buendia","raw_affiliation_strings":["C\u00e9sar Patricio Bouillon Buendia is lead research economist at the Inter-American Development Bank, in Washington, D.C"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"C\u00e9sar Patricio Bouillon Buendia is lead research economist at the Inter-American Development Bank, in Washington, D.C","institution_ids":["https://openalex.org/I184564680"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5047300221","display_name":"Frederico Campos Guanais De Aguiar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I184564680","display_name":"Inter-American Development Bank","ror":"https://ror.org/02gjn4306","country_code":"US","type":"other","lineage":["https://openalex.org/I184564680"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Frederico C. Guanais de Aguiar","raw_affiliation_strings":["Frederico C. Guanais de Aguiar is lead health economist at the Inter-American Development Bank"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Frederico C. Guanais de Aguiar is lead health economist at the Inter-American Development Bank","institution_ids":["https://openalex.org/I184564680"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":4.1244,"has_fulltext":false,"cited_by_count":60,"citation_normalized_percentile":{"value":0.93624047,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"29","issue":"12","first_page":"2142","last_page":"2148"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.6187000274658203,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.6187000274658203,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12781","display_name":"Global Health Care Issues","score":0.16060000658035278,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.08250000327825546,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-disease-burden","display_name":"chronic disease burden","score":0.8700000047683716},{"id":"https://openalex.org/keywords/latin-america-and-the-caribbean","display_name":"Latin America and the Caribbean","score":0.8930000066757202},{"id":"https://openalex.org/keywords/healthcare-spending","display_name":"health care spending","score":0.7080000042915344},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.7179999947547913},{"id":"https://openalex.org/keywords/cost-effective-interventions","display_name":"cost-effective interventions","score":0.8410000205039978},{"id":"https://openalex.org/keywords/health-insurance-coverage","display_name":"health insurance coverage","score":0.4779999852180481}],"concepts":[{"id":"https://openalex.org/C158886217","wikidata":"https://www.wikidata.org/wiki/Q16799549","display_name":"Latin Americans","level":2,"score":0.9079018235206604},{"id":"https://openalex.org/C2908767363","wikidata":"https://www.wikidata.org/wiki/Q664609","display_name":"Caribbean region","level":3,"score":0.5685463547706604},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.5523157119750977},{"id":"https://openalex.org/C2987552334","wikidata":"https://www.wikidata.org/wiki/Q383126","display_name":"Chronic disease","level":2,"score":0.5212365388870239},{"id":"https://openalex.org/C47768531","wikidata":"https://www.wikidata.org/wiki/Q1127188","display_name":"Development economics","level":1,"score":0.4953862428665161},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4857673943042755},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4673963487148285},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4329669177532196},{"id":"https://openalex.org/C2779304628","wikidata":"https://www.wikidata.org/wiki/Q3503480","display_name":"Face (sociological concept)","level":2,"score":0.4204922318458557},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.4135206341743469},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4110132157802582},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.40518394112586975},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3871365189552307},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3409843444824219},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.32393312454223633},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.19311141967773438},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.09014832973480225},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.08570742607116699},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.08068734407424927},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007843","descriptor_name":"Latin America","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017281","descriptor_name":"Cost of Illness","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017691","descriptor_name":"Caribbean Region","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1377/hlthaff.2010.1038","doi":"https://doi.org/10.1377/hlthaff.2010.1038","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.2010.1038","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},{"id":"pmid:21134914","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21134914","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health affairs (Project Hope)","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.4074000120162964,"id":"https://metadata.un.org/sdg/10"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":20,"referenced_works":["https://openalex.org/W1498000038","https://openalex.org/W1995327683","https://openalex.org/W2001186742","https://openalex.org/W2058090733","https://openalex.org/W2058895413","https://openalex.org/W2094171166","https://openalex.org/W2105786717","https://openalex.org/W2106278780","https://openalex.org/W2109361061","https://openalex.org/W2111010467","https://openalex.org/W2112820664","https://openalex.org/W2115749921","https://openalex.org/W2116639139","https://openalex.org/W2151352302","https://openalex.org/W2153122899","https://openalex.org/W2159850023","https://openalex.org/W2161438063","https://openalex.org/W2164683920","https://openalex.org/W2168715017","https://openalex.org/W2170661208"],"related_works":["https://openalex.org/W6941500361","https://openalex.org/W2968437840","https://openalex.org/W2883793402","https://openalex.org/W3000989212","https://openalex.org/W1499080995","https://openalex.org/W2558384729","https://openalex.org/W645240466","https://openalex.org/W7214775901","https://openalex.org/W2133679872","https://openalex.org/W2948294716"],"abstract_inverted_index":{"The":[0],"United":[1],"States":[2],"is":[3],"not":[4],"alone":[5],"in":[6,61,97,109],"facing":[7],"increasing":[8],"incidence":[9],"and":[10,21,28,55,85,100],"prevalence":[11],"of":[12,67,94,106],"chronic":[13,62,95],"conditions":[14],"as":[15],"a":[16,65],"contributor":[17],"to":[18,41,45,48,82,103],"poorer":[19],"health":[20,23,54,107],"growing":[22,92],"care":[24],"spending.":[25],"Latin":[26,98],"America":[27,99],"the":[29,51,71,91,101,104,110],"Caribbean":[30,102],"face":[31],"similar":[32],"burdens,":[33],"but":[34],"they":[35],"have":[36],"fewer":[37],"resources":[38],"with":[39,50],"which":[40],"respond.":[42],"Much":[43],"remains":[44],"be":[46],"done":[47],"cope":[49],"emerging":[52],"public":[53],"fiscal":[56],"threat":[57],"posed":[58],"by":[59,70],"increases":[60],"conditions.":[63],"However,":[64],"set":[66],"studies":[68],"sponsored":[69],"Inter-American":[72],"Development":[73],"Bank":[74],"bring":[75],"good":[76],"news":[77],"on":[78],"potentially":[79],"cost-effective":[80],"strategies":[81],"improve":[83],"coverage":[84],"outcomes.":[86],"They":[87],"should":[88],"help":[89],"move":[90],"epidemic":[93],"diseases":[96],"forefront":[105],"policy":[108],"region.":[111]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":3},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":5},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":5},{"year":2017,"cited_by_count":6},{"year":2016,"cited_by_count":7},{"year":2015,"cited_by_count":5},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":4},{"year":2012,"cited_by_count":8}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}