Public university hospitals in the Americas to develop regional alliance to strengthen health systems

The Brasília Charter marks a primary step towards producing a local alliance, setting out shared concerns for cooperation in medical facility management, research study, labor force advancement and emergency situation readiness.

Brasília, Brazil, 13 November 2026 (PAHO)– Agents of public university health centers and health authorities from throughout the Americas are advancing the development of a local alliance targeted at enhancing health systems through higher cooperation in specialized care, health labor force training, research study and development.

The dedication was formalized in the Brasília Charter, embraced throughout the International Conference of Public University Hospitals in the Americas, which combined agents from 16 nations throughout the area in Brasília on 12– 13 November. The conference was arranged by the Pan American Health Organization (PAHO) and HU Brasil, the general public business that handles Brazil’s federal university healthcare facilities.

The Charter lays out a shared vision and top priorities to assist the production of the proposed Alliance of Public University Hospitals in the Americas. These consist of cooperation in healthcare facility management, joint medical research study, health labor force training, digital development and emergency situation readiness. It likewise requires collaborated action to enhance the function of public university medical facilities in forming health, education, science and innovation policies.

Public university medical facilities play a special function in health systems. In addition to supplying specialized take care of clients with intricate medical requirements, they train future physicians, nurses and other health experts and perform research study to enhance medical diagnosis and treatment. By bringing these 3 functions together, they assist reinforce the quality of care and health systems’ capability to react to population requirements.

As recommendation centers within incorporated health service networks, university health centers can support main healthcare suppliers through professional assessments, shared medical standards and continuing education. Numerous deal with fragmented funding, growing need for complicated care, and restricted combination with other health services.

These difficulties are especially pushing as populations age and the problem of persistent illness increases throughout the area.

According to a 2025 PAHO report, 14 of 39 nations in the Americas deal with scarcities of medical professionals, nurses and midwives. Without more action, the area might deal with a deficiency of in between 600,000 and 2 million health employees by 2030.

” For years we have actually specified university healthcare facilities by their threefold objective of care, mentor and research study. That is no longer enough. University Hospitals should presume a main function within Integrated Health Services Networks, while constructing tactical collaborations in your area, nationally and worldwide,” stated PAHO Director Dr. Jarbas Barbosa.

“The combination of medical facilities into health service networks to offer integrated, detailed, and premium care is vital. We will not enhance our health systems if we deal with medical facilities, and university medical facilities in specific, as separated entities within these networks,” stated Arthur Chioro, President of HU Brasil.

Enhancing cooperation and attending to shared obstacles

Throughout the two-day conference, individuals took a look at difficulties associated with healthcare facility governance, sustainable funding and combination with nationwide health systems, in addition to the requirement to much better line up professional training with population health requirements, especially in underserved locations.

Governance plans differ substantially throughout the area, typically including complicated relationships in between health and education authorities. In Argentina, Chile, and Paraguay, health centers run under university ownership. In Brazil, HU Brasil handles a network of 45 federal university health centers, supplying specialized care through the nation’s Unified Health System while supporting education and research study. In Colombia, university healthcare facility status is connected to quality accreditation, while in Cuba medical education and healthcare run under a single health authority.

In Uruguay, a 2025 contract in between public health authorities and the University of the Republic reinforced the combination of Hospital de Clínicas, the nation’s only university medical facility, into the nationwide health system, with the goal of enhancing access to specialized take care of roughly 350,000 public health system users.

PAHO will support the alliance’s resolve technical cooperation in health services and labor force advancement, consisting of efforts to reinforce integrated health service networks and enhance health labor force capability advancement.

The Brasília Charter likewise welcomes other university healthcare facilities, federal governments and global companies throughout the Americas to sign up with the effort, broadening the alliance and producing additional chances for cooperation amongst organizations dealing with shared health system obstacles.

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