Objective: To evaluate health micronets (MN) in East Lima (Peru) using data envelopment analysis (DEA). Design: Descriptive, retrospective, transversal study. Setting: Lima Province, East Lima health establishments micronets. Interventions: Data on output included year 2003 promotional preventive activities (PPA) and number of attentions, and input included pharmaceutical expenses and personnel -doctor and other staff members. Materials: Data was obtained from East Lima Health Management IV. Main outcome measures: Inputs and outputs. Results: From the 17 MN only 9 obtained maximum global efficiency level 1 with range 0,87 to 1. For the pure technique efficiency, 11 MN obtained optimum efficiency, with range 0,91 to 1. With the same resources, MR1, MR8, MR9, and MR10 could increase the number of attentions in more than 10%, while PPA could increase in more than 14%. Conclusions: In the MN...

Since the end of World War II, the world has been governed by a stable international order under the hegemony of the United States. However, in recent years, there have been signs that we may be on the verge of a new stage, yet to be defined. The election of Donald Trump as President of the United States for a second time has revived this idea, but it has also signaled a reorientation of U.S. foreign policy, which could have consequences for the rest of the world, as it would open the door to a phase of instability and uncertainty with profound political and economic repercussions. This article aims to provide a historical assessment of U.S. hegemony, including the challenges it has been facing, as well as to analyze the potential impact of its new foreign policy under Donald Trump’s administration.

Since the end of World War II, the world has been governed by a stable international order under the hegemony of the United States. However, in recent years, there have been signs that we may be on the verge of a new stage, yet to be defined. The election of Donald Trump as President of the United States for a second time has revived this idea, but it has also signaled a reorientation of U.S. foreign policy, which could have consequences for the rest of the world, as it would open the door to a phase of instability and uncertainty with profound political and economic repercussions. This article aims to provide a historical assessment of U.S. hegemony, including the challenges it has been facing, as well as to analyze the potential impact of its new foreign policy under Donald Trump’s administration.

Since the end of World War II, the world has been governed by a stable international order under the hegemony of the United States. However, in recent years, there have been signs that we may be on the verge of a new stage, yet to be defined. The election of Donald Trump as President of the United States for a second time has revived this idea, but it has also signaled a reorientation of U.S. foreign policy, which could have consequences for the rest of the world, as it would open the door to a phase of instability and uncertainty with profound political and economic repercussions. This article aims to provide a historical assessment of U.S. hegemony, including the challenges it has been facing, as well as to analyze the potential impact of its new foreign policy under Donald Trump’s administration.