Hace un extensivo analisis de la situacion de salud y de los sistemas de salud, y concluye con una propuesta operativa para apoyar el desarrollo de los sistemas locales de salud como un camino para lograr la transformacion necesaria de los sistemas nacionales de salud de acuerdo con los principios y valores inherentes a la salud para todos. Los Gobiernos de los paises de las Americas reiteran asi su compromiso de alcanzar la meta de salud para todos, e identifican al proceso de descentralizacion y a los sistemas locales de salud como elementos centrales en la aplicacion de la estrategia de atencion primaria para la transformacion de los sistemas y servicios de salud (AU).

One hundred years ago a series of seminal documents, starting with the Flexner Report of 1910, sparked an enormous burst of energy to harness the power of science to transform higher education in health. Professional education, however, has not been able to keep pace with the challenges of the 21st century. A new generation of reforms is needed to meet the demands of health systems in an interdependent world. The report of the Commission on the Education of Health Professionals for the 21st Century, a global independent initiative consisting of 20 leaders from diverse disciplinary backgrounds and institutional affiliations, articulates a fresh vision and recommends renewed actions. Building on a rich legacy of educational reforms during the past century, the Commission's findings and recommendations adopt a global and multi-professional perspective using a systems approach to analyze education and health, with a focus on institutional and instructional reforms.

Acknowledgements -- Overview -- Workers in southeast Asia are on the move -- Migration in ASEAN -- The determinants of migration in ASEAN and the importance of labor mobility costs -- The impacts of migration in ASEAN -- Trade integration and labor mobility in the ASEAN economic community -- Migration policy in the ASEAN region -- Reducing migration costs in ASEAN -- List of figures