Los valores vinculados a equidad en la reforma de la atención médica en Argentina

Abstract

This article analyzes the historical and contemporary development of the Argentine health care system from the viewpoint of equity, a principle which is not explicitly mentioned in the system's founding documents. However, other values can be identified such as universal care, accessibility, and solidarity, which are closely related to equity. Nevertheless, the political dynamics characterizing the development of the country's health care system led to the suppression of more universalistic approaches, with group solidarity the only remaining principle providing structure to the system. The 1980s financial crisis highlighted the relative value of this principle as the basis for an equitable system. The authors illustrate the current situation with data on coverage under the medical social security system.

Participación social en sistemas de salud fragmentados: ¿una relación virtuosa?

“…Tesis 12: la participación social en sistemas de salud fragmentados debe ser analizada históricamente, ya que la estructura de ambos se define en la dinámica de su pasado El carácter polisémico de los términos, la complejidad de su marco de estudio, su juicio valorativo a través del tiempo y lo complejo que resulta poder establecer la finalidad de los procesos participativos en salud y su enfoque integrador, hacen que el análisis histórico sea necesario para poder instituir sentido a su referencia. Una tendencia frecuente en el campo de la salud pública es brindarle un carácter fundacional a todo nuevo desarrollo teórico, con una saturación ulterior del campo de conocimiento con nuevos conceptos (salud para todos, promoción de la salud y hospitales de autogestión son representaciones de discursos que dominaban una época) (172)(173)(174)(175)(176)(177). No es el problema de que existan discursos que dominen la escena de un tiempo, el problema es que estos tengan el monopolio de la representación de un momento (179).…”

The public, the private and the intimate in doctor–patient communication: Admission interviews at an outpatient mental health care service

“…The neoliberal decade of the 1990s left public health in Argentina as a dismantled, saturated system that lacks basic human and material resources (Belmartino, 2002). After decades of privatization of social rights, the public health care system ceased to be perceived as a human right to which every citizen was entitled and began to be seen as poor relief (Comes and Stolkiner, 2005).…”

Modelos avaliativos e reforma sanitária Brasileira: enfoque qualitativo-participativo

“…The previous questions illustrate the political dimensions inherent to the emergent evaluative models and seem opportune when, against "triumphal" discourses of the Brazilian health reform, some analyses critically appraise its scope and warn about the challenges that remain 3,7,11,13 Thus, in addition to the importance of the same monitoring and evaluative process, current debate and challenges force the analysis of criteria, technologies and instruments that legitimize the "successful discourse" or its opposite. As a result, this exercise oriented towards "evaluating the evaluations" could provide critical elements, highly valued in the Brazilian health movement.…”