Stolkiner Alicia, Comes Yamila, Garbus Pamela
Universidad Nacional de Lanús, Provincia de Buenos Aires, Argentina.
Cien Saude Colet. 2011 Jun;16(6):2807-16. doi: 10.1590/s1413-81232011000600019.
This paper is part of the "Southern cone countries multicentric study of primary healthcare: healthcare models, health system integration and intersectoral relations in urban contexts in Argentina, Brazil, Paraguay and Uruguay". Its scope is to contextualize, describe and analyze the current state of the PHC strategy in Argentina and its potential for transforming the fragmented and segmented health system. The data-gathering methodology was review of the literature, study of documents, interviews with key informants and workshop discussions with stakeholders of the system. The dimensions of the data analysis were: (1) stewardship capability; (2) PHC financing; (3) provision, human resources and comprehensiveness; (4) integration and continuity. The transversal analytical categories in all the dimensions were the segmentation and fragmentation of governance and the health system. For this reason, the dynamics and actions of the social actors involved in the healthcare system and their position in relation to PHC were analyzed. The paper contains a theoretical introduction on the scope of current definitions of PHC and the description of the social, economic, political and epidemiological context of healthcare policies in Argentina. PHC based on the proposed dimensions is then analyzed.
本文是“南锥体国家初级卫生保健多中心研究：阿根廷、巴西、巴拉圭和乌拉圭城市背景下的卫生保健模式、卫生系统整合及部门间关系”的一部分。其目的是将阿根廷初级卫生保健战略的现状置于背景之中，进行描述和分析，并探讨其转变碎片化卫生系统的潜力。数据收集方法包括文献综述、文件研究、对关键信息提供者的访谈以及与卫生系统利益相关者的研讨会讨论。数据分析的维度包括：（1）管理能力；（2）初级卫生保健融资；（3）服务提供、人力资源与全面性；（4）整合与连续性。所有维度的横向分析类别是治理和卫生系统的分割与碎片化。因此，分析了参与卫生保健系统的社会行为体的动态和行动及其与初级卫生保健的关系。本文包含关于当前初级卫生保健定义范围的理论介绍，以及对阿根廷卫生保健政策的社会、经济、政治和流行病学背景的描述。然后基于所提出的维度对初级卫生保健进行分析。
