The dimensions of the health field in Argentina

https://doi.org/10.18294/sc.2010.285

Published 3 December 2010 Open Access


Hugo Spinelli Doctor en Salud Colectiva. Director, Instituto de Salud Colectiva, Universidad Nacional de Lanús, Buenos Aires, Argentina.




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Keywords:

Health Systems, Health Policy, Planning and Management, Work, Organization and Administration, Management, Government, Argentina


Abstract


This text explores the composition of the health field, its agents and the capitals at play, as well as epidemiological profiles and problems and challenges facing workers, administrators, and government officials. We also look into the existence of policies and metapolicies, highlighting the normative character of policies that impede critical reflections by actor-agents and patients and thereby reaffirm an instrumental rationalism. Finally, and with the purpose of exploring new organizational forms in the field, we investigate the terrain of metapolicies through an analysis of the work, the organization, the administration, and the government as possible dimensions through which to enable the creation of new actors and/or structures, irrespective of the actual "policies". The overall aim of the text is to consider the current situation in the health field, in the context of the South, in relation to possible emancipatory actions.