Decentralization of health services in Córdoba (Argentina): among democratic confidence and neoliberal disappointment

https://doi.org/10.18294/sc.2006.66

Published 4 August 2006 Open Access


Iván Ase Médico. Magíster en Administración Pública. Docente e investigador del Instituto de Investigación y Formación en Administración Pública, Universidad Nacional de Córdoba, Universidad Nacional de Río Cuarto.




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Keywords:

Health sector reform, state reform, decentralization, outcome and process assessment (health care).


Abstract


The decade of the 90’ has been rich in experiences of reform in the health sector, processes that must be located in the most general changes that has been produced in the relations between the State, the society and the market. Therefore, the study of the policy of decentralization of the health’s service in Argentina, and particularly in Córdoba adquires importance.This kind of policies was propitiated due to its posibilities of enhance the efficacy, efficiency and quality of the services, furthermore inciting democratization and communitary participation in the production of these services. The development of these policies in the 90’s context submitted to the fiscal adjust logic in detriment of the sanitary logic.The paper emphasizes the importance of subnational and local political processes in order to examine the outcomes of health services’ reform policy.