Desregulación y equidad: el proceso de reconversión de Obras Sociales en Argentina

Cadernos de Saúde Pública

Liliana Findling¹  María Arruñada¹  Ezequiel Klimovsky¹ 

[1] ,Universidad de Buenos Aires Facultad de Ciencias Sociales Instituto Gino GermaniBuenos Aires,Argentina

关键词: Equity;    Health Services;    Health Services Accessibility;    Health Policy;    Equidad;    Servicios de Salud;    Accesibilidad a los Servicios de Salud;    Política de Salud;   

DOI  :  10.1590/S0102-311X2002000400013

来源: SciELO

【 摘 要 】

The health care services managed by trade unions and known as "Obras Sociales" form the groundwork for Argentina's Social Security and Health system. However, far from taking an equitable approach, these institutions highlight the country's prevailing income disparities, which in turn lead to major differences in access to care. The main focus of this study was the reformulation of social security health policies within the framework of deregulation from 1998 to 2000, analyzing the effects on availability of health care services from an equity perspective. The methodology used two related analytical levels: (1) a macro level viewing the process from the various players' strategies and (2) a micro level featuring the changes within a well-known trade union social security organization during its reconversion process, emphasizing its institutional scope and the opinions of its membership. The results thus pointed to the slow implementation of reforms initiated by the public sector, hindered by constant negotiations among the main corporate actors seeking to serve their particular interests, along with increased inequity and fragmentation due to the limited opening of free choice by members.

【 授权许可】

CC BY   
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