Pandemic iatrogenesis: exclusion and lag in non-COVID medical care in Mexico City

Ciencia e Saude Coletiva

article

Martínez, Rubén Muñoz¹  Gómez, Renata Gabriela Cortez² 

[1]Centro de Investigaciones y Estudios Superiores en Antropología Social

[2]Consejo Nacional de Ciencia y Tecnología

关键词: COVID-19;    Physicians;    Hospitals;    Chronic disease;    Health Care inequalities;   

DOI  :  10.1590/1413-812320222711.03332022EN

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

The paper analyzes, from a qualitative perspective, how the COVID-19 pandemic has significantly reduced medical care for chronic patients at the three levels of the Mexico City health sector due to community mitigation strategies, the perceived risk of infection of health personnel and patients, the focus on pandemic care, and how these processes are articulated with the previous underfunding conditions of the public health system. Thus, we adopted the Grounded Theory approach based on the description and analysis of the experiences of 42 doctors interviewed at the three care levels. The pandemic iatrogenesis concept is proposed to address the interrelation between the material and symbolic organization of the dominant model of medical care and specific structural and cultural dimensions of massive and systemic neglect since the arrival of the pandemic. We point out some strategies and possibilities to avoid similar future settings based on this theoretical proposal and the experiences of the doctors interviewed.

【 授权许可】

CC BY