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[Argentine health system: fragmentation, persistent inequities, and political challenges]
1Presidente del Instituto de Política, Economía y Gestión en Salud, Exsuperintendente de Servicios de Salud de la Nación, Buenos Aires, Argentina.
Abstract:
The Argentine health system is one of the most accessible in the region of the Americas, but this accessibility is not equitable in terms of quality and time, and its results in terms of indicators do not match its investment levels. There is an absence in the definition of policies regarding the financing and care model, but especially in the values that support it. During the last twenty years, all the countries in the region initiated reforms with different proposals, and even when the systems were different, they ended up in very homogeneous proposals, centered on the pooling of funds, care models based on primary care and integrated networks of health services, with public-private participation. Argentina, in the more than 40 years since the recovery of democracy, has not made progress in that regard; it has not been able to formulate policies that decide what role the State plays in health.
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