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dc.contributor.author
Báscolo, Ernesto Pablo  
dc.contributor.author
Yavich, Natalia  
dc.contributor.author
Jean-Louis Denis  
dc.date.available
2018-07-18T21:49:48Z  
dc.date.issued
2016-06  
dc.identifier.citation
Báscolo, Ernesto Pablo; Yavich, Natalia; Jean-Louis Denis; Analysis of the enablers of capacities to produce primary health care-based reforms in Latin America: A multiple case study; Oxford University Press; Family Practice; 33; 3; 6-2016; 207-218  
dc.identifier.issn
0263-2136  
dc.identifier.uri
http://hdl.handle.net/11336/52631  
dc.description.abstract
Background: Primary health care (PHC)-based reforms have had different results in Latin America. Little attention has been paid to the enablers of collective action capacities required to produce a comprehensive PHC approach. Objective: To analyse the enablers of collective action capacities to transform health systems towards a comprehensive PHC approach in Latin American PHC-based reforms. Methods: We conducted a longitudinal, retrospective case study of three municipal PHC-based reforms in Bolivia and Argentina. We used multiple data sources and methodologies: Document review; interviews with policymakers, managers and practitioners; and household and services surveys. We used temporal bracketing to analyse how the dynamic of interaction between the institutional reform process and the collective action characteristics enabled or hindered the enablers of collective action capacities required to produce the envisioned changes. Results: The institutional structuring dynamics and collective action capacities were different in each case. In Cochabamba, there was an 'interrupted' structuring process that achieved the establishment of a primary level with a selective PHC approach. In Vicente López, there was a 'path-dependency' structuring process that permitted the consolidation of a 'primary care' approach, but with limited influence in hospitals. In Rosario, there was a 'dialectic' structuring process that favoured the development of the capacities needed to consolidate a comprehensive PHC approach that permeates the entire system. Conclusion: The institutional change processes achieved the development of a primary health care level with different degrees of consolidation and system-wide influence given how the characteristics of each collective action enabled or hindered the 'structuring' processes.  
dc.format
application/pdf  
dc.language.iso
eng  
dc.publisher
Oxford University Press  
dc.rights
info:eu-repo/semantics/openAccess  
dc.rights.uri
https://creativecommons.org/licenses/by/2.5/ar/  
dc.subject
Access  
dc.subject
And Evaluation  
dc.subject
Health Care Quality  
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Health Care Reform  
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Leadership  
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Organizational Innovation  
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Politics  
dc.subject
Primary Health Care  
dc.subject.classification
Otras Ciencias Sociales  
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Otras Ciencias Sociales  
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CIENCIAS SOCIALES  
dc.title
Analysis of the enablers of capacities to produce primary health care-based reforms in Latin America: A multiple case study  
dc.type
info:eu-repo/semantics/article  
dc.type
info:ar-repo/semantics/artículo  
dc.type
info:eu-repo/semantics/publishedVersion  
dc.date.updated
2018-07-18T20:43:39Z  
dc.identifier.eissn
1460-2229  
dc.journal.volume
33  
dc.journal.number
3  
dc.journal.pagination
207-218  
dc.journal.pais
Reino Unido  
dc.journal.ciudad
Oxford  
dc.description.fil
Fil: Báscolo, Ernesto Pablo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Rosario; Argentina. Universidad Nacional de Rosario. Centro de Estudios Interdisciplinarios; Argentina  
dc.description.fil
Fil: Yavich, Natalia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Rosario; Argentina. Universidad Nacional de Rosario. Centro de Estudios Interdisciplinarios; Argentina  
dc.description.fil
Fil: Jean-Louis Denis. École Nationale d’Administration Publique; Canadá  
dc.journal.title
Family Practice  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://academic.oup.com/fampra/article/33/3/207/1749908  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1093/fampra/cmw038  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5439347/