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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
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Primary Health Care
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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/
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