Making universal health care effective in Argentina: A blueprint for reform

Autores
Rubinstein, Adolfo Luis; Zerbino, María Clara; Cejas, Cintia; López, Analía
Año de publicación
2018
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
The reform of a health care system requires attention to specific components but also to the creation of an environment that supports change. Argentina has achieved nominal universal health coverage (UHC) but it still needs to work on achieving effective universal health coverage, especially with regard to quality and equity. Nominal coverage means that everyone has been enrolled and has the right to access, and effective coverage means that people have actually received prioritized health care services. In this article, we present our proposals to advance UHC in Argentina. The article includes an overview of Argentina’s health system, then introduces the driving forces for reform, and finally analyzes four key issues where we provide our action plan to implement health reform for moving Argentina forward. Overall, our ultimate goal is to provide actual UHC and not aspirational UHC in Argentina by strengthening provincial health systems through enforcing public insurance schemes; utilizing an explicit priority-setting approach to make decisions on health coverage; reducing health disparities in coverage and outcomes, at least on prioritized health problems; and building a primary care–oriented health care system.
Fil: Rubinstein, Adolfo Luis. Ministerio de Salud de la Nación; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Zerbino, María Clara. Ministerio de Salud de la Nación; Argentina
Fil: Cejas, Cintia. Ministerio de Salud de la Nación; Argentina
Fil: López, Analía. Ministerio de Salud de la Nación; Argentina
Materia
ARGENTINA
HEALTH CARE
HEALTH SYSTEM
REFORM
UNIVERSAL HEALTH COVERAGE
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/185400
Acceder
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spelling Making universal health care effective in Argentina: A blueprint for reformRubinstein, Adolfo LuisZerbino, María ClaraCejas, CintiaLópez, AnalíaARGENTINAHEALTH CAREHEALTH SYSTEMREFORMUNIVERSAL HEALTH COVERAGEhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3The reform of a health care system requires attention to specific components but also to the creation of an environment that supports change. Argentina has achieved nominal universal health coverage (UHC) but it still needs to work on achieving effective universal health coverage, especially with regard to quality and equity. Nominal coverage means that everyone has been enrolled and has the right to access, and effective coverage means that people have actually received prioritized health care services. In this article, we present our proposals to advance UHC in Argentina. The article includes an overview of Argentina’s health system, then introduces the driving forces for reform, and finally analyzes four key issues where we provide our action plan to implement health reform for moving Argentina forward. Overall, our ultimate goal is to provide actual UHC and not aspirational UHC in Argentina by strengthening provincial health systems through enforcing public insurance schemes; utilizing an explicit priority-setting approach to make decisions on health coverage; reducing health disparities in coverage and outcomes, at least on prioritized health problems; and building a primary care–oriented health care system.Fil: Rubinstein, Adolfo Luis. Ministerio de Salud de la Nación; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Zerbino, María Clara. Ministerio de Salud de la Nación; ArgentinaFil: Cejas, Cintia. Ministerio de Salud de la Nación; ArgentinaFil: López, Analía. Ministerio de Salud de la Nación; ArgentinaTaylor & Francis Ltd2018-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/185400Rubinstein, Adolfo Luis; Zerbino, María Clara; Cejas, Cintia; López, Analía; Making universal health care effective in Argentina: A blueprint for reform; Taylor & Francis Ltd; Health Systems and Reform; 4; 3; 8-2018; 203-2132328-86042328-8620CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1080/23288604.2018.1477537info:eu-repo/semantics/altIdentifier/url/https://www.tandfonline.com/doi/full/10.1080/23288604.2018.1477537info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T09:45:02Zoai:ri.conicet.gov.ar:11336/185400instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 09:45:02.364CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Making universal health care effective in Argentina: A blueprint for reform
title Making universal health care effective in Argentina: A blueprint for reform
spellingShingle Making universal health care effective in Argentina: A blueprint for reform
Rubinstein, Adolfo Luis
ARGENTINA
HEALTH CARE
HEALTH SYSTEM
REFORM
UNIVERSAL HEALTH COVERAGE
title_short Making universal health care effective in Argentina: A blueprint for reform
title_full Making universal health care effective in Argentina: A blueprint for reform
title_fullStr Making universal health care effective in Argentina: A blueprint for reform
title_full_unstemmed Making universal health care effective in Argentina: A blueprint for reform
title_sort Making universal health care effective in Argentina: A blueprint for reform
dc.creator.none.fl_str_mv Rubinstein, Adolfo Luis
Zerbino, María Clara
Cejas, Cintia
López, Analía
author Rubinstein, Adolfo Luis
author_facet Rubinstein, Adolfo Luis
Zerbino, María Clara
Cejas, Cintia
López, Analía
author_role author
author2 Zerbino, María Clara
Cejas, Cintia
López, Analía
author2_role author
author
author
dc.subject.none.fl_str_mv ARGENTINA
HEALTH CARE
HEALTH SYSTEM
REFORM
UNIVERSAL HEALTH COVERAGE
topic ARGENTINA
HEALTH CARE
HEALTH SYSTEM
REFORM
UNIVERSAL HEALTH COVERAGE
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv The reform of a health care system requires attention to specific components but also to the creation of an environment that supports change. Argentina has achieved nominal universal health coverage (UHC) but it still needs to work on achieving effective universal health coverage, especially with regard to quality and equity. Nominal coverage means that everyone has been enrolled and has the right to access, and effective coverage means that people have actually received prioritized health care services. In this article, we present our proposals to advance UHC in Argentina. The article includes an overview of Argentina’s health system, then introduces the driving forces for reform, and finally analyzes four key issues where we provide our action plan to implement health reform for moving Argentina forward. Overall, our ultimate goal is to provide actual UHC and not aspirational UHC in Argentina by strengthening provincial health systems through enforcing public insurance schemes; utilizing an explicit priority-setting approach to make decisions on health coverage; reducing health disparities in coverage and outcomes, at least on prioritized health problems; and building a primary care–oriented health care system.
Fil: Rubinstein, Adolfo Luis. Ministerio de Salud de la Nación; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Zerbino, María Clara. Ministerio de Salud de la Nación; Argentina
Fil: Cejas, Cintia. Ministerio de Salud de la Nación; Argentina
Fil: López, Analía. Ministerio de Salud de la Nación; Argentina
description The reform of a health care system requires attention to specific components but also to the creation of an environment that supports change. Argentina has achieved nominal universal health coverage (UHC) but it still needs to work on achieving effective universal health coverage, especially with regard to quality and equity. Nominal coverage means that everyone has been enrolled and has the right to access, and effective coverage means that people have actually received prioritized health care services. In this article, we present our proposals to advance UHC in Argentina. The article includes an overview of Argentina’s health system, then introduces the driving forces for reform, and finally analyzes four key issues where we provide our action plan to implement health reform for moving Argentina forward. Overall, our ultimate goal is to provide actual UHC and not aspirational UHC in Argentina by strengthening provincial health systems through enforcing public insurance schemes; utilizing an explicit priority-setting approach to make decisions on health coverage; reducing health disparities in coverage and outcomes, at least on prioritized health problems; and building a primary care–oriented health care system.
publishDate 2018
dc.date.none.fl_str_mv 2018-08
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/185400
Rubinstein, Adolfo Luis; Zerbino, María Clara; Cejas, Cintia; López, Analía; Making universal health care effective in Argentina: A blueprint for reform; Taylor & Francis Ltd; Health Systems and Reform; 4; 3; 8-2018; 203-213
2328-8604
2328-8620
CONICET Digital
CONICET
url http://hdl.handle.net/11336/185400
identifier_str_mv Rubinstein, Adolfo Luis; Zerbino, María Clara; Cejas, Cintia; López, Analía; Making universal health care effective in Argentina: A blueprint for reform; Taylor & Francis Ltd; Health Systems and Reform; 4; 3; 8-2018; 203-213
2328-8604
2328-8620
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1080/23288604.2018.1477537
info:eu-repo/semantics/altIdentifier/url/https://www.tandfonline.com/doi/full/10.1080/23288604.2018.1477537
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Taylor & Francis Ltd
publisher.none.fl_str_mv Taylor & Francis Ltd
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.13397

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