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Asimetrías entre la coordinación nacional y la autonomía de los gobiernos estatales en la adopción de tecnologías sanitarias frente a la COVID-19 en Argentina

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Title: Asimetrías entre la coordinación nacional y la autonomía de los gobiernos estatales en la adopción de tecnologías sanitarias frente a la COVID-19 en Argentina
Authors: Hasdeu, Santiago, Beliera, Anabel, Alvarez, Jorgelina, Sanchez-Viamonte, Julian
Source: Cad Saude Publica
Cadernos de Saúde Pública, Vol 40, Iss 4 (2024)
Publisher Information: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2024.
Publication Year: 2024
Subject Terms: Toma de decisiones en la organización, Pandemia, Infecciones por coronavirus, COVID-19, Evaluación de la Tecnología Biomédica, Política pública, Evaluación de la tecnología biomédica, 03 medical and health sciences, Toma de Decisiones en la Organización, 0302 clinical medicine, Ciencias Biomédicas, Política Pública, Medicine, Artículo, Federalismo, Public aspects of medicine, RA1-1270, 0305 other medical science, Infecciones por Coronavirus
Description: Argentina, as other countries, showed several public policies related to the health technologies implemented to fight and treat the COVID-19 pandemic. This study sought to analyze how articulation vs. cooperation and autonomy vs. division of powers between entities occurred in Argentina, exploring asymmetries between several entities in implementing public policies related to health technologies during the pandemic and the influences of other actors. For this, a documentary research was carried out related to 2020-2021 (technical reports published by the World Health Organization, national agencies and scientific societies, laws, court decisions, press, and research and in-depth interviews with members of the Argentine Ministries of Health). The processes and results of decision-making in the Ministries of Health were analyzed, outlining the coverage and orientations of each technology and the political party in power in the province. This study found heterogeneous results and processes between Ministries and disputes within them. It also observed the poor adherence to official guidelines due to technical-political criteria (power relations, social, media, academic, judiciary, and legislative pressure). Some cases showed a strong tension between the government and its opposition over the discussion of technologies. Each province in Argentina has autonomously defined its policies on health technologies for COVID-19, and decision-making in public administration was disorderly, complex, and non-linear during the pandemic.
Document Type: Other literature type
Article
File Description: application/pdf
Language: English
ISSN: 1678-4464
DOI: 10.1590/0102-311xes117923
Access URL: https://doaj.org/article/b394381aad4b4d76b0a6f2031cc83120
Rights: CC BY NC SA
URL: http://creativecommons.org/licenses/by/4.0/Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons
Accession Number: edsair.dedup.wf.002..acb7fefe574d54a0d1b712729b38b90a
Database: OpenAIRE
Description
Abstract:Argentina, as other countries, showed several public policies related to the health technologies implemented to fight and treat the COVID-19 pandemic. This study sought to analyze how articulation vs. cooperation and autonomy vs. division of powers between entities occurred in Argentina, exploring asymmetries between several entities in implementing public policies related to health technologies during the pandemic and the influences of other actors. For this, a documentary research was carried out related to 2020-2021 (technical reports published by the World Health Organization, national agencies and scientific societies, laws, court decisions, press, and research and in-depth interviews with members of the Argentine Ministries of Health). The processes and results of decision-making in the Ministries of Health were analyzed, outlining the coverage and orientations of each technology and the political party in power in the province. This study found heterogeneous results and processes between Ministries and disputes within them. It also observed the poor adherence to official guidelines due to technical-political criteria (power relations, social, media, academic, judiciary, and legislative pressure). Some cases showed a strong tension between the government and its opposition over the discussion of technologies. Each province in Argentina has autonomously defined its policies on health technologies for COVID-19, and decision-making in public administration was disorderly, complex, and non-linear during the pandemic.
ISSN:16784464
DOI:10.1590/0102-311xes117923