Oncology actors’ map in Argentina

The study identifies and characterizes oncology actors’ map in Argentina and its interactions using qualitative research techniques (secondary source analysis and in-depth interviews with representatives from the Department of Health and the main civil society organizations (CSOs), benchmarks of the...

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Detalles Bibliográficos
Autores principales: Maceira, Daniel, Olaviaga, Sofía
Formato: Artículo revista
Lenguaje:Español
Publicado: Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2014
Materias:
Estructura del sistema de salud
Eficiencia
Actores públicos y privados
Coordinación
Equidad
Healthcare system structure
efficiency
Public and private actors
Coordination
Equity
Acceso en línea:https://revistas.unc.edu.ar/index.php/RSD/article/view/7008
Aporte de:
Revista de Salud Pública de Universidad Nacional de Córdoba
id I10-R360-article-7008
record_format ojs
spelling I10-R360-article-70082025-04-03T12:07:39Z Oncology actors’ map in Argentina Mapa de actores del sector oncológico en la Argentina Maceira, Daniel Olaviaga, Sofía Estructura del sistema de salud Eficiencia Actores públicos y privados Coordinación Equidad Healthcare system structure efficiency Public and private actors Coordination Equity The study identifies and characterizes oncology actors’ map in Argentina and its interactions using qualitative research techniques (secondary source analysis and in-depth interviews with representatives from the Department of Health and the main civil society organizations (CSOs), benchmarks of the sector).Results show that the Argentine Healthcare system structure does not provide actors with effective incentives, thus hindering the implementation of relevant interventions for cancer control. Health insurers do not have incentives to develop prevention and early detection activities. Besides, PAMI (health insurance for retired people) has no jurisdiction regarding its future target population and therefore, possibilities to develop such activities are limited. Finally, the public subsector takes in fragmentation costs in a decentralized context with coordination defects and financing gaps between provinces.Confronting this panorama, the National Program for Cancer Control seems to be an adequate answer. However, the program put into practice is showing implementation delays and challenges.CSOs try to increase their scope and become relevant in teaching, campaigns and treatments, nevertheless with little communication and articulation with the State and among themselves.Facing a scenario of growing incidence of oncologic diseases, nation-provinces and public-private coordination is essential to achieve allocation equity and efficiency in management. El estudio identifica y caracteriza el mapa de actores del sector oncológico en la Argentina y sus interacciones. Utilizando metodologías cualitativas de investigación (análisis de fuentes secundarias y entrevistas en profundidad a representantes del Ministerio de Salud y las principales organizaciones de la sociedad civil (OSCs), referentes del sector).Los resultados muestran que la estructura del sistema de salud argentino no proporciona estímulos eficaces a los actores, obstaculizando la implementación de intervenciones relevantes para el control del cáncer. Las obras sociales no cuentan con incentivos para desarrollar actividades de prevención y detección temprana. Por su parte el PAMI (el seguro de la vejez), encuentra limitada su posibilidad de desarrollar estas acciones, al no tener jurisdicción sobre su futura población objetivo. Finalmente, el subsector público absorbe los costos de la fragmentación, en un contexto descentralizado con fallas de coordinación y brechas de financiamiento entre provincias.Frente a este panorama, el Programa Nacional de Control de Cáncer pareciera ser una respuesta adecuada. Sin embargo la práctica evidencia retrasos y desafíos de implementación.Las OSCs buscan incrementar sus alcances y cobran relevancia en áreas de docencia, campañas y tratamientos, aunque con poca comunicación y articulación con el Estado, y entre ellas.Ante un escenario de creciente incidencia de enfermedades oncológicas, la coordinación nación/provincias y público/privado son imprescindibles para alcanzar mayor equidad asignativa y eficiencia en el gerenciamiento. Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2014-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/RSD/article/view/7008 10.31052/1853.1180.v15.n1.7008 Revista de Salud Pública; Vol. 15 Núm. 1 (2011); 17-28 1852-9429 1853-1180 10.31052/1853.1180.v15.n1 spa https://revistas.unc.edu.ar/index.php/RSD/article/view/7008/8074 Derechos de autor 1969 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-360
container_title_str Revista de Salud Pública
language Español
format Artículo revista
topic Estructura del sistema de salud
Eficiencia
Actores públicos y privados
Coordinación
Equidad
Healthcare system structure
efficiency
Public and private actors
Coordination
Equity
spellingShingle Estructura del sistema de salud
Eficiencia
Actores públicos y privados
Coordinación
Equidad
Healthcare system structure
efficiency
Public and private actors
Coordination
Equity
Maceira, Daniel
Olaviaga, Sofía
Oncology actors’ map in Argentina
topic_facet Estructura del sistema de salud
Eficiencia
Actores públicos y privados
Coordinación
Equidad
Healthcare system structure
efficiency
Public and private actors
Coordination
Equity
author Maceira, Daniel
Olaviaga, Sofía
author_facet Maceira, Daniel
Olaviaga, Sofía
author_sort Maceira, Daniel
title Oncology actors’ map in Argentina
title_short Oncology actors’ map in Argentina
title_full Oncology actors’ map in Argentina
title_fullStr Oncology actors’ map in Argentina
title_full_unstemmed Oncology actors’ map in Argentina
title_sort oncology actors’ map in argentina
description The study identifies and characterizes oncology actors’ map in Argentina and its interactions using qualitative research techniques (secondary source analysis and in-depth interviews with representatives from the Department of Health and the main civil society organizations (CSOs), benchmarks of the sector).Results show that the Argentine Healthcare system structure does not provide actors with effective incentives, thus hindering the implementation of relevant interventions for cancer control. Health insurers do not have incentives to develop prevention and early detection activities. Besides, PAMI (health insurance for retired people) has no jurisdiction regarding its future target population and therefore, possibilities to develop such activities are limited. Finally, the public subsector takes in fragmentation costs in a decentralized context with coordination defects and financing gaps between provinces.Confronting this panorama, the National Program for Cancer Control seems to be an adequate answer. However, the program put into practice is showing implementation delays and challenges.CSOs try to increase their scope and become relevant in teaching, campaigns and treatments, nevertheless with little communication and articulation with the State and among themselves.Facing a scenario of growing incidence of oncologic diseases, nation-provinces and public-private coordination is essential to achieve allocation equity and efficiency in management.
publisher Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC
publishDate 2014
url https://revistas.unc.edu.ar/index.php/RSD/article/view/7008
work_keys_str_mv AT maceiradaniel oncologyactorsmapinargentina
AT olaviagasofia oncologyactorsmapinargentina
AT maceiradaniel mapadeactoresdelsectoroncologicoenlaargentina
AT olaviagasofia mapadeactoresdelsectoroncologicoenlaargentina
first_indexed 2024-09-03T22:25:13Z
last_indexed 2025-05-10T05:20:17Z
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