Infectious morbidity and health services
Argentina has a problem with infectious diseases which does not move back and, in some cases, it has worsened the incidence rate in the first five years of this decade. In spite of the country’s recent economic growth, there is no relation between income improvement and population’s health improveme...
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Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC
2014
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I10-R360-article-73052025-04-03T12:07:08Z Infectious morbidity and health services Morbilidad infecciosa y servicios de salud Tafani, Roberto Gaspio, N. infectious morbidity mortality in Argentina health care services morbilidad infecciosa mortalidad argentina servicios de salud Argentina has a problem with infectious diseases which does not move back and, in some cases, it has worsened the incidence rate in the first five years of this decade. In spite of the country’s recent economic growth, there is no relation between income improvement and population’s health improvement. At the same time, health care services locate in the areas with higher relative wealth, urbanization, formal employment and solvent demand. The biggest problems of infectious morbidity are not found in these locations. Geographic distribution shows that the number of physicians grows when the individual wealth per inhabitant does. Public facilities without hospitalization are lower in relation to the amount of inhabitants throughout the country. On the other hand, there are more public facilities with hospitalization of smaller size and with fewer beds. In this context, infant mortality improvement and the slight non significant maternal mortality reduction in the years of economic revival suggest that, still, the majority of preventable deaths are due to social inequality in the country. The recorded events show Argentina as a country that does not change its infectious morbidity problems, with a private sector that pursues commercial logic and a public sector oriented towards a centralized hospital model with different scales for self-management. It is not seen then, a dynamic sector morphology that integrates a health care model based on health promotion and disease prevention on the basis of primary health care. Argentina tiene un problema de enfermedades infecciosas que no retrocede y, en algunos casos, agrava sus tasas de incidencia en los primeros cinco años de la presente década. Pese al crecimiento económico reciente del país, se observa una desvinculación entre la mejora del ingreso y la mejora de la salud poblacional. Al mismo tiempo, los servicios de atención médica orientan su localización hacia las áreas de mayor riqueza relativa, urbanización, empleo formal y existencia de demanda solvente. Esos no son los lugares donde están los problemas más numerosos de morbilidad por infecciosas. La ubicación geográfica muestra que el número de médicos crece cuando aumenta la riqueza individual por habitante. Los establecimientos públicos sin internación bajan en relación a la cantidad de habitantes en todo el país, aunque menos en el norte. Por otro lado, aumentan los establecimientos públicos con internación de un menor tamaño relativo en número de camas. En ese contexto la mejora de la mortalidad infantil y la leve reducción no significativa de la mortalidad materna en los años de recuperación económica sugieren, todavía, que gran parte de las muertes evitables se deben a la inequidad social del país. Los hechos registrados muestran una Argentina que no revierte sus problemas de morbilidad infecciosa, con un sector privado que busca la lógica mercantil y un sector público que se orienta hacia un modelo hospitalo-céntrico con escalas diferentes para la autogestión. No se ve entonces una morfología dinámica sectorial que consolide un modelo de atención basado en la promoción de la salud y la prevención de la enfermedad en base a la atención primaria. Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2014-04-14 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/RSD/article/view/7305 10.31052/1853.1180.v10.n1.7305 Revista de Salud Pública; Vol. 10 Núm. 1 (2006); 31-51 1852-9429 1853-1180 10.31052/1853.1180.v10.n1 spa https://revistas.unc.edu.ar/index.php/RSD/article/view/7305/8394 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 |
infectious morbidity mortality in Argentina health care services morbilidad infecciosa mortalidad argentina servicios de salud |
spellingShingle |
infectious morbidity mortality in Argentina health care services morbilidad infecciosa mortalidad argentina servicios de salud Tafani, Roberto Gaspio, N. Infectious morbidity and health services |
topic_facet |
infectious morbidity mortality in Argentina health care services morbilidad infecciosa mortalidad argentina servicios de salud |
author |
Tafani, Roberto Gaspio, N. |
author_facet |
Tafani, Roberto Gaspio, N. |
author_sort |
Tafani, Roberto |
title |
Infectious morbidity and health services |
title_short |
Infectious morbidity and health services |
title_full |
Infectious morbidity and health services |
title_fullStr |
Infectious morbidity and health services |
title_full_unstemmed |
Infectious morbidity and health services |
title_sort |
infectious morbidity and health services |
description |
Argentina has a problem with infectious diseases which does not move back and, in some cases, it has worsened the incidence rate in the first five years of this decade. In spite of the country’s recent economic growth, there is no relation between income improvement and population’s health improvement. At the same time, health care services locate in the areas with higher relative wealth, urbanization, formal employment and solvent demand. The biggest problems of infectious morbidity are not found in these locations. Geographic distribution shows that the number of physicians grows when the individual wealth per inhabitant does. Public facilities without hospitalization are lower in relation to the amount of inhabitants throughout the country. On the other hand, there are more public facilities with hospitalization of smaller size and with fewer beds. In this context, infant mortality improvement and the slight non significant maternal mortality reduction in the years of economic revival suggest that, still, the majority of preventable deaths are due to social inequality in the country. The recorded events show Argentina as a country that does not change its infectious morbidity problems, with a private sector that pursues commercial logic and a public sector oriented towards a centralized hospital model with different scales for self-management. It is not seen then, a dynamic sector morphology that integrates a health care model based on health promotion and disease prevention on the basis of primary health care. |
publisher |
Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC |
publishDate |
2014 |
url |
https://revistas.unc.edu.ar/index.php/RSD/article/view/7305 |
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AT tafaniroberto infectiousmorbidityandhealthservices AT gaspion infectiousmorbidityandhealthservices AT tafaniroberto morbilidadinfecciosayserviciosdesalud AT gaspion morbilidadinfecciosayserviciosdesalud |
first_indexed |
2024-09-03T22:25:54Z |
last_indexed |
2025-05-10T05:21:15Z |
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