Health territories and COVID-19: the El Monte neighborhood, Quilmes

This document studies the response of the health system to the Covid-19 pandemic in the vulnerable neighborhood El Monte-Mataderos, Quilmes, in the south of Greater Buenos Aires (GBA) from the perspective of critical sanitarism that provides particular importance to primary care. The two antagonisti...

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Autores principales: Medina, Arnaldo, Narodowski, Patricio, Roussel, Patricia, González, Mariela, Flores, Micaela, Cabral, Marcela, Domínguez, Laila, Sosa, Gabriel, Montori, Florencia, Avalos, Erica, Congett, Claudia, pellegrini, Veronica
Formato: Artículo revista
Lenguaje:Español
Publicado: Facultad de Filosofía y Humanidades. Departamento de Geografía 2020
Acceso en línea:https://revistas.unc.edu.ar/index.php/cardi/article/view/31705
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spelling I10-R374-article-317052022-01-10T06:06:04Z Health territories and COVID-19: the El Monte neighborhood, Quilmes Territorios de la salud y COVID-19: el barrio El Monte, Quilmes. Medina, Arnaldo Narodowski, Patricio Roussel, Patricia González, Mariela Flores, Micaela Cabral, Marcela Domínguez, Laila Sosa, Gabriel Montori, Florencia Avalos, Erica Congett, Claudia pellegrini, Veronica This document studies the response of the health system to the Covid-19 pandemic in the vulnerable neighborhood El Monte-Mataderos, Quilmes, in the south of Greater Buenos Aires (GBA) from the perspective of critical sanitarism that provides particular importance to primary care. The two antagonistic approaches are described: neoclassical new institutionalism based on the rational individual and sanitarism with a structuralist base, but which in recent years includes a diverse focus on subjectivity, fundamental for the analysis of the territory. With this framework, the problems of the health system in general and the GBA, in particular, are exposed, where lack of financing, design problems and the weakness of the State prevail in a  territory, with high levels of poverty.  And then we study the local health system in Quilmes, and the socio-economic reality and the relational- institutional framework in a particular territory, to see how the scheme established by the Nation, the province and the Municipality work to face the pandemic. The conclusions show that at the time of the start of the pandemic and beyond the effort made, primary care in general and in the neighborhood in particular, was weak and did not have the level of participation of the actors necessary to fulfill its mission, that made the answer difficult. En el presente documento se estudia la respuesta del sistema de salud ante la pandemia de Covid-19 en el barrio vulnerable El Monte-Mataderos, Quilmes, en el sur del Gran Buenos Aires (GBA) desde la perspectiva del sanitarismo crítico actual que brinda particular importancia a la atención primaria entre otros elementos. Se describen los dos enfoques antagónicos el neoinstitucionalismo neoclásico basado en el individuo racional y el sanitarismo de base estructuralista pero que en los últimos años incluye un enfoque diverso sobre la subjetividad, fundamental para el análisis del territorio. Con este marco, se exponen las problemáticas del sistema de salud en general y del GBA, en particular, donde predomina la falta de financiamiento, los problemas de diseño y la debilidad del Estado en un territorio con elevados niveles de pobreza. Y luego se aborda el sistema local de salud en Quilmes, y la realidad socioeconómica y el entramado relacional-institucional en un territorio particular para ver cómo funcionó el esquema establecido por la Nación, la Provincia y el Municipio para enfrentar la pandemia. Las conclusiones muestran que al momento del inicio de la pandemia y más allá del esfuerzo realizado, la atención primaria en general y en el barrio en particular, era endeble y no contaba con el nivel de participación de los actores necesaria para cumplir con su cometido, eso dificultó la respuesta.  Facultad de Filosofía y Humanidades. Departamento de Geografía 2020-12-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artículo del Dossier application/pdf https://revistas.unc.edu.ar/index.php/cardi/article/view/31705 Cardinalis; No. 15 (2020): Dossier: Pandemic and geographic space: problems, challenges and perspectives; 225-244 Cardinalis; Núm. 15 (2020): Dossier: Pandemia y espacio geográfico: problemáticas, desafíos y perspectivas; 225-244 Cardinalis; n. 15 (2020): Dossiê: Pandemia e espaço geográfico: problemas, desafios e perspectivas; 225-244 2346-8734 spa https://revistas.unc.edu.ar/index.php/cardi/article/view/31705/32725 http://creativecommons.org/licenses/by-nc-sa/4.0
institution Universidad Nacional de Córdoba
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container_title_str Cardinalis
language Español
format Artículo revista
author Medina, Arnaldo
Narodowski, Patricio
Roussel, Patricia
González, Mariela
Flores, Micaela
Cabral, Marcela
Domínguez, Laila
Sosa, Gabriel
Montori, Florencia
Avalos, Erica
Congett, Claudia
pellegrini, Veronica
spellingShingle Medina, Arnaldo
Narodowski, Patricio
Roussel, Patricia
González, Mariela
Flores, Micaela
Cabral, Marcela
Domínguez, Laila
Sosa, Gabriel
Montori, Florencia
Avalos, Erica
Congett, Claudia
pellegrini, Veronica
Health territories and COVID-19: the El Monte neighborhood, Quilmes
author_facet Medina, Arnaldo
Narodowski, Patricio
Roussel, Patricia
González, Mariela
Flores, Micaela
Cabral, Marcela
Domínguez, Laila
Sosa, Gabriel
Montori, Florencia
Avalos, Erica
Congett, Claudia
pellegrini, Veronica
author_sort Medina, Arnaldo
title Health territories and COVID-19: the El Monte neighborhood, Quilmes
title_short Health territories and COVID-19: the El Monte neighborhood, Quilmes
title_full Health territories and COVID-19: the El Monte neighborhood, Quilmes
title_fullStr Health territories and COVID-19: the El Monte neighborhood, Quilmes
title_full_unstemmed Health territories and COVID-19: the El Monte neighborhood, Quilmes
title_sort health territories and covid-19: the el monte neighborhood, quilmes
description This document studies the response of the health system to the Covid-19 pandemic in the vulnerable neighborhood El Monte-Mataderos, Quilmes, in the south of Greater Buenos Aires (GBA) from the perspective of critical sanitarism that provides particular importance to primary care. The two antagonistic approaches are described: neoclassical new institutionalism based on the rational individual and sanitarism with a structuralist base, but which in recent years includes a diverse focus on subjectivity, fundamental for the analysis of the territory. With this framework, the problems of the health system in general and the GBA, in particular, are exposed, where lack of financing, design problems and the weakness of the State prevail in a  territory, with high levels of poverty.  And then we study the local health system in Quilmes, and the socio-economic reality and the relational- institutional framework in a particular territory, to see how the scheme established by the Nation, the province and the Municipality work to face the pandemic. The conclusions show that at the time of the start of the pandemic and beyond the effort made, primary care in general and in the neighborhood in particular, was weak and did not have the level of participation of the actors necessary to fulfill its mission, that made the answer difficult.
publisher Facultad de Filosofía y Humanidades. Departamento de Geografía
publishDate 2020
url https://revistas.unc.edu.ar/index.php/cardi/article/view/31705
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