Gobernanza en salud: un aporte conceptual y analítico para la investigación
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Data de Publicação: | 2006 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | spa |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2718 |
Resumo: | In the Latin American region there is a notable absence of conceptual coherency in the use of the terms governability and governance. This is true for their application to both the social and political sciences and health. Researchers' understanding of governance varies, and the concept is used heterogeneously within academic circles, with ignorance of the term on the part of decision-makers and great confusion and ambiguity in the meanings used by researchers and decision-makers in the health sector. Instead of the prevailing normative use, promoted by most international agencies, a conceptual and analytical framework for governance is proposed here for health systems and services research. Advances in the design of this framework were used to evaluate the public health insurance program in Buenos Aires, Argentina, which allowed the use of the analytical framework to be assessed as a tool for systemizing the social, political, and institutional complexity of the health policy formulation and implementation processes. |
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Gobernanza en salud: un aporte conceptual y analítico para la investigaciónServicios de SaludPolíticas Públicas de SaludSeguridad SocialProgramas de GobiernoIn the Latin American region there is a notable absence of conceptual coherency in the use of the terms governability and governance. This is true for their application to both the social and political sciences and health. Researchers' understanding of governance varies, and the concept is used heterogeneously within academic circles, with ignorance of the term on the part of decision-makers and great confusion and ambiguity in the meanings used by researchers and decision-makers in the health sector. Instead of the prevailing normative use, promoted by most international agencies, a conceptual and analytical framework for governance is proposed here for health systems and services research. Advances in the design of this framework were used to evaluate the public health insurance program in Buenos Aires, Argentina, which allowed the use of the analytical framework to be assessed as a tool for systemizing the social, political, and institutional complexity of the health policy formulation and implementation processes.Existe una notoria ausencia de coherencia conceptual en el uso de los términos gobernabilidad y gobernanza (considerado sinónimo de "gobernancia") en América Latina, tanto en ciencias sociales y políticas, como en el dominio de la salud. Esto se expresa con mayor fuerza en una diferente comprensión del término gobernanza por parte de los investigadores, un uso heterogéneo en ámbitos académicos, su desconocimiento por parte de los tomadores de decisión, y una gran confusión y ambigüedad de significados en su uso por parte de unos y de otros. En contraposición al uso predominante de carácter normativo, promocionado por parte de la mayoría de las agencias internacionales, se propone aquí el desarrollo y aplicación de un marco conceptual-analítico de gobernanza para la investigación en sistemas y servicios de salud. Los avances en el diseño del marco metodológico fueron aplicados en una investigación de evaluación del Seguro Público de Salud de Provincia de Buenos Aires, Argentina. Ello permitió valorar su utilidad como herramienta para sistematizar la complejidad social, política e institucional de los procesos de formulación e implementación de las políticas de salud.Reports in Public HealthCadernos de Saúde Pública2006-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2718Reports in Public Health; Vol. 22 No. 13 (2006): Supplement 1Cadernos de Saúde Pública; v. 22 n. 13 (2006): Suplemento 11678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZspahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2718/5463https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2718/5464Hufty, MarcBáscolo, ErnestoBazzani, Robertoinfo:eu-repo/semantics/openAccess2024-03-06T15:27:12Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/2718Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:03:10.204070Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Gobernanza en salud: un aporte conceptual y analítico para la investigación |
title |
Gobernanza en salud: un aporte conceptual y analítico para la investigación |
spellingShingle |
Gobernanza en salud: un aporte conceptual y analítico para la investigación Hufty, Marc Servicios de Salud Políticas Públicas de Salud Seguridad Social Programas de Gobierno |
title_short |
Gobernanza en salud: un aporte conceptual y analítico para la investigación |
title_full |
Gobernanza en salud: un aporte conceptual y analítico para la investigación |
title_fullStr |
Gobernanza en salud: un aporte conceptual y analítico para la investigación |
title_full_unstemmed |
Gobernanza en salud: un aporte conceptual y analítico para la investigación |
title_sort |
Gobernanza en salud: un aporte conceptual y analítico para la investigación |
author |
Hufty, Marc |
author_facet |
Hufty, Marc Báscolo, Ernesto Bazzani, Roberto |
author_role |
author |
author2 |
Báscolo, Ernesto Bazzani, Roberto |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Hufty, Marc Báscolo, Ernesto Bazzani, Roberto |
dc.subject.por.fl_str_mv |
Servicios de Salud Políticas Públicas de Salud Seguridad Social Programas de Gobierno |
topic |
Servicios de Salud Políticas Públicas de Salud Seguridad Social Programas de Gobierno |
description |
In the Latin American region there is a notable absence of conceptual coherency in the use of the terms governability and governance. This is true for their application to both the social and political sciences and health. Researchers' understanding of governance varies, and the concept is used heterogeneously within academic circles, with ignorance of the term on the part of decision-makers and great confusion and ambiguity in the meanings used by researchers and decision-makers in the health sector. Instead of the prevailing normative use, promoted by most international agencies, a conceptual and analytical framework for governance is proposed here for health systems and services research. Advances in the design of this framework were used to evaluate the public health insurance program in Buenos Aires, Argentina, which allowed the use of the analytical framework to be assessed as a tool for systemizing the social, political, and institutional complexity of the health policy formulation and implementation processes. |
publishDate |
2006 |
dc.date.none.fl_str_mv |
2006-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2718 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2718 |
dc.language.iso.fl_str_mv |
spa |
language |
spa |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2718/5463 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2718/5464 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 22 No. 13 (2006): Supplement 1 Cadernos de Saúde Pública; v. 22 n. 13 (2006): Suplemento 1 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1798943356874653696 |