Controlling female cancer in Argentina. Divergent initiatives and the road to fragmentation
Dynamis (Granada)
; 34(1): 73-100, 2014.
Article
em En
| HISA
| ID: his-34152
Biblioteca responsável:
BR1273.1
Localização: BR1273.1
ABSTRACT
This article analyses the organisation of cancer control in Argentina, with a special focus on the initiatives, institutions, and models that targeted female or gynaecological cancers. It identifies and examines the main factors in the process of elaborating a national policy to control the disease drawing on a series of actors and instruments such as the state, medical professionals, institutions and services, and the use of technology (notably diagnostic tools) for the detection of the disease. It traces the developments in the organisation high lightingits transformations from a centralising to a decentralised model of service provision. Using the concept of «path-dependence» the article examines the continuities and changes observed in the organisation of female cancer critically signalling the particular time at which a path was taken where «fragmentation» became consolidated within the health system. It also argues that it was within the field of cancer diagnosis that Argentinian doctors first sought to create the foundational structures of cancer organisation. The article contends that thepath-dependence analytical approach helps us acknowledge the importance of historical analysis in the identification of factors that led to the lack of service coordination, including the persistent strain between national/provincial states that hampered the development of comprehensive programmes, aspects that have continued to mark efforts in the elaboration of cancer policies to the present day. (AU)
Texto completo:
1
Coleções:
05-specialized
Base de dados:
HISA
Assunto principal:
Mulheres
/
Saúde Pública
/
Hospitais Especializados
/
Neoplasias
Tipo de estudo:
Prognostic_studies
Aspecto:
Determinantes_sociais_saude
País/Região como assunto:
America do sul
/
Argentina
Idioma:
En
Revista:
Dynamis (Granada)
Ano de publicação:
2014
Tipo de documento:
Article