Resumo

CHIARA, Magdalena. Paradojas de la descentralización en salud en el Gran Buenos Aires, Argentina: Derroteros de la Construcción de política Sanitaria en un Escenario Local. Postdata [online]. 2012, vol.17, n.2, pp.199-236. ISSN 1851-9601.

The paths followed by the decentralization and its outcomes have varied according to contexts. In the health sector, the relationship between sub-sectors, the financing problem and the challenge of keeping the logic of "system", were issues that challenged particularly to the experiences that resulted from the decentralization process. This article focuses on health policy in a municipality of Buenos Aires (Malvinas Argentinas) in the period from the start of the crisis 2001 to 2007, when it seems to have consolidated a local model based on the development of the second level health care and high complexity, which shows the margins of local-level action since decentralization. With features that approaches the nineties, the route taken by the municipal management shows flexibility and autonomy to adapt to changing contexts and skipping the local jurisdiction's own borders in the public sector.

Palavras-chave : Health policy; Descentralization; Local government; Health services accessibility; Social policy.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )