7 research outputs found
Sistemas de Información en Salud: de sistemas cerrados a la ciudadanÃa social. Un desafÃo en la reducción de desigualdades en la gestión local Health Information Systems: from closed systems to social citizenship. A challenge for the reduction of inequalities in local management
La forma tradicional de concepción de los Sistemas de Información en Salud (SIS) presenta innúmeros problemas en dar soporte a la gestión local orientada a la reducción de desigualdades en salud. ¿Cómo diseñar un SIS en el nivel local y cuáles serÃan sus caracterÃsticas? Entendemos a los SIS como sistemas abiertos, complejos y en los que somos parte constitutiva de los mismos. La hipótesis es que un SIS que dé soporte a la gestión local debe ser concebido como un conjunto procesual de elementos formado por dato, información, conocimiento, comunicación y acción (DICCA). El dato es una estructura compleja constituida por cinco componentes. La información es un conjunto de datos procesados; mientras que en la producción de conocimiento existe una comprensión del fenómeno y de apropiación por parte del sujeto. La comunicación es el eje articulador de los conceptos anteriores con la acción. Las acciones estratégicas y comunicativas deben ser jerarquizadas en la gestión local. La propuesta está orientada a que los SIS den soporte a la gestión en la eliminación de desigualdades en salud y en la construcción de una sociedad de inclusión.<br>The traditional concept of health information systems (HIS) poses numerous problems when attempting to support local management orientated to the reduction of health inequalities. How does one design a local HIS, and what would its characteristics be? We view HIS as open and complex systems of which we ourselves are a part. The hypothesis is that a HIS that provides support to local management must be conceived as a set of processes including data, information, knowledge, communication, and action (DIKCA). Data constitute a complex structure with five components. Information is a set of processed data; meanwhile knowledge output involves a subject's understanding and grasp of the phenomenon. Communication links the previous concepts to action. Strategic and communicative actions should be priorities in local management. This proposal aims at management support by the HIS to eliminate health inequalities and build an inclusive society
The rise and fall of Argentina
I examine the contribution of institutional breakdowns to long-run development, drawing on Argentina's unique departure from a rich country on the eve of World War I to an underdeveloped one today. The empirical strategy is based on building a counterfactual scenario to examine the path of Argentina's long-run development in the absence of breakdowns, assuming it would follow the institutional trends in countries at parallel stages of development. Drawing on Argentina's large historical bibliography, I have identified the institutional breakdowns and coded for the period 1850-2012. The synthetic control and difference-in-differences estimates here suggest that, in the absence of institutional breakdowns, Argentina would largely have avoided the decline and joined the ranks of rich countries with an income level similar to that of New Zealand