Objectives: To analyze the changes produced after neo-liberal reforms in public services in Argentinean structure and organization of the work, as well as its effect on labor and social relations in the National Clinical Hospital

Alvarez, C

Carri, P

Giacone, M

Machado, A

English

University of New Mexico

University of New Mexico
UNM Digital Repository
English Latin American Social Medicine
12-3-2008
Health Reform and its Impact on Workers in this
Sector: the Case of the National Clinical Hospital
in Cordoba, Argentina
A Machado
M Giacone
C Alvarez
P Carri
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Recommended Citation
Machado, A; M Giacone; C Alvarez; and P Carri. "Health Reform and its Impact on Workers in this Sector: the Case of the National
Clinical Hospital in Cordoba, Argentina." (2008). https://digitalrepository.unm.edu/lasm_cucs_en/120
DOCUMENT CUCS # 29B 
 
RMS20072(4)Machado-Giacone-Álvarez-Carrí 
 
Machado A, Giacone M, Álvarez C, Carri P. La reforma de la salud y su 
impacto en los trabajadores del sector: el caso Hospital Nacional de 
Clínicas de Córdoba, Argentina. [Health Reform and its Impact on Workers 
in this Sector: the Case of the National Clinical Hospital in Cordoba, 
Argentina]. Revista Medicina Social (Montevideo, Uruguay) 2007 octubre; 
2(4):173-182. 
Objectives: To analyze the changes produced after neo-liberal reforms in public 
services in Argentinean structure and organization of the work, as well as its 
effect on labor and social relations in the National Clinical Hospital. 
Methodology: In depth interviews, questionnaires, and participant observation. 
Results: The authors describe the way neo-liberal reforms introduced 
management mechanisms and processes of privatization into the public hospitals 
in Argentina, converting them into self-managed public hospitals. The authors 
indicate that the self-management in the hospitals has diverted into self-financing 
which provokes, among other things, the loss of free services. The authors 
indicate that only two percent of people who were attended for free before the 
reforms still received free services. Upon investigating the labor conditions, the 
economic situation, and the political participation of unions, the authors found 
that tension and distrust is on the rise among workers in self-managed 
workspaces. The authors denounce political “clientelism” and favortism as 
common practices between health personnel, addressed to increasing salaries or 
rewarding personal favors. As far as the political participation of workers’ unions 
and their practices for resolving labor conflicts, silence predominates or no 
response is provided to the questions and actions of individuals. 
Conclusions: The authors conclude that self-managed hospitals, backed by the 
neo-liberal reforms to the health systems, cause harmful effects to the workers at 
the National Clinical Hospital and this involves the systematic deterioration of 
what is public, privileging individualism and the market values. 
 


Health Reform and its Impact on Workers in this Sector: the Case of the National Clinical Hospital in Cordoba, Argentina

https://digitalrepository.unm.edu/cgi/viewcontent.cgi?article=1119&amp;context=lasm_cucs_en

Health Reform and its Impact on Workers in this Sector: the Case of the National Clinical Hospital in Cordoba, Argentina

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