AGNET and Judicialization in Health in Argentina
Autor: | Martín Zambrano, Jorge Nicolás Lafferrière, Andrés Freiberg |
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Rok vydání: | 2019 |
Předmět: |
Right to health
Transparency (market) business.industry 030503 health policy & services Health Policy media_common.quotation_subject Economics Econometrics and Finance (miscellaneous) Counterintuitive Public administration Social value orientations Scarcity 03 medical and health sciences 0302 clinical medicine Political science Health care 030212 general & internal medicine Suspect 0305 other medical science business Pharmacology Toxicology and Pharmaceutics (miscellaneous) Health policy media_common |
Zdroj: | Value in Health Regional Issues. 20:36-40 |
ISSN: | 2212-1099 |
DOI: | 10.1016/j.vhri.2018.11.003 |
Popis: | Argentina considers its first National HTA Agency (AGNET) amidst expectations that it would stop "the scourge of judicialization". We suspect this argument is counterintuitive: the creation of HTA Agencies, or Health Benefits Packages in the Region, whatever their breadth, have so far failed to contain judicialisation by themselves. We discuss that judicialization thrives not only because of the laws of the land, but also because the design and creation of these technical Agencies, informing benefits lists, has been largely divorced from the more difficult task of seeking system-wide priority-setting (PS) processes and institutions, capable of eliciting the social values on which difficult coverage decisions should rest. We propose that, in order for explicit PS to gain a foothold in Argentina, a social "agreement on scarcity" has to be built first, consciously and openly, by (a) seeking more transparency in the way healthcare is financed across sub-sectors, with public access to auditable data; and (b) debating optimal levels of satisfaction of individual right to health, as rights of access, within the inevitable distributive conflict of a collective right to health and access, and never in isolation. |
Databáze: | OpenAIRE |
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