Abstract
This paper analyses the story behind the implementation of the successful Chilean health policies by the National Health Service (NHS), between 1952 and 1973, a period distinguished by the expanded coverage of social benefits, the improvement of quality of life indicators and a tendency to universalise assistance among the Chilean population. The analysis has been centred on the work performed by social workers so as to examine an aspect that has been under-addressed by historiography about the State, a perspective that consists in exploring the performance of those bureaucracies in charge of implementing social policies, to discover the strains, contradictions and arrangements involved in building the State’s actions, beyond its objectives and goals. As professionals in close contact with the people, social workers endured the burden of the everyday work around social policies, and contributed in legitimising the Service, as well as bringing out existing disputes among the health teams and the critical situation of the stiff bureaucratic structure. Keywords : Welfare State, Chile, social workers, implementation, health policy.
Highlights
Este é um artigo de acesso aberto, licenciado por Creative Commons Atribuição 4.0 Internacional (CC BY 4.0), sendo permitidas reprodução, adaptação e distribuição desde que o autor e a fonte originais sejam creditados
This paper analyses the story behind the implementation of the successful Chilean health policies by the National Health Service (NHS), between 1952 and 1973, a period distinguished by the expanded coverage of social benefits, the improvement of quality of life indicators and a tendency to universalise assistance among the Chilean population
The analysis has been centred on the work performed by social workers so as to examine an aspect that has been under-addressed by historiography about the State, a perspective that consists in exploring the performance of those bureaucracies in charge of implementing social policies, to discover the strains, contradictions and arrangements involved in building the State’s actions, beyond its objectives and goals
Summary
Un examen detallado del trabajo de las profesionales permite indagar en aspectos específicos de la implementación de la política sanitaria, dando cuenta de un trabajo diferenciado a partir de su inserción en distintas instituciones del Servicio. El año 1963 el SNS organizó una intervención piloto, gida a mujeres pobladoras, por ser el programa de salud a cargo del Departamento de Servicio Social, para crear materno-infantil la política sanitaria más importante del un jardín infantil que cuidara a niños pobres del sector SNS y dado que ellas parecían ser mejores receptoras y aledaño al Consultorio N°1 en Santiago. La Tabla 3 exhibe los resultados de una encuesta aplicada el año 1966 a cinco zonas de salud y muestra que la insatisfacción de las asistentes sociales crecía en relación directa con el mayor nivel jerárquico del cual dependían. Entrevistas y consultas Actividades en Terreno (visitas domiciliarias y trámites externos, incluyendo tiempo de desplazamiento) Educación de Grupos (reuniones, clubes, centros, comités) Supervisión Reuniones Técnicas y Administrativas En Administración
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