Abstract
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021.
Highlights
The influence of political processes of health systems reforms based on primary health care in institutional and organizational innovations and health services performance: a case study of three municipal settings in Argentina and Bolivia / La influencia de los procesos políticos de reforma de los sistemas de salud basados en la atención primaria de salud en el rendimiento de las innovaciones y los servicios de salud institucional y organizacional: un estudio de tres casos de ajustes municipales en Argentina y Bolivia
Since the seventies Primary Health Care (PHC) initiatives have been used as tools to promote health systems reforms in the Latin American region
Theory: Drawing on an organizational institutionalism approach, we analysed the relationship between the political processes and the institutional and organizational innovations, along with the dynamics among actors having an influence on institutional and organizational structures
Summary
Since the seventies Primary Health Care (PHC) initiatives have been used as tools to promote health systems reforms in the Latin American region. Several of these reforms aimed to promote a transformation from hospital-centred, curative, medical and specialized healthcare models to models based on the development of a comprehensive primary level with a central role in coordinating person- family- and community-centred services. Many initiatives have been implemented with different objectives and results. Little attention has been paid on the underlying political processes which is a key factor for successful implementation. This work aims to analyze how the political processes of the PHC reforms influenced the institutional and organization innovation and the health services performance in three Latin American municipalities. Theory: Drawing on an organizational institutionalism approach, we analysed the relationship between the political processes and the institutional and organizational innovations, along with the dynamics among actors having an influence on institutional and organizational structures
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