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Este Sitio Web es una iniciativa del Instituto de la Salud "Juan Lazarte" de Rosario, Argentina, que brinda información acerca de los avances y resultados parciales de los Proyectos de Investigación que participan en la Convocatoria "Estrategias de Extensión de la Protección en Salud" llevada a cabo por la Organización Panamericana de la Salud (OPS) y el Centro Internacional de Investigaciones para el Desarrollo de Canadá (IDRC) durante el período 2003-2006, para la región de Latinoamérica y el Caribe.
La Organización Panamericana de la Salud (OPS) es un organismo internacional de salud pública con 100 años de experiencia dedicados a mejorar la salud y las condiciones de vida de los pueblos de las Américas. Goza de reconocimiento internacional como parte del Sistema de las Naciones Unidas, y actúa como Oficina Regional para las Américas de la Organización Mundial de la Salud.
El Centro Internacional de Investigaciones para el Desarrollo (IDRC), es una agencia gubernamental canadiense que brinda apoyo técnico y financiero para la realización de investigaciones en países en desarrollo y promueve iniciativas que construyan y fortalezcan las capacidades locales para investigar y crear innovaciones tendientes a alcanzar mejores condiciones de equidad.
Además de los reportes periódicos de las investigaciones que participan en esta convocatoria, en esta página podrá encontrar bibliografía recomendada, enlaces de interés, e información actualizada acerca de los siguientes temas:
Gobernanza y Equidad en Salud
Interfase Investigadores-Decisores
Protección Social en Salud
This Web Site is an initiative of the Health Institute "Juan Lazarte" from Rosario, Argentina, that provides information related to preliminary results and findings of the five Research Projects selected during 2003 by the Panamerican Health Organization (PAHO) and the International Development Research Centre from Canada (IDRC) in the Research Program “Strategies to Extend Social Protection in Health” for the Latin America an Caribbean region (LAC).
The Pan American Health Organization (PAHO) is an international public health agency with 100 years of experience in working to improve health and living standards of the countries of the Americas. It serves as the specialized organization for health of the Inter-American System.
The International Development Research Centre (IDRC) is a Canadian public corporation that works in close collaboration with researchers from the developing world in their search for the means to build healthier, more equitable, and more prosperous societies.
Tis page also presents recommended bibliography, links, discussions and debates, referred to the followwing issues:
Governance and Equity in Health
Interaction between Research and making-decision processes.
Social Protection in Health
Resumen
Este articulo analiza el proceso de interaccion entre el equipo de investigacion del Instituto de la Salud Juan Lazarte y el equipo de gestion del Seguro Publico de Salud (SPS) de la Provincia de Buenos Aires, Argentina, durante el diseño y desarrollo de la investigacion‚ Analisis de las Capacidades Institucionales y Evaluacion de Desempeño del SPS. Dada la existencia de distintos espacios de interaccion entre el equipo de gestion del SPS y el equipo de investigacion, su relacion es caracterizada como una aplicacion del Analisis del modelo de interaccion, desde una perspectiva transdiciplinaria. Este abordaje promueve interfases que permiten el desarrollo de procesos de negociacioin y colaboracion entre las comunidades cientificas y politicas. La aplicacion de este modelo de interaccion desencadeno cambios en el marco conceptual y metodologico, y sobre aspectos sustantivos del proceso de implementacion del Seguro Publico de Salud Materno Infantil.
Abstract
This article analyzes the process of interaction between the Instituto de la Salud Juan Lazarte research team and the Buenos Aires Public Health Insurance (PHI) management team during the design and development of the study titled PHI Institutional Capability Analysis and Performance Evaluation, currently underway. From a cross-disciplinary perspective, examining different
areas of interaction between the SPS management team and the research team, the relationship is characterized as an application of the interaction model. This approach promotes the construction of interfaces that allow the development of negotiation and collaboration between the scientific and political communities. Application of this model has produced changes in the
conceptual and methodological framework and in substantive issues during implementation of the SPSMI.
Resumen
A pesar del debate academico acerca de la utilizacion de los resultados de las investigaciones en el proceso de formacion de politicas publicas en salud, existe consenso sobre la relevancia del tema y la necesidad de analizar experiencias que ayuden a clarificar aspectos todavia confusos. Este articulo presenta la experiencia de trabajo conjunto entre investigadores academicos y tomadores de decision, politicos en salud del nivel regional y local. El estudio establecio las condiciones socioeconomicas, el ciclo empleo-desempleo y las caracteristicas del aseguramiento en salud de los trabajadores cesantes en el Area Metropolitana del Valle de Aburra (Antioquia, Colombia) en el año 2005. Con base en los resultados se elaboro una propuesta de intervencion que busca garantizar la sostenibilidad de su aseguramiento en salud y de sus familias. Se analizan las potencialidades y dificultades del proceso de interaccion y se discute la influencia que pueden tener los resultados de la investigacion en la formacion de politicas publicas en salud, como tambien las dificultades que impone la realidad concreta y el proceso politico para la implementacion de la innovacion propuesta.
Abstract
In recent decades there has been an important academic debate on how to transfer research-based knowledge to the health policy-making process. Despite an intensive controversy and various approaches to the problem, there is basic consensus concerning both the academic relevance and the usefulness of further evaluation of concrete experiences that allow conclusions and clarification of what are still confusing issues. The current article discusses a joint research experience by professors and local and regional health policy-makers. The research focused on the socioeconomic conditions, duration of the employment/unemployment cycle, and features of health insurance for workers that lost their jobs in the Greater Metropolitan Valle de Aburra Area (Antioquia, Colombia) in 2005, as the basis for a proposal to guarantee the maintenance of health insurance for these workers. The potentialities and difficulties of the interactive process are analyzed. The article is also intended to elucidate how scientific outcomes influence policymaking in health, as well as the difficulties imposed by concrete reality and the political process for implementing the innovative proposal.
Abstract
This paper discusses the experiences and conceptual and theoretical lessons learned during interaction between researchers, policy-makers, program beneficiaries, and other actors in a research project on social protection, health, and forced displacement in Bogotá, Colombia. The article begins by presenting the methodological approach and a description of interaction between various actors. This experience provides the basis for a conceptual discussion on the
factors and determinants of research use. The article also highlights the need for taking an epistemological view beyond the positivist and rationalist underpinnings of the dominant explanations concerning interaction between researchers and decision-makers.
Resumen
El objetivo de este ensayo es mostrar la experiencia, enseñanzas conceptuales y teóricas del proceso de interacción vivido entre investigadores, tomadores de
decisiones y otros actores en el marco del proyecto sobre protección social, salud y desplazamiento forzado en Bogotá, Colombia. Inicia con la presentación de los elementos centrales del enfoque de investigación-intervención, describe la interacción en el proyecto y muestra que el uso de las evidencias es un proceso que compromete a diversos actores. A partir de la experiencia, plantea una discusión conceptual sobre los factores y determinantes del uso de resultados. Muestra la necesidad de asumir una postura epistemológica sobre
la investigación y la formulación de políticas que supere las limitaciones de los enfoques positivistas, así como de los actores racionales, que hasta ahora han
dominado la explicación de la interacción entre investigadores y tomadores de decisiones.
Abstract
In developing a proposal for the study of the effect of user fees on access to preventive care, a team, comprising researchers and policy-makers, initiated interaction with key policy implementers in the Jamaica’s Ministry of Health to ensure that their perspectives were considered at the preliminary stage. There were many pressing events occupying the minds and energies of the implementers, but the team was able to capitalize on existing good relationships to capture attention. In the interviews that followed, agreement was reached on the necessity for the study, its focus and methodology. The process of consultation achieved notable successes and can be regarded as a model for successful research and policy interaction.
Resumo
Diante da proposta de cobrança aos usuários de atendimentos preventivos (defendida pelos implementadores de políticas-chave do Ministério da Saúde da Ja-maica), uma equipe de pesquisadores e formuladores de políticas apresentou um projeto de pesquisa visando a estudar os efeitos dessa cobrança de honorários pagos diretamente, e solicitaram ainda que os achados
do estudo fossem considerados nesta fase preliminar. Embora a agenda do Ministério da Saúde fosse permeada de muitas questões prementes, a equipe de pesquisa conseguiu potencializar as relações produtivas pre-existentes
e garantir espaço na agenda do Ministério da Saúde. As negociações levaram a um consenso sobre a necessidade do estudo, seu enfoque e metodologia. O
processo de consulta alcançou sucessos notáveis e pode ser considerado um modelo para a interação bem-sucedida entre pesquisa e política.
Abstract
This article analyzes the experience of the relationship between researchers and decision-makers in a study based on the hypothesis that this relationship would favor the incorporation of research results in health policy implementation. The attempt was made to identify elements that affect the relationship according to different policy and research phases, with an emphasis on the appropriation of the results by the decision-makers. It was shown that this research model per se does not guarantee the incorporation of the results, since variables related to the political/institutional context, the decision-makers’ profile, and the forms of relationship played a preponderant role in this case. In
research oriented towards decision-making, the use of the results depends on the decision-making timing, the capacity for dialogue, the policy’s institutionality, and the decision-makers’ place in the overall political context.
Resumo
O artigo analisa a experiência de relação entre investigadores e decisores em uma pesquisa que partiu da hipótese de que tal relação favoreceria a incorporação dos resultados da pesquisa na condução da política de saúde. Buscou-se identificar os elementos que interferem na relação segundo as diferentes fases da política e da pesquisa, com ênfase na apropriação dos resultados pelos decisores. Evidenciou-se que esse modelo de pesquisa não garante por si a incorporação dos resultados da investigação, porque variáveis relacionadas ao contexto político-institucional, ao perfil dos decisores e às
formas de relacionamento exerceram um papel preponderante nesse caso. Em pesquisas orientadas para a decisão, o uso dos resultados depende dos tempos do processo decisório, da capacidade de diálogo, da institucionalidade da política e da forma como os decisores se inserem no contexto político mais geral.