Acceso usuarios
Roberto Marcelo Bernal, Valeria Bizarro
Las relaciones intergubernamentales resultan esenciales a la hora de examinar y definir los mecanismos de cooperación y de articulación entre los diferentes niveles de gobierno de un Estado federal, como es el caso argentino. En nuestro país podemos identificar dos fuertes movimientos descentralizadores de los aparatos de educación y de salud, el primero en los 70, y el segundo en los 90 del siglo pasado. Dicha descentralización se caracterizó por una escasa planificación, lo que implicó grandes complicaciones para las provincias que debieron gestionar y administrar miles de hospitales y escuelas sin una adecuada dotación de recursos, como así tampoco se tuvieron en cuenta mecanismos y agencias encargadas de coordinar esta trascendental reforma estatal. El principal objetivo de este trabajo es describir y analizar las relaciones intergubernamentales (RIGS) existentes en materia de políticas de salud en el eje Nación - provincias, sus principales características y las debilidades identificadas, con un anclaje específico en el caso de la Provincia de Córdoba. Para ello, se analizarán normas, instituciones y mecanismos de coordinación existentes en políticas de salud entre los gobiernos nacional y provinciales, con un especial acento en el caso de la Provincia de Córdoba.
Intergovernmental relations are essential when analyzing and defining the mechanisms of cooperation and articulation between the different levels of government of a federal State, such as the Argentine case. In our country there were two strong decentralizing movements of education and health apparatuses, the first in the 70s, and the second in the 90s of the last century. The main characteristic of this decentralization was a poor planning, which resulted in complications for the provinces that received thousands of hospitals and schools without adequate resources, as well as mechanisms and agencies in charge of coordinating this transcendental state reform. This paper specifically analyzes norms, institutions and mechanisms of coordination existing in health policies between the national and provincial governments, with a special accent in the case of the Province of Córdoba.
Intergovernmental relations are essential when analyzing and defining the mechanisms of cooperation and articulation between the different levels of government of a federal State, such as the Argentine case. In our country there were two strong decentralizing movements of education and health apparatuses, the first in the 70s, and the second in the 90s of the last century. The main characteristic of this decentralization was a poor planning, which resulted in complications for the provinces that received thousands of hospitals and schools without adequate resources, as well as mechanisms and agencies in charge of coordinating this transcendental state reform. This paper specifically analyzes norms, institutions and mechanisms of coordination existing in health policies between the national and provincial governments, with a special accent in the case of the Province of Córdoba.
