Oncopediatric Health Service’s Network in Argentina
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Washington, DC: World Bank
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Descripción
The development of integrated health
service networks is one of the main priorities set by the
National Health Ministry of the Argentine Republic
(Ministerio de Salud, MINSAL), considering that these
networks are an effective strategy to overcome the
inefficiencies and inequities that affect the health system.
As a result, MINSAL requested the World Bank’s financial
support to design and implement a National Fund for High
Complexity Diseases (NFHCD) by means of a new loan provided
under a Program for Results scheme (PforR). As a first step
toward the design of a National Fund for High Complexity
Diseases, this paper, based on the study of childhood cancer
in Argentina, seeks to investigate the key aspects that
should be considered when planning an effective service
network for such diseases. The selection of case studies was
based on the characteristics of a high-complexity and
low-incidence specialty, with a marked specificity in
approach strategies. In addition, it is a high-cost network,
taking into account the price of treatments, which may
involve days, months, or years of hospitalization—and the
cost of the drugs required to treat such cases. The evidence
collected has allowed us to shed light on the critical
pathways patients navigate in the current oncopediatric care
structure. First, the family is the one that identifies the
child's first symptoms and therefore approaches the
health care system. Second, there is a poor understanding
that both health care service providers and users have the
health network organized by levels of resolution. Another
structural challenge is the fragmentation between
subsystems, public, social security, and private health
insurance companies—resulting in different approaches and
qualities of care beyond the health need identified. A
strong interplay between national public referral hospitals
with patients with different health care coverage schemes
could contribute to reducing access gaps.
Palabras clave
GOOD HEALTH, NATIONAL FUND FOR HIGH COMPLEXITY DISEASES (NFHCD), HEALTH ACCESS, CHILD HEALTH, CHILDREN'S MEDICAL CARE, HEALTH INSURANCE CASE STUDIES