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program define conditions and base authority", "display_claim_ids": [ "display-claim:39599c0a62756d059106d06a" ], "display_source_ids": [ "display-source:ARG:a11c81e16efff906c73be8a7", "display-source:ARG:6bd6ea6f5d1bb9efbbc568fa", "display-source:ARG:1aaa113877829456386087c1", "display-source:ARG:376a551c50b00d5261080753", "display-source:ARG:9256f8573ce8c8b71bcc709b", "display-source:ARG:fe4587302c7f44aafecfe046", "display-source:ARG:ee8e4060de01f1d3f2f74747", "display-source:ARG:4acabab15266856057a67d66" ], "source_version_ids": [ "display-source-version:1fdb00afb348bc86b6d7657b", "display-source-version:525713f26827e523b94e9ae2", "display-source-version:815b056d604a151663dba553", "display-source-version:e001b62afb47c6975fb5419f", "display-source-version:66826262b31786642ba311a5", "display-source-version:f4338b990fa43fdbbe60d1cd", "display-source-version:4d9378b8b1b4cac85f3dcd14", "display-source-version:7b3f3461eb1b53d4595bb662" ], "display_evidence_object_id": "display-claim:39599c0a62756d059106d06a" } ] }, "title": "Who decides depends on the function and subsystem", "statement": "Public policy and delivery decisions are primarily provincial, national actors steward and regulate, COFESA coordinates, purchasers configure their networks, and SUMAR creates a narrower province-to-facility decision chain for incremental resources.", "citation": "Argentine Constitution, Article 121; Laws 22.373, 23.660, 23.661 and 19.032; Decree 1.615/1996; World Bank ESSA 2023; World Bank SUMAR study 2021.", "url": "https://documents1.worldbank.org/curated/en/099110101042218939/pdf/P1567900f35ff408080a7021c807b160c1.pdf", "locator": "Constitution physical page 37; current legal articles cited; World Bank ESSA physical pages 6 to 10; SUMAR physical pages 6, 10 to 13 and 49", "period": "current formal allocation with SUMAR implementation evidence through 2021", "territory": "national, provincial, municipal and purchaser-specific decision fields", 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"subnational", "display_claim_ids": [ "display-claim:2b9c539df383eedbcc97bb25" ], "display_source_ids": [ "display-source:ARG:1aaa113877829456386087c1", "display-source:ARG:376a551c50b00d5261080753", "display-source:ARG:9256f8573ce8c8b71bcc709b", "display-source:ARG:fe4587302c7f44aafecfe046", "display-source:ARG:c712315c9c247b8f207b05d1", "display-source:ARG:995d8ea791440bdc6a4ef3e0", "display-source:ARG:8f97a0ad2c1a265e0e960342", "display-source:ARG:ee8e4060de01f1d3f2f74747", "display-source:ARG:2ebf76eaecfd22eb3d596ecf" ], "source_version_ids": [ "display-source-version:815b056d604a151663dba553", "display-source-version:e001b62afb47c6975fb5419f", "display-source-version:66826262b31786642ba311a5", "display-source-version:f4338b990fa43fdbbe60d1cd", "display-source-version:5d71e92386f19104f03fbf34", "display-source-version:e1c54e98ae7ccf509bc71ad0", "display-source-version:4c08cc24dd4d19844b103993", "display-source-version:4d9378b8b1b4cac85f3dcd14", "display-source-version:aa26d1de6c4f000ca2226f4b" ], "display_evidence_object_id": "display-claim:2b9c539df383eedbcc97bb25" }, { "node_id": "arg:pp-private-insurers", "label": "Prepaid and private insurers", "family": "purchaser", "display_claim_ids": [ "display-claim:e977935aab944acc1bcfa0e8" ], "display_source_ids": [ "display-source:ARG:1aaa113877829456386087c1", "display-source:ARG:376a551c50b00d5261080753", "display-source:ARG:9256f8573ce8c8b71bcc709b", "display-source:ARG:fe4587302c7f44aafecfe046", "display-source:ARG:c712315c9c247b8f207b05d1", "display-source:ARG:995d8ea791440bdc6a4ef3e0", "display-source:ARG:8f97a0ad2c1a265e0e960342", "display-source:ARG:ee8e4060de01f1d3f2f74747", "display-source:ARG:2ebf76eaecfd22eb3d596ecf" ], "source_version_ids": [ "display-source-version:815b056d604a151663dba553", "display-source-version:e001b62afb47c6975fb5419f", "display-source-version:66826262b31786642ba311a5", "display-source-version:f4338b990fa43fdbbe60d1cd", 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"display_evidence_object_id": "display-claim:8268cbd11a86f92ac2e7260b" }, { "source_node_id": "arg:sss", "target_node_id": "arg:obras", "relationship": "regulates national-regime agents and contracts", "relationship_family": "regulation", "display_claim_ids": [ "display-claim:76563e5f6451b4d0e1109b6a" ], "display_source_ids": [ "display-source:ARG:1aaa113877829456386087c1", "display-source:ARG:376a551c50b00d5261080753", "display-source:ARG:9256f8573ce8c8b71bcc709b", "display-source:ARG:fe4587302c7f44aafecfe046", "display-source:ARG:c712315c9c247b8f207b05d1", "display-source:ARG:995d8ea791440bdc6a4ef3e0", "display-source:ARG:8f97a0ad2c1a265e0e960342", "display-source:ARG:ee8e4060de01f1d3f2f74747", "display-source:ARG:2ebf76eaecfd22eb3d596ecf" ], "source_version_ids": [ "display-source-version:815b056d604a151663dba553", "display-source-version:e001b62afb47c6975fb5419f", "display-source-version:66826262b31786642ba311a5", "display-source-version:f4338b990fa43fdbbe60d1cd", 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"relationship_family": "purchasing", "display_claim_ids": [ "display-claim:e361c3a0db39040789dc2299" ], "display_source_ids": [ "display-source:ARG:1aaa113877829456386087c1", "display-source:ARG:376a551c50b00d5261080753", "display-source:ARG:9256f8573ce8c8b71bcc709b", "display-source:ARG:fe4587302c7f44aafecfe046", "display-source:ARG:c712315c9c247b8f207b05d1", "display-source:ARG:995d8ea791440bdc6a4ef3e0", "display-source:ARG:8f97a0ad2c1a265e0e960342", "display-source:ARG:ee8e4060de01f1d3f2f74747", "display-source:ARG:2ebf76eaecfd22eb3d596ecf" ], "source_version_ids": [ "display-source-version:815b056d604a151663dba553", "display-source-version:e001b62afb47c6975fb5419f", "display-source-version:66826262b31786642ba311a5", "display-source-version:f4338b990fa43fdbbe60d1cd", "display-source-version:5d71e92386f19104f03fbf34", "display-source-version:e1c54e98ae7ccf509bc71ad0", "display-source-version:4c08cc24dd4d19844b103993", "display-source-version:4d9378b8b1b4cac85f3dcd14", "display-source-version:aa26d1de6c4f000ca2226f4b" ], "display_evidence_object_id": "display-claim:e361c3a0db39040789dc2299" }, { "source_node_id": "arg:pami", "target_node_id": "arg:private-providers", "relationship": "contracts eligible services", "relationship_family": "purchasing", "display_claim_ids": [ "display-claim:afbb8043d5dd1000ae7b4684" ], "display_source_ids": [ "display-source:ARG:1aaa113877829456386087c1", "display-source:ARG:376a551c50b00d5261080753", "display-source:ARG:9256f8573ce8c8b71bcc709b", "display-source:ARG:fe4587302c7f44aafecfe046", "display-source:ARG:c712315c9c247b8f207b05d1", "display-source:ARG:995d8ea791440bdc6a4ef3e0", "display-source:ARG:8f97a0ad2c1a265e0e960342", "display-source:ARG:ee8e4060de01f1d3f2f74747", "display-source:ARG:2ebf76eaecfd22eb3d596ecf" ], "source_version_ids": [ "display-source-version:815b056d604a151663dba553", "display-source-version:e001b62afb47c6975fb5419f", "display-source-version:66826262b31786642ba311a5", "display-source-version:f4338b990fa43fdbbe60d1cd", "display-source-version:5d71e92386f19104f03fbf34", "display-source-version:e1c54e98ae7ccf509bc71ad0", "display-source-version:4c08cc24dd4d19844b103993", "display-source-version:4d9378b8b1b4cac85f3dcd14", "display-source-version:aa26d1de6c4f000ca2226f4b" ], "display_evidence_object_id": "display-claim:afbb8043d5dd1000ae7b4684" }, { "source_node_id": "arg:pp-private-insurers", "target_node_id": "arg:private-providers", "relationship": "contracts private networks", "relationship_family": "purchasing", "display_claim_ids": [ "display-claim:425ecd9c517dd8523f13af23" ], "display_source_ids": [ "display-source:ARG:1aaa113877829456386087c1", "display-source:ARG:376a551c50b00d5261080753", "display-source:ARG:9256f8573ce8c8b71bcc709b", "display-source:ARG:fe4587302c7f44aafecfe046", "display-source:ARG:c712315c9c247b8f207b05d1", "display-source:ARG:995d8ea791440bdc6a4ef3e0", "display-source:ARG:8f97a0ad2c1a265e0e960342", "display-source:ARG:ee8e4060de01f1d3f2f74747", "display-source:ARG:2ebf76eaecfd22eb3d596ecf" ], "source_version_ids": [ "display-source-version:815b056d604a151663dba553", "display-source-version:e001b62afb47c6975fb5419f", "display-source-version:66826262b31786642ba311a5", "display-source-version:f4338b990fa43fdbbe60d1cd", "display-source-version:5d71e92386f19104f03fbf34", "display-source-version:e1c54e98ae7ccf509bc71ad0", "display-source-version:4c08cc24dd4d19844b103993", "display-source-version:4d9378b8b1b4cac85f3dcd14", "display-source-version:aa26d1de6c4f000ca2226f4b" ], "display_evidence_object_id": "display-claim:425ecd9c517dd8523f13af23" }, { "source_node_id": "arg:pp-public-providers", "target_node_id": "arg:pp-population", "relationship": "provide public care", "relationship_family": "operations", "display_claim_ids": [ "display-claim:bcc77cfe8cc6673c9bb316be" ], "display_source_ids": [ "display-source:ARG:1aaa113877829456386087c1", "display-source:ARG:376a551c50b00d5261080753", "display-source:ARG:9256f8573ce8c8b71bcc709b", "display-source:ARG:fe4587302c7f44aafecfe046", "display-source:ARG:c712315c9c247b8f207b05d1", "display-source:ARG:995d8ea791440bdc6a4ef3e0", "display-source:ARG:8f97a0ad2c1a265e0e960342", "display-source:ARG:ee8e4060de01f1d3f2f74747", "display-source:ARG:2ebf76eaecfd22eb3d596ecf" ], "source_version_ids": [ "display-source-version:815b056d604a151663dba553", "display-source-version:e001b62afb47c6975fb5419f", "display-source-version:66826262b31786642ba311a5", "display-source-version:f4338b990fa43fdbbe60d1cd", "display-source-version:5d71e92386f19104f03fbf34", "display-source-version:e1c54e98ae7ccf509bc71ad0", "display-source-version:4c08cc24dd4d19844b103993", "display-source-version:4d9378b8b1b4cac85f3dcd14", "display-source-version:aa26d1de6c4f000ca2226f4b" ], "display_evidence_object_id": "display-claim:bcc77cfe8cc6673c9bb316be" }, { "source_node_id": "arg:private-providers", "target_node_id": "arg:pp-population", "relationship": "provide insured or directly paid care", "relationship_family": "operations", "display_claim_ids": [ "display-claim:d3197bd63d53967b621067c0" ], "display_source_ids": [ "display-source:ARG:1aaa113877829456386087c1", "display-source:ARG:376a551c50b00d5261080753", "display-source:ARG:9256f8573ce8c8b71bcc709b", "display-source:ARG:fe4587302c7f44aafecfe046", "display-source:ARG:c712315c9c247b8f207b05d1", "display-source:ARG:995d8ea791440bdc6a4ef3e0", "display-source:ARG:8f97a0ad2c1a265e0e960342", "display-source:ARG:ee8e4060de01f1d3f2f74747", "display-source:ARG:2ebf76eaecfd22eb3d596ecf" ], "source_version_ids": [ "display-source-version:815b056d604a151663dba553", "display-source-version:e001b62afb47c6975fb5419f", "display-source-version:66826262b31786642ba311a5", "display-source-version:f4338b990fa43fdbbe60d1cd", "display-source-version:5d71e92386f19104f03fbf34", "display-source-version:e1c54e98ae7ccf509bc71ad0", "display-source-version:4c08cc24dd4d19844b103993", "display-source-version:4d9378b8b1b4cac85f3dcd14", "display-source-version:aa26d1de6c4f000ca2226f4b" ], "display_evidence_object_id": "display-claim:d3197bd63d53967b621067c0" } ] }, "title": "Public, social-insurance and private branches overlap", "statement": "Argentina is not a simple public-private split. Public jurisdictions deliver care, many insurance agents contract public and private networks, and people can cross subsystem boundaries. Coverage, facility origin and utilization remain distinct measures.", "citation": "Laws 23.660, 23.661 and 19.032; Decree 1.615/1996; REFES 2025; INDEC 2022 Census; OECD 2022; World Bank ESSA 2023; Yavich et al. 2016.", "url": "https://www.indec.gob.ar/ftp/cuadros/poblacion/censo2022_salud_prevision_social.pdf", "locator": "Current insurance-law articles; REFES financing-origin field; INDEC physical page 8; OECD physical pages 62 to 63; ESSA physical pages 6 to 10; Yavich Results", "period": "current architecture with quantitative context from 2016, 2022 and 2025", "territory": "national architecture, with Rosario evidence clearly marked local", "evidence_mode_candidate": "reported", "verification_source_layer": "review_literature", "coverage_domains": [ "actors", "ownership", "decision_rights", "primary_care", "hospital_organization", "observed_referral", "networks", "facility_data", "utilization", "patient_flows", "governance", "market_structure", "authoritative_review" ], "review_requirements": [ "Never turn the combined obra social and prepaid census category or REFES establishment origins into a utilization share." ], "boundaries": [ "Coverage, establishment origin and Rosario usual-source results use different populations and denominators and cannot be combined as a national market share." ], "source_references": [ { "title": "Law 23.660 on Obras Sociales", "citation": "Argentine Republic. 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Supporting Effective Universal Health Coverage in Argentina, P163345: Implementation Completion and Results Report. 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Argentina - Provincial Maternal-Child Health Sector Investment Project; and Brazil - Family Health Extension Adaptable Lending Project. 2011. https://documents1.worldbank.org/curated/en/530711468218383347/pdf/625710PPAR00Ar0e0only0900BOX361497B.pdf", "country_ids": [ "ARG" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": "14 Effect on Sectoral Governance Monitoring and Evaluation 18 Sustainability of Reforms", "institution": null, "locator": { "physical_pdf_page": 3, "source_word_anchor": "14 Effect on Sectoral Governance Monitoring and Evaluation 18 Sustainability of Reforms", "source_word_count": 12 }, "material_id": "material:7b7bb6f4c2dd9bcdc71ab5f3", "notes": [], "origin": "global-corpus-excerpt-queue", "period": null, "publication_date": null, "publication_year": 2011, "record_kind": "corpus_page_anchor", "record_kind_label": "Corpus Page Anchor", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "0fcb78fcc882170041735c7365081624c3be7101d00b21aadbe3d48d7699aa40", "page_count": 117, "text_sha256": "a0f387567442c16351fafe3b153d1553e2500589118ffa38dd6210f2cd30e18b" }, "statement": null, "tags": [ "control_knob:organization", "language:en", "source:World Bank Documents and Reports", "source_layer:global_literature" ], "territory": null, "title": "Argentina - Provincial Maternal-Child Health Sector Adjustment Loan Project; Argentina - Provincial Maternal-Child Health Sector Investment Project; and Brazil - Family Health Extension Adaptable Lending Project", "urls": [ { "kind": "stable_source_url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/530711468218383347/pdf/625710PPAR00Ar0e0only0900BOX361497B.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "National Institute of Statistics and Censuses. 2022 National Census: Health Coverage and Social Security. Buenos Aires: INDEC; 2024. https://www.indec.gob.ar/ftp/cuadros/poblacion/censo2022_salud_prevision_social.pdf", "country_ids": [ "ARG" ], "coverage_domains": [ "hospital_organization", "market_structure", "ownership", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "personas con solo sistema público", "institution": "National Institute of Statistics and Censuses", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "personas con solo sistema público", "source_word_count": 5 }, "material_id": "material:569773795abe4c95e9b6115d", "notes": [ "The combined obra social and prepaid category cannot produce separate social-insurance and private shares, and coverage is not utilization." ], "origin": "country-evidence-improvement-sources", "period": "2022 census reference date", "publication_date": null, "publication_year": 2024, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "e651f60a0eba296d6254e78b3f169654a9e833df52d405360646059a52fa56e5", "page_count": 43, "response_sha256": "e651f60a0eba296d6254e78b3f169654a9e833df52d405360646059a52fa56e5" }, "statement": "Among 45,618,787 people in private dwellings, 60.9 percent reported obra social or prepaid coverage including PAMI, 3.3 percent a state plan, and 35.8 percent only the public system.", "tags": [], "territory": "people in private dwellings across Argentina", "title": "2022 National Census: health coverage and social security", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.indec.gob.ar/ftp/cuadros/poblacion/censo2022_salud_prevision_social.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Argentina Ministry of Health and Pan American Health Organization. Basic Indicators Argentina 2023. Buenos Aires; 2023. https://www.argentina.gob.ar/sites/default/files/indicadores-basicos_2023-web.pdf", "country_ids": [ "ARG" ], "coverage_domains": [ "facility_data", "governance", "hospital_organization", "market_structure", "ownership", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Número total de camas habilitadas", "institution": "Argentina Ministry of Health and Pan American Health Organization", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "Número total de camas habilitadas", "source_word_count": 5 }, "material_id": "material:c3d185af982318a62ce4d897", "notes": [ "Licensed beds are not staffed or available beds, and facilities without inpatient care are not synonymous with primary care." ], "origin": "country-evidence-improvement-sources", "period": "2022 REFES resource indicators published in 2023", "publication_date": null, "publication_year": 2023, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "aa7bba50611378b9c8aef7afe882a792a8f33aee1f3e50faa07d03d14c8e03b9", "page_count": 20, "response_sha256": "aa7bba50611378b9c8aef7afe882a792a8f33aee1f3e50faa07d03d14c8e03b9" }, "statement": "The official tabulation reports 168,293 licensed beds, 3,621 facilities with inpatient care and 30,063 without inpatient care across all subsectors in 2022.", "tags": [], "territory": "Argentina and 24 jurisdictions", "title": "Basic Indicators Argentina 2023", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.argentina.gob.ar/sites/default/files/indicadores-basicos_2023-web.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Argentine Republic. Constitution of the Argentine Nation, Law 24.430. Official consolidated text; 1994. Article 121. https://www.argentina.gob.ar/sites/default/files/constitucion.pdf", "country_ids": [ "ARG" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Las provincias conservan todo el poder no delegado", "institution": "Argentine Republic", "locator": { "locator_type": "legal_articles", "source_word_anchor": "Las provincias conservan todo el poder no delegado", "source_word_count": 8 }, "material_id": "material:9e86f66f33438bcac82fd6d8", "notes": [ "Do not interpret provincial residual powers as proof that every province organizes delivery identically." ], "origin": "country-evidence-improvement-sources", "period": "constitutional allocation in force since 1994", "publication_date": null, "publication_year": 1994, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "1353899fad7b88d0e844fae0a52018769dfeb522b67649f88d62e3805f5cb913", "page_count": 42, "response_sha256": "1353899fad7b88d0e844fae0a52018769dfeb522b67649f88d62e3805f5cb913" }, "statement": "Article 121 reserves to the provinces every power not delegated to the federal government, providing the constitutional basis for province-led public health policy, financing and delivery described in later system sources.", "tags": [], "territory": "national constitutional allocation between the federal government and 23 provinces plus the Autonomous City of Buenos Aires", "title": "Constitution of the Argentine Nation", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.argentina.gob.ar/sites/default/files/constitucion.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Puzzolo J, et al. Mecanismos de coordinación entre niveles de atención en redes municipales de Rosario, Argentina. Revista Argentina de Salud Pública. 2021;13:e64. https://rasp.msal.gov.ar/index.php/rasp/article/download/723/735", "country_ids": [ "ARG" ], "coverage_domains": [ "governance", "hospital_organization", "networks", "observed_referral", "patient_flows", "primary_care", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "la proporción que dijo que la recibía", "institution": "Revista Argentina de Salud Pública", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "la proporción que dijo que la recibía", "source_word_count": 7 }, "material_id": "material:68cc4b506c4e7a0a68c9be1c", "notes": [ "These are clinician reports in one municipal network, not matched patient referrals, national performance or a causal intervention effect." ], "origin": "country-evidence-improvement-sources", "period": "clinician surveys in 2015 and 2017, published 2021", "publication_date": null, "publication_year": 2021, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "af090ba3708c9ae611fbf3f9880624501faf45d23855ed12e59eb43b27b5a622", "page_count": 9, "response_sha256": "af090ba3708c9ae611fbf3f9880624501faf45d23855ed12e59eb43b27b5a622" }, "statement": "In the 2015 Rosario survey, 89.6 percent of primary-care physicians reported sending referral or reply forms but only 18.8 percent reported receiving them; 50.7 percent reported receipt in time for decisions.", "tags": [], "territory": "two municipal subnetworks across four districts in Rosario", "title": "Coordination mechanisms between care levels in Rosario municipal health networks", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://rasp.msal.gov.ar/index.php/rasp/article/download/723/735" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Argentine Republic. Decree 1.615 of 1996 establishing the Superintendency of Health Services. Articles 1, 2, 5, 8 and 9. https://www.argentina.gob.ar/normativa/nacional/decreto-1615-1996-41312/texto", "country_ids": [ "ARG" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "market_structure", "networks", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Superintendencia de Servicios de Salud", "institution": "Argentine Republic", "locator": { "locator_type": "legal_articles", "source_word_anchor": "Superintendencia de Servicios de Salud", "source_word_count": 5 }, "material_id": "material:943a4ebb5deaee270e40f0b7", "notes": [ "Do not depict the Superintendency as owning or operating provider facilities." ], "origin": "country-evidence-improvement-sources", "period": "decree issued 1996 and current consolidated official text retrieved 2026-08-14", "publication_date": null, "publication_year": 1996, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "bf0d643effa180aa51a576ebe3c9b0070631cacb11356645a9e3f028d73c4cdc" }, "statement": "The decree establishes the Superintendency of Health Services as the national regulator and supervisor of health-insurance agents, contracts, benefits and financial compliance rather than as a provider operator.", "tags": [], "territory": "national health-insurance and prepaid-medicine regulatory field", "title": "Decree 1.615 of 1996 establishing the Superintendency of Health Services", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.argentina.gob.ar/normativa/nacional/decreto-1615-1996-41312/texto" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Argentine Republic. Decree 172 of 2024 on agreements between health-insurance agents and public providers. Official Gazette; 21 February 2024. Articles 1 to 4. https://www.boletinoficial.gob.ar/pdf/aviso/primera/302865/20240221", "country_ids": [ "ARG" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "ownership", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "un acuerdo libre entre las partes", "institution": "Argentine Republic Official Gazette", "locator": { "locator_type": "legal_articles", "source_word_anchor": "un acuerdo libre entre las partes", "source_word_count": 6 }, "material_id": "material:c8002f0e06b9b96f28840184", "notes": [ "Do not revive the repealed Decree 939 framework or interpret a legal permission to contract as a measured contracting pattern." ], "origin": "country-evidence-improvement-sources", "period": "signed 2024-02-20 and published 2024-02-21", "publication_date": null, "publication_year": 2024, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "e5988a292b4cf55f05c43676eef88d24e6963b4e0dc111a7b5475198483d55ac", "page_count": 2, "response_sha256": "e5988a292b4cf55f05c43676eef88d24e6963b4e0dc111a7b5475198483d55ac" }, "statement": "Decree 172 allows health-insurance agents and REFES-registered public providers to make freely negotiated agreements and expressly repeals Decree 343 without reviving the earlier Decree 939 regime.", "tags": [], "territory": "national-regime insurance agents and REFES-registered public providers", "title": "Decree 172 of 2024 on public-provider agreements", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.boletinoficial.gob.ar/pdf/aviso/primera/302865/20240221" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Argentine Republic. Decree 343 of 2023 creating the Federal Public Health Establishment Care and Management System. Official Gazette; 7 July 2023. 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Environmental and Social Systems Assessment: Argentina Project to Support Effective and Universal Health Coverage and Integration of the National Health System, P179595. Washington, DC: World Bank; 2023. https://documents1.worldbank.org/curated/en/099040523112048464/pdf/P1795950bc309e0d0803f0c3d3261df4d2.pdf", "country_ids": [ "ARG" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "observed_referral", "ownership", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "three health subsystems: non-contributory public, social security and private", "institution": "World Bank", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "three health subsystems: non-contributory public, social security and private", "source_word_count": 9 }, "material_id": "material:f3af14884f10ee264ffc0ffe", "notes": [ "The assessment describes architecture and constraints; it is not an evaluation of one uniform national operating model." ], "origin": "country-evidence-improvement-sources", "period": "assessment published March 2023 using sources from 2018 through 2022", "publication_date": null, "publication_year": 2023, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "d91da7d4ec20fe275fd74ae5bcfd4d1e548a8e997ac279e7f4948347ff1ca416", "page_count": 73, "response_sha256": "d91da7d4ec20fe275fd74ae5bcfd4d1e548a8e997ac279e7f4948347ff1ca416" }, "statement": "The assessment identifies public, social-security and private subsystems, province-led and sometimes municipal delivery, roughly 300 national obras sociales, 24 provincial funds and PAMI, with fragmentation inside and between delivery networks.", "tags": [], "territory": "national architecture with provincial and municipal variation", "title": "Environmental and Social Systems Assessment for effective and universal health coverage", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/099040523112048464/pdf/P1795950bc309e0d0803f0c3d3261df4d2.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Argentina Ministry of Health. Federal Register of Health Establishments: establishments recorded in REFES, snapshot 15 December 2025. https://datos.salud.gob.ar/dataset/336cf4d9-447a-44c4-8e34-0ba1fc293d55/resource/6aa2c00e-0706-4d39-bade-95ceb271a4c6/download/establecimientos-asistenciales-asentados-registro-federal-refes-20251215.csv", "country_ids": [ "ARG" ], "coverage_domains": [ "facility_data", "governance", "hospital_organization", "market_structure", "ownership", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "establecimientos de salud con y sin internación", "institution": "Argentina Ministry of Health", "locator": { "locator_type": "csv_fields", "source_word_anchor": "establecimientos de salud con y sin internación", "source_word_count": 7 }, "material_id": "material:f32694a6ff89465d897d66ad", "notes": [ "These are regulatory-register records, not a verified census of operating facilities, staffed capacity, beds or service volume." ], "origin": "country-evidence-improvement-sources", "period": "registry snapshot dated 2025-12-15", "publication_date": null, "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/csv", "file_sha256": "b4b9894aa77c9a1dff9594152ac69514c37523edbc1facb71a4425d2e66d61c3", "response_sha256": "b4b9894aa77c9a1dff9594152ac69514c37523edbc1facb71a4425d2e66d61c3" }, "statement": "REFES contains 36,046 registered establishments, including 23,186 recorded with private financing origin, 6,939 provincial, 4,953 municipal and 254 social-security origins.", "tags": [], "territory": "24 national jurisdictions", "title": "Federal Register of Health Establishments, 15 December 2025 snapshot", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://datos.salud.gob.ar/dataset/336cf4d9-447a-44c4-8e34-0ba1fc293d55/resource/6aa2c00e-0706-4d39-bade-95ceb271a4c6/download/establecimientos-asistenciales-asentados-registro-federal-refes-20251215.csv" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Argentina Ministry of Health. REFEPS physician series, cut-off 31 December 2023. https://datos.salud.gob.ar/dataset/fd084c7f-f643-4725-930b-76c2f89b1fac/resource/c0cdd0a3-1a05-49ef-a3c3-54b8dba806e2/download/medicos-2023.csv", "country_ids": [ "ARG" ], "coverage_domains": [ "facility_data", "governance", "hospital_organization", "market_structure", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "profesionales habilitados para ejercer", "institution": "Argentina Ministry of Health", "locator": { "locator_type": "csv_fields", "source_word_anchor": "profesionales habilitados para ejercer", "source_word_count": 4 }, "material_id": "material:d9bc78a61bccb2022ecce6c4", "notes": [ "Display this as licensed people by residence, not employed clinicians, work location, clinical activity or full-time equivalents." ], "origin": "country-evidence-improvement-sources", "period": "professional registration status at 2023-12-31", "publication_date": null, "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/csv", "file_sha256": "0ad53c9718e8ec9ecfddf6121d0bb9dd3299261243822446a7453ed97473511d", "response_sha256": "0ad53c9718e8ec9ecfddf6121d0bb9dd3299261243822446a7453ed97473511d" }, "statement": "Summing the published REFEPS strata gives 231,737 physicians who were alive and held at least one active professional registration at the end of 2023.", "tags": [], "territory": "24 jurisdictions, classified by residence", "title": "Federal Register of Health Professionals physician series, 2023", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://datos.salud.gob.ar/dataset/fd084c7f-f643-4725-930b-76c2f89b1fac/resource/c0cdd0a3-1a05-49ef-a3c3-54b8dba806e2/download/medicos-2023.csv" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. Supporting Effective Universal Health Coverage in Argentina, P163345: Implementation Completion and Results Report. Washington, DC: World Bank; 2025. https://documents1.worldbank.org/curated/en/099120325081026335/pdf/BOSIB-3c2dccb3-2383-4446-8954-3722a6c8c545.pdf", "country_ids": [ "ARG" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities", "networks", "patient_flows", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "problems of coordination, articulation, efficiency, and territoriality", "institution": "World Bank", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "problems of coordination, articulation, efficiency, and territoriality", "source_word_count": 7 }, "material_id": "material:7e76d62acfb957ba8d6f7576", "notes": [ "Keep borrower-reported implementation context distinct from independently measured service outcomes." ], "origin": "country-evidence-improvement-sources", "period": "project completion assessment through 2025", "publication_date": null, "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "6f715bd5e6531e0493c6c06464aebcf1632e7b7529c4ee6185b580b22b0e6794", "page_count": 71, "response_sha256": "6f715bd5e6531e0493c6c06464aebcf1632e7b7529c4ee6185b580b22b0e6794" }, "statement": "The completion report reiterates that provinces finance and provide public care, the national ministry stewards through complementary programs, and coordination, articulation and territorial fragmentation remain material implementation problems.", "tags": [], "territory": "national program with jurisdiction-level implementation", "title": "Implementation Completion and Results Report for Supporting Effective Universal Health Coverage in Argentina", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/099120325081026335/pdf/BOSIB-3c2dccb3-2383-4446-8954-3722a6c8c545.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Argentine Republic. Law 19.032 establishing the National Institute of Social Services for Retirees and Pensioners. Current consolidated official text. Articles 1, 2, 5, 6 and 16. https://www.argentina.gob.ar/normativa/nacional/ley-19032-16081/actualizacion", "country_ids": [ "ARG" ], "coverage_domains": [ "actors", "decision_rights", "governance", "hospital_organization", "market_structure", "networks", "ownership", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "otorgar por sí o por terceros", "institution": "Argentine Republic", "locator": { "locator_type": "legal_articles", "source_word_anchor": "otorgar por sí o por terceros", "source_word_count": 6 }, "material_id": "material:14fdda7098644836c8ca9c4f", "notes": [ "Keep PAMI separate from union-linked and provincial obras sociales and do not infer one provider network for all beneficiaries." ], "origin": "country-evidence-improvement-sources", "period": "current consolidated legal text retrieved 2026-08-14", "publication_date": null, "publication_year": 1971, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "06bb4a7c1ebbe632a3b872104aaeb9533a8d61847185cefca203aea57a2d7b1a" }, "statement": "The law establishes INSSJP as a distinct national social-insurance purchaser that may organize benefits directly or through third parties and maintain territorial operating units and controls.", "tags": [], "territory": "national PAMI coverage for eligible retirees, pensioners and related beneficiaries", "title": "Law 19.032 establishing INSSJP and PAMI", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.argentina.gob.ar/normativa/nacional/ley-19032-16081/actualizacion" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Argentine Republic. Law 22.373 creating the Federal Health Council. 1981. Articles 1 and 2. https://www.argentina.gob.ar/sites/default/files/bancos/2020-11/creacion-cfs.pdf", "country_ids": [ "ARG" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "networks", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "propender integralmente al coordinado desarrollo sectorial", "institution": "Argentine Republic", "locator": { "locator_type": "legal_articles", "source_word_anchor": "propender integralmente al coordinado desarrollo sectorial", "source_word_count": 6 }, "material_id": "material:9b15c3b749d4b5a60236558b", "notes": [ "Represent COFESA as a coordination forum, not as a national command authority over provincial services." ], "origin": "country-evidence-improvement-sources", "period": "institution created in 1981 and operating as the federal coordination forum", "publication_date": null, "publication_year": 1981, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "8275a7933dc8ff441cb4b362219428acdb30c6bd2844683fb6cf35cb7232e4f3", "page_count": 3, "response_sha256": "8275a7933dc8ff441cb4b362219428acdb30c6bd2844683fb6cf35cb7232e4f3" }, "statement": "Law 22.373 creates COFESA as the forum in which the national health authority and the provincial jurisdictions coordinate sector development, policies and actions without converting provinces into subordinate delivery branches.", "tags": [], "territory": "national, provincial and Buenos Aires City health authorities", "title": "Law 22.373 creating the Federal Health Council", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.argentina.gob.ar/sites/default/files/bancos/2020-11/creacion-cfs.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Argentine Republic. Law 23.660 on Obras Sociales. Current consolidated official text. Articles 1 to 7 and 12 to 15. https://www.argentina.gob.ar/normativa/nacional/ley-23660-62/actualizacion", "country_ids": [ "ARG" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "market_structure", "networks", "ownership", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "agentes naturales del mismo", "institution": "Argentine Republic", "locator": { "locator_type": "legal_articles", "source_word_anchor": "agentes naturales del mismo", "source_word_count": 4 }, "material_id": "material:7355e4678d65f02b77ca44a1", "notes": [ "Do not merge the many obras sociales into one purchaser or generalize national-regime rules to every provincial social insurance fund." ], "origin": "country-evidence-improvement-sources", "period": "current consolidated legal text retrieved 2026-08-14", "publication_date": null, "publication_year": 1988, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "45b53e00bcdad432464e11ded32375c4e6c7e6ed21a11fa33f16bccd5ad43bd4" }, "statement": "The law treats obras sociales as legally, administratively and financially individual insurance agents, requires provider and contract registration, and subjects national-regime entities to federal supervision.", "tags": [], "territory": "national social-health-insurance regime, excluding distinct provincial arrangements where the national law does not apply", "title": "Law 23.660 on Obras Sociales", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.argentina.gob.ar/normativa/nacional/ley-23660-62/actualizacion" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Argentine Republic. Law 23.661 establishing the National Health Insurance System. Current consolidated official text. Articles 1 to 4 and 25 to 29. https://www.argentina.gob.ar/normativa/nacional/ley-23661-63/actualizacion", "country_ids": [ "ARG" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "market_structure", "networks", "ownership", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "estructura pluralista y participativa y administración descentralizada", "institution": "Argentine Republic", "locator": { "locator_type": "legal_articles", "source_word_anchor": "estructura pluralista y participativa y administración descentralizada", "source_word_count": 7 }, "material_id": "material:eb69c589dd6421fa9ecad1a3", "notes": [ "Provider choice where possible is not a universal unrestricted choice rule and the law does not establish one nationwide GP gatekeeper." ], "origin": "country-evidence-improvement-sources", "period": "current consolidated legal text retrieved 2026-08-14", "publication_date": null, "publication_year": 1989, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "33cf4bdd6af39b279a5e5b8f6f5e1e2e03c048d7e259b800571ca4f482ae113d" }, "statement": "Law 23.661 defines a plural and decentralized insurance system, places primary care at its conceptual base, and permits agents to provide through their own or contracted services while protecting provider choice where possible.", "tags": [], "territory": "national health-insurance system and participating jurisdictions", "title": "Law 23.661 establishing the National Health Insurance System", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.argentina.gob.ar/normativa/nacional/ley-23661-63/actualizacion" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Argentina Ministry of Health. Salud presentó los resultados del Relevamiento de Redes Integradas de Servicios de Salud en Argentina. 2021. https://www.argentina.gob.ar/noticias/salud-presento-los-resultados-del-relevamiento-de-redes-integradas-de-servicios-de-salud-en", "country_ids": [ "ARG" ], "coverage_domains": [ "facility_data", "governance", "networks", "observed_referral", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "3.012 efectores del Primer Nivel de Atención", "institution": "Argentina Ministry of Health", "locator": { "locator_type": "html_section_anchor", "source_word_anchor": "3.012 efectores del Primer Nivel de Atención", "source_word_count": 7 }, "material_id": "material:3dfa4cba99e47eeb8c0fd2ff", "notes": [ "Participation and self-reported scheduling do not establish national census coverage, referral completion or patient outcomes." ], "origin": "country-evidence-improvement-sources", "period": "self-reported survey fielded February to August 2020 and reported 2021", "publication_date": null, "publication_year": 2021, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "25b8655ce35ab376d702fb5931bfb6da067720e3fe8f8827e1dc4b808cfb912d" }, "statement": "The Ministry reports 3,012 participating first-level providers, of which 75 percent reported formal scheduled appointments and more than 90 percent reported promotion and prevention activities.", "tags": [], "territory": "3,012 participating first-level public providers across Argentina", "title": "National Ministry report on the integrated health-service network survey", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.argentina.gob.ar/noticias/salud-presento-los-resultados-del-relevamiento-de-redes-integradas-de-servicios-de-salud-en" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Palacios A, Espinola N, Rojas-Roque C. Need and inequality in the use of health care services in a fragmented and decentralized health system: evidence for Argentina. International Journal for Equity in Health. 2020;19:67. https://doi.org/10.1186/s12939-020-01168-6", "country_ids": [ "ARG" ], "coverage_domains": [ "authoritative_review", "decision_rights", "governance", "hospital_organization", "market_structure", "networks", "ownership", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "owned and managed by provincial and municipal authorities", "institution": "International Journal for Equity in Health", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "owned and managed by provincial and municipal authorities", "source_word_count": 8 }, "material_id": "material:6838fd402156b2f7673658ae", "notes": [ "Keep the nationally representative utilization result dated 2013 and separate from current organizational claims." ], "origin": "country-evidence-improvement-sources", "period": "system evidence through 2020 and utilization data from 2013", "publication_date": null, "publication_year": 2020, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "cda445acf30a7d7a94dd7651c424b9bc5c42b158eb2d61e6a649c95b10ccc914", "page_count": 14, "response_sha256": "cda445acf30a7d7a94dd7651c424b9bc5c42b158eb2d61e6a649c95b10ccc914" }, "statement": "The authors describe provincial and municipal ownership and management of public hospitals and primary-care centres and find no cross-sector coordination mechanism for management, financing or risk across the fragmented system.", "tags": [], "territory": "national structural synthesis with nationally representative 2013 survey analysis", "title": "Need and inequality in health-care use in a fragmented and decentralized system", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://d-nb.info/1218346175/34" }, { "kind": "embedded_source_url", "source": "URL supplied in citation", "url": "https://doi.org/10.1186/s12939-020-01168-6" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Argentina Ministry of Health, Directorate of Health Statistics and Information. Ambulatory medical consultations by jurisdiction, 2010 to 2023. https://datos.salud.gob.ar/dataset/0c3cb8db-bc39-466d-a02e-dbb868124d3a/resource/063a72b1-d03c-44fc-acfc-3090791faa20/download/cantidad-consultas-medicas-ambulatorias-subsector-oficial-deis-jurisdiccion-periodo-2010-2023csv.csv", "country_ids": [ "ARG" ], "coverage_domains": [ "facility_data", "hospital_organization", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Cantidad de Consultas Médicas Ambulatorias", "institution": "Argentina Ministry of Health", "locator": { "locator_type": "csv_fields", "source_word_anchor": "Cantidad de Consultas Médicas Ambulatorias", "source_word_count": 5 }, "material_id": "material:e7b984205d3ad0f735cb13db", "notes": [ "Consultations are events, not unique people, and the source excludes social-insurance and private-sector activity." ], "origin": "country-evidence-improvement-sources", "period": "calendar year 2023 value within a 2010 to 2023 series", "publication_date": null, "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/csv", "file_sha256": "e2b1f50a0b4c63e12818bf54413c8fe64e0a75aa07b2cf6faffc4ddef7ee10bc", "response_sha256": "e2b1f50a0b4c63e12818bf54413c8fe64e0a75aa07b2cf6faffc4ddef7ee10bc" }, "statement": "Summing the 24 published jurisdiction rows gives 153,290,425 ambulatory medical consultation events in the official public subsector during 2023.", "tags": [], "territory": "official public subsector across 24 jurisdictions", "title": "Official-subsector ambulatory medical consultations, 2010 to 2023", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://datos.salud.gob.ar/dataset/0c3cb8db-bc39-466d-a02e-dbb868124d3a/resource/063a72b1-d03c-44fc-acfc-3090791faa20/download/cantidad-consultas-medicas-ambulatorias-subsector-oficial-deis-jurisdiccion-periodo-2010-2023csv.csv" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Yavich N, Báscolo EP, Haggerty J. Comparing the performance of the public, social security and private health subsystems in Argentina by core dimensions of primary health care. 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Primary Health Care for Resilient Health Systems in Latin America. Paris: OECD Publishing; 2022. https://www.oecd.org/content/dam/oecd/en/publications/reports/2022/12/primary-health-care-for-resilient-health-systems-in-latin-america_8f41dd3e/743e6228-en.pdf", "country_ids": [ "ARG" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "ownership", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "independent responsibility for leadership, financing and delivery", "institution": "Organisation for Economic Co-operation and Development", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "independent responsibility for leadership, financing and delivery", "source_word_count": 7 }, "material_id": "material:b8030cd7bd34f1419d9088f0", "notes": [ "Use the review for national architecture, not as a substitute for province-specific decision rules." ], "origin": "country-evidence-improvement-sources", "period": "system description current to 2022", "publication_date": null, "publication_year": 2022, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "d246bdbb0f48aaebc428df5d95f9b664f66793a3c67cb56ad635a1f7cf9d4753", "page_count": 220, "response_sha256": "d246bdbb0f48aaebc428df5d95f9b664f66793a3c67cb56ad635a1f7cf9d4753" }, "statement": "The OECD describes Argentina as decentralized: provinces independently lead, finance and deliver public services, may delegate to municipalities, and coexist with obras sociales and private providers in vertically fragmented arrangements.", "tags": [], "territory": "Argentina within a comparative Latin American primary-care review", "title": "Primary Health Care for Resilient Health Systems in Latin America", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.oecd.org/content/dam/oecd/en/publications/reports/2022/12/primary-health-care-for-resilient-health-systems-in-latin-america_8f41dd3e/743e6228-en.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. Argentina: Programa SUMAR: A Sustainability Study Based on 10 Years of Implementing Results-Based Financing in Argentina. Report AUS0002655. 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Argentina - AR Provincial Public Health Insurance. 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Argentina - Program for Effective Universal Health Coverage and National Health System Integration Project. World Bank Documents and Reports; 2023. https://documents.worldbank.org/curated/en/099092823140538517/pdf/BOSIB-03b12bab-2149-4e8e-b7b9-90c102958752.pdf", "country_ids": [ "ARG" ], "coverage_domains": [ "actors", "government_responsibilities" ], "display_status": "shown_in_full", "document_type": "candidate source metadata", "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "heading": "SYSTEMATIC OPERATIONS RISK-RATING TOOL SORT", "paragraph_index_on_page": 5, "physical_pdf_page": 8, "source_word_anchor": "Rating 1 Political and Governance Substantial 2 Macroeconomic Substantial 3 Sector Strategies", "source_word_count": 12 }, "material_id": "candidate-source:ARG:52127ad6440724d11e3a", "notes": [ "Public source projection retained as a distinct stage record.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.", "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-source-projection", "period": null, "publication_date": null, "publication_year": 2023, "record_kind": "displayed_source_projection", "record_kind_label": "Displayed source projection", "screening": { "page_locator_linked_from_country_score_acquisition": true, "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "candidate_source_metadata", "grey_literature" ], "source_system": "global_literature", "source_version": { "detected_media_type": "application/pdf", "page_count": 149, "response_sha256": "438afaa2ddd6f617a50fb689c867b4fcacf33d57d7e8f332e568d9df169ae3b7" }, "statement": null, "tags": [ "grey_library" ], "territory": null, "title": "Argentina - Program for Effective Universal Health Coverage and National Health System Integration Project", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/099092823140538517/pdf/BOSIB-03b12bab-2149-4e8e-b7b9-90c102958752.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Documents and Reports. Argentina - Provincial Maternal-Child Health Sector Adjustment Loan Project; Argentina - Provincial Maternal-Child Health Sector Investment Project; and Brazil - Family Health Extension Adaptable Lending Project. 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Argentina - Provincial Public Health Insurance Development Project. World Bank Documents and Reports; 2011. https://documents.worldbank.org/curated/en/841951468209361832/pdf/PID0AR0PHIP010Appraisal0Stage00Feb1022.pdf", "country_ids": [ "ARG" ], "coverage_domains": [ "hospital_organization", "market_structure", "ownership", "primary_care", "referral_design" ], "display_status": "shown_in_full", "document_type": "candidate source metadata", "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "paragraph_index_on_page": 1, "physical_pdf_page": 12, "source_word_anchor": "need to improve their governance and their organizational stewardship capacity It will", "source_word_count": 12 }, "material_id": "candidate-source:ARG:e9d6e25f61bb1d58cbfd", "notes": [ "Public source projection retained as a distinct stage record.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.", "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-source-projection", "period": null, "publication_date": null, "publication_year": 2011, "record_kind": "displayed_source_projection", "record_kind_label": "Displayed source projection", "screening": { "page_locator_linked_from_country_score_acquisition": true, "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "candidate_source_metadata", "grey_literature" ], "source_system": "global_literature", "source_version": { "detected_media_type": "application/pdf", "page_count": 17, "response_sha256": "24c352ab83eda7c04a3262fad9930e7b9fa93f58753a9f81a5ac9caf8ef4327c" }, "statement": null, "tags": [ "grey_library" ], "territory": null, "title": "Argentina - Provincial Public Health Insurance Development Project", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/841951468209361832/pdf/PID0AR0PHIP010Appraisal0Stage00Feb1022.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Documents and Reports. Plan Nacer : health insurance for the poor in Argentina - results-based financing secures health insurance and services for the poor. 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Argentina - AR Provincial Public Health Insurance. 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