Graduate Thesis Or Dissertation
 

Integrating Systemic and Applied Anthropology Approaches to Identify Barriers and Enablers to Accessing Healthcare in the Province of Buenos Aires, Argentina

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https://ir.library.oregonstate.edu/concern/graduate_thesis_or_dissertations/ft848z65g

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  • Healthcare access exhibits differing levels of complexity, often requiring multi-disciplinary approaches to study its barriers and enablers. Though Argentina has achieved nominal universal healthcare coverage through its public healthcare system, full effective coverage has not been achieved. The public system also has a parallel private care system, adding further complexity to the system. Though seen as a regional model for healthcare access, Argentina’s healthcare outcomes lag globally. To address this gap, this thesis study was designed to identify the primary physical and nonphysical barriers and enablers to healthcare access in the Province of Buenos Aires, Argentina. Multi-sited, ethnographic, health narrative interviews with patients and providers from July to September 2022 were analyzed to barriers and enablers to healthcare access in province. The barriers and enablers identified were evaluated for the prevalence of the barrier or enabler and their relationships to one another. The study employed a systems approach to inform anthropological research methods, integrating the fields towards transdisciplinarity in order to uncover new and deeper insights into key barriers and enablers. The results of this study demonstrated the prevalence and connections driving the overburdening system, which drives months long wait times and an increased financial burden on patients. This overburdening is further complicated by providers leaving the public healthcare system and increased economic and financial strain due to Argentina’s current economic crisis. Trust and the lack of trust in the system were also a key enabler and barrier, changing healthcare-seeking behaviors, further complicating systemic improvement. These exploratory results both support current literature surrounding barriers and enabler to healthcare access in Argentina, while highlighting the novel importance of trust in the success of the healthcare system.
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  • This material is based upon work supported by the OSU Applied Anthropology Graduate Student Research Award.
  • This material is based upon work supported by the Evans Family Graduate Fellowship in Humanitarian Engineering from Oregon State University.
  • This material is based upon work supported by the National Science Foundation Graduate Research Fellowship under Grant No. 2234662. Any opinions, findings, conclusions, or recommendations expressed in this material are those of the authors(s) and do not necessarily reflect the views of the National Science Foundation.
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  • Pending Publication
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  • 2023-09-12 to 2024-04-13

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