Contribuciones del enfoque poblacional a la seguridad social

Abstract

This text summarizes a strategy initiated four years ago in order to contribute to adopt the population’s view in the Social Work of Public Employees (OSEP) in Mendoza, Argentina. It identifies the challenges that lie ahead the health management of around 400.000 public employees and their families from a perspective that questions financial and attendance modelsfirmly attached to social security, which basis are the interests of medical providers. The context of the experience is shared, also the theoretical notions which orientate the major lines of work design to contemplate the scenarios where health and diseases of the affiliates occur and the methodology used, highlighting the job of territorial health promoters. Results are presented and thoughts about the global organizational performance of the adoption of this strategy are included. After four years of the beginning of this work, we can express through indicators the unequal modes in how health/disease/attention processes are developed in the territories where affiliated families live and/or work and expose designed devices to the proceed in receptive answers linked to their specificities. We conclude that getting deeper in the proposed route requires long-range organizational learnings.