Biblioteca Digital de VanguardiaConstructing a Coalition to Break the Frozen Landscape: The Achievements and Limits of Healthcare Reform in Uruguay (2005-2014)
The Broad Front Left Coalition came to power in 2005 with the promise of building a National Integrated Healthcare System in the context of a broader institutional environment that was quite resistant to the proposed reforms. An analysis of the healthcare reform process attempted by the government u...
| Autores principales: | , , |
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| Formato: | Revistas |
| Lenguaje: | Español |
| Publicado: |
Facultad Latinoamericana de Ciencias Sociales, Sede Ecuador
2015
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| Acceso en línea: | https://iconos.flacsoandes.edu.ec/index.php/iconos/article/view/1517 |
| _version_ | 1802410679368417280 |
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| author | Freigedo, Martín Fuentes, Guillermo Rodríguez Araújo, Martín |
| author_facet | Freigedo, Martín Fuentes, Guillermo Rodríguez Araújo, Martín |
| author_sort | Freigedo, Martín |
| collection | Revista |
| description | The Broad Front Left Coalition came to power in 2005 with the promise of building a National Integrated Healthcare System in the context of a broader institutional environment that was quite resistant to the proposed reforms. An analysis of the healthcare reform process attempted by the government using the Advocacy Coalition Framework demonstrates that the promoter coalition was characterized by unstable agreements between the various actors in the coalition over the coalition’s core beliefs and project. This can be interpreted as a product of a conjuncture characterized by crisis. Once it was clear that the reform process guaranteed the survival of each actor, the existing political differences inside of the coalition and between the political and secondary aspects were overcome, but these differences could have put the breaks on the reformist impulse and brought about a new period of stasis or ‘freezing’. To confirm this hypothesis, this result could be explained by the sequence of implementation of the reforms, which at the same time brought with it political viability, strengthened actors that had been weakened in the reform process and reconstructed historical veto points. |
| format | Revistas |
| id | iconos-article-1517 |
| institution | Íconos - Revista de Ciencias Sociales |
| language | Español |
| publishDate | 2015 |
| publisher | Facultad Latinoamericana de Ciencias Sociales, Sede Ecuador |
| record_format | ojs |
| spelling | iconos-article-15172024-04-24T15:47:04Z Constructing a Coalition to Break the Frozen Landscape: The Achievements and Limits of Healthcare Reform in Uruguay (2005-2014) Construyendo una coalición para romper el paisaje congelado: alcances y límites de la reforma de la salud en Uruguay (2005-2014) Construindo uma coalisão para romper a paisagem congelada: alcances e limites da reforma da saúde no Uruguai (2005-2014) Freigedo, Martín Fuentes, Guillermo Rodríguez Araújo, Martín Reforma do setor da saúde coalisões de apoio mudança institucional Uruguai atores de veto. Healthcare reform promoter coalitions institutional change Uruguay veto players Reforma del sector salud coaliciones de apoyo cambio institucional Uruguay actores de veto The Broad Front Left Coalition came to power in 2005 with the promise of building a National Integrated Healthcare System in the context of a broader institutional environment that was quite resistant to the proposed reforms. An analysis of the healthcare reform process attempted by the government using the Advocacy Coalition Framework demonstrates that the promoter coalition was characterized by unstable agreements between the various actors in the coalition over the coalition’s core beliefs and project. This can be interpreted as a product of a conjuncture characterized by crisis. Once it was clear that the reform process guaranteed the survival of each actor, the existing political differences inside of the coalition and between the political and secondary aspects were overcome, but these differences could have put the breaks on the reformist impulse and brought about a new period of stasis or ‘freezing’. To confirm this hypothesis, this result could be explained by the sequence of implementation of the reforms, which at the same time brought with it political viability, strengthened actors that had been weakened in the reform process and reconstructed historical veto points. El Frente Amplio llegó al gobierno en 2005 con la promesa de construir un Sistema Nacional Integrado de Salud, en un entorno institucional muy resistente a los cambios. La revisión de este proceso de reforma a partir del Advocacy Coalition Framework, parece dar cuenta que la coalición promotora presentó entre sus integrantes acuerdos inestables en su núcleo duro de creencias, producto de la coyuntura de crisis. Por ende, una vez que la reforma garantizó la supervivencia de cada actor, las diferencias existentes dentro de la coalición entre los aspectos políticos y secundarios, podría haber puesto un importante freno al impulso reformista, consolidando así un nuevo “congelamiento”. De confirmarse esta hipótesis, podría argumentarse que este resultado podría explicarse por la secuencia de implementación de los cambios, que al mismo tiempo que le brindó viabilidad política, re-fortaleció actores que venían muy debilitados, reconstruyendo así vetos históricos. A Frente Ampla chegou ao Governo em 2005 com a promessa de construir um Sistema Nacional Integrado de Saúde em um ambiente institucional muito resistente às mudanças. A revisão deste processo de reforma a partir do Advocacy Coalition Framework parece dar conta de que a coalisão promotora apresentou entre os seus integrantes acordos instáveis no seu núcleo duro de crenças, produto da conjuntura de crise. Portanto, uma vez que a reforma garantiu a sobrevivência de cada ator, as diferenças existentes dentro da coalisão, entre os aspectos políticos e secundários, podería haver freado o impulso reformista, consolidando assim um novo “congelamento”. Sendo confimada esta hipótese, este resultado poderia explicar-se pela sequência de implementação das mudanças, que al mesmo tempo que propiciaram viabilidade política, fortaleceram atores debilitados, reconstruindo vetos históricos. Facultad Latinoamericana de Ciencias Sociales, Sede Ecuador 2015-09-01 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artículo evaluado por pares application/pdf https://iconos.flacsoandes.edu.ec/index.php/iconos/article/view/1517 10.17141/iconos.53.2015.1517 Íconos - Revista de Ciencias Sociales; Núm. 53 (2015): Dossier: Cambio de políticas públicas en América Latina; 49-66 Íconos - Revista de Ciencias Sociales; n. 53 (2015): Dossiê: Mudança das políticas públicas na América Latina; 49-66 Íconos. Revista de Ciencias Sociales; No. 53 (2015): Dossier: Public policy changes in Latin America; 49-66 1390-8065 1390-1249 spa https://iconos.flacsoandes.edu.ec/index.php/iconos/article/view/1517/1339 Derechos de autor 2015 Martín Freigedo, Guillermo Fuentes, Martín Rodríguez Araújo https://creativecommons.org/licenses/by-nd/3.0/deed.es_ES |
| spellingShingle | Freigedo, Martín Fuentes, Guillermo Rodríguez Araújo, Martín Constructing a Coalition to Break the Frozen Landscape: The Achievements and Limits of Healthcare Reform in Uruguay (2005-2014) |
| title | Constructing a Coalition to Break the Frozen Landscape: The Achievements and Limits of Healthcare Reform in Uruguay (2005-2014) |
| title_full | Constructing a Coalition to Break the Frozen Landscape: The Achievements and Limits of Healthcare Reform in Uruguay (2005-2014) |
| title_fullStr | Constructing a Coalition to Break the Frozen Landscape: The Achievements and Limits of Healthcare Reform in Uruguay (2005-2014) |
| title_full_unstemmed | Constructing a Coalition to Break the Frozen Landscape: The Achievements and Limits of Healthcare Reform in Uruguay (2005-2014) |
| title_short | Constructing a Coalition to Break the Frozen Landscape: The Achievements and Limits of Healthcare Reform in Uruguay (2005-2014) |
| title_sort | constructing a coalition to break the frozen landscape: the achievements and limits of healthcare reform in uruguay (2005-2014) |
| url | https://iconos.flacsoandes.edu.ec/index.php/iconos/article/view/1517 |