Confronting Health Disparities
Latin American Social Medicine in Venezuela
Bibliographic Data
Objectives. We explored the emergence and effectiveness of Venezuela's Misión Barrio Adentro, “Inside the Neighborhood Mission,” a program designed to improve access to health care among underserved residents of the country, hoping to draw lessons to apply to future attempts to address acute health disparities. Methods. We conducted our study in 3 capital-region neighborhoods, 2 small cities, and 2 rural areas, combining systematic observations with interviews of 221 residents, 41 health professionals, and 28 government officials. We surveyed 177 female and 91 male heads of household. Results. Interviews suggested that Misión Barrio Adentro emerged from creative interactions between policymakers, clinicians, community workers, and residents, adopting flexible, problem-solving strategies. In addition, data indicated that egalitarian physician–patient relationships and the direct involvement of local health committees overcame distrust and generated popular support for the program. Media and opposition antagonism complicated physicians’ lives and clinical practices but heightened the program's visibility. Conclusions. Top-down and bottom-up efforts are less effective than “horizontal” collaborations between professionals and residents in underserved communities. Direct, local involvement can generate creative and dynamic efforts to address acute health disparities in these areas
Distrust · Family medicine · Government (linguistics) · Health care · Health equity · Latin Americans · Political science · Public health · Social capital · Social science · Sociology · Global Maternal and Child Health · Law · Medicine · Nursing · Public Health and Social Inequalities · Venezuelan Migration and Society · Gerontology
Dear Dr. Freud
The Struggle For Health
Soft Power Diplomacy
Liberal and Bolivarian Regimes of Truth
Standardizing underreporting
Popular Participation in Venezuela's Barrio Adentro Health Reform
Theoretical underpinnings of state institutionalisation of inclusion and struggles in collective health in Latin America
Structural competency, Latin American social medicine, and collective health
Structural competency and global health education
Social inequities and contemporary struggles for collective health in Latin America
Anchoring contextual analysis in health policy and systems research
Supporting mental health in South African HIV-affected communities
Postneoliberal Public Health Care Reforms
Transformative Possibilities
Empire, Health, and Health Care
Extra/ordinary medicine
A disaster diplomacy perspective of acute public health events
From Progressive Extractivism to Phyto-Socialism
The New Left and Health Care Reform in El Salvador
The doctor's political body
Bi-directional relations between anti-smoking parenting practices and adolescent smoking in a Dutch sample
Stories in the Time of Cholera
Latin American Social Medicine and Global Social Medicine
Social Medicine Then and Now
What Does Latin American Social Medicine Do When It Governs? The Case of the Mexico City Government
The distribution and supply of Cuban medical personnel in Third World countries
An ethnography of clinic "noise" in a community-based, promotora-centered mental health intervention
| Citations per year | 1.33 |
|---|---|
| Citation span | 2011 - 2026 (16) |
| Highly cited | No |