Better to talk about certain things: (de)politization at the first level of care in Bahía Blanca., Argentina

This paper analyses the knowledge and practices that shape the work processes in the first level of care (PNA) in public health in the city of Bahía Blanca, understanding health as a political field. The objective is to deepen our understanding of the work processes in the production of health care,...

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Autores principales: Sogni Casco, María José, Silveti, Laurencia Lucila
Formato: Artículo revista
Lenguaje:Español
Publicado: Centro de Estudio Sociales. Universidad Nacional del Nordeste 2025
Materias:
primary health care
health policies
basic health services
work
atención primaria de salud
políticas sanitarias
servicios básicos de salud
trabajo
Acceso en línea:https://revistas.unne.edu.ar/index.php/dpd/article/view/8973
Aporte de:
Revistas UNNE - Universidad Nacional del Noroeste (UNNE) de Universidad Nacional del Nordeste
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record_format ojs
spelling I48-R154-article-89732025-12-17T10:42:18Z Better to talk about certain things: (de)politization at the first level of care in Bahía Blanca., Argentina Mejor hablar de ciertas cosas: (des)politización del primer nivel de atención en Bahía Blanca, Argentina Sogni Casco, María José Silveti, Laurencia Lucila primary health care health policies basic health services work atención primaria de salud políticas sanitarias servicios básicos de salud trabajo This paper analyses the knowledge and practices that shape the work processes in the first level of care (PNA) in public health in the city of Bahía Blanca, understanding health as a political field. The objective is to deepen our understanding of the work processes in the production of health care, which reflect the ways in which everyday politics is constituted in the practices of subordination, resistance and links between workers and users. This work is guided by a qualitative interpretative design, based on the design of in-depth interviews with workers in various functions and participant observations with field recordings. The results allow us to identify that the field of health knowledge is in permanent dispute with the field of practices where, despite the evidence of reflective and integrative knowledge, the hegemony in practices continues to be linked to the biomedical model that depoliticises health and reduces it to fragmented and decontextualised individual elements. It is hoped that the findings will contribute to the generation of public policies aimed at improving the articulation between the social, the subjective and the biological in health care and management. Este trabajo aborda saberes y prácticas que configuran los procesos de trabajo en el primer nivel de atención (PNA) en salud pública de la ciudad de Bahía Blanca, entendiendo a la salud como campo político. El objetivo es caracterizar nociones vinculadas a la dimensión política del trabajo en salud en el PNA, a partir de la identificación de prácticas de subordinación, resistencia y vínculos entre sus trabajadores/as. Este artículo se orienta desde el diseño cualitativo interpretativo, a partir de la realización de entrevistas en profundidad a trabajadores/as en diversas funciones y observaciones participantes con registro de campo. Los resultados permiten identificar que el ámbito de los saberes en salud está en permanente disputa con el ámbito de las prácticas donde, a pesar de evidenciarse saberes reflexivos e integradores, la hegemonía en las prácticas continúa ligada al modelo biomédico que despolitiza la salud y la reduce a elementos fragmentados e individuales descontextualizados. Se espera que los hallazgos contribuyan a generar políticas públicas orientadas a mejorar la articulación entre lo social, lo subjetivo y lo biológico en la atención y gestión en salud. Centro de Estudio Sociales. Universidad Nacional del Nordeste 2025-12-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artículo revisado por pares application/pdf https://revistas.unne.edu.ar/index.php/dpd/article/view/8973 10.30972/dpd.14248973 De Prácticas y Discursos; Vol. 14 Núm. 24 (2025): De Prácticas y Discursos. Cuadernos de Ciencias Sociales 2250-6942 spa https://revistas.unne.edu.ar/index.php/dpd/article/view/8973/8589 http://creativecommons.org/licenses/by-nc/4.0
institution Universidad Nacional del Nordeste
institution_str I-48
repository_str R-154
container_title_str Revistas UNNE - Universidad Nacional del Noroeste (UNNE)
language Español
format Artículo revista
topic primary health care
health policies
basic health services
work
atención primaria de salud
políticas sanitarias
servicios básicos de salud
trabajo
spellingShingle primary health care
health policies
basic health services
work
atención primaria de salud
políticas sanitarias
servicios básicos de salud
trabajo
Sogni Casco, María José
Silveti, Laurencia Lucila
Better to talk about certain things: (de)politization at the first level of care in Bahía Blanca., Argentina
topic_facet primary health care
health policies
basic health services
work
atención primaria de salud
políticas sanitarias
servicios básicos de salud
trabajo
author Sogni Casco, María José
Silveti, Laurencia Lucila
author_facet Sogni Casco, María José
Silveti, Laurencia Lucila
author_sort Sogni Casco, María José
title Better to talk about certain things: (de)politization at the first level of care in Bahía Blanca., Argentina
title_short Better to talk about certain things: (de)politization at the first level of care in Bahía Blanca., Argentina
title_full Better to talk about certain things: (de)politization at the first level of care in Bahía Blanca., Argentina
title_fullStr Better to talk about certain things: (de)politization at the first level of care in Bahía Blanca., Argentina
title_full_unstemmed Better to talk about certain things: (de)politization at the first level of care in Bahía Blanca., Argentina
title_sort better to talk about certain things: (de)politization at the first level of care in bahía blanca., argentina
description This paper analyses the knowledge and practices that shape the work processes in the first level of care (PNA) in public health in the city of Bahía Blanca, understanding health as a political field. The objective is to deepen our understanding of the work processes in the production of health care, which reflect the ways in which everyday politics is constituted in the practices of subordination, resistance and links between workers and users. This work is guided by a qualitative interpretative design, based on the design of in-depth interviews with workers in various functions and participant observations with field recordings. The results allow us to identify that the field of health knowledge is in permanent dispute with the field of practices where, despite the evidence of reflective and integrative knowledge, the hegemony in practices continues to be linked to the biomedical model that depoliticises health and reduces it to fragmented and decontextualised individual elements. It is hoped that the findings will contribute to the generation of public policies aimed at improving the articulation between the social, the subjective and the biological in health care and management.
publisher Centro de Estudio Sociales. Universidad Nacional del Nordeste
publishDate 2025
url https://revistas.unne.edu.ar/index.php/dpd/article/view/8973
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AT sognicascomariajose mejorhablardeciertascosasdespolitizaciondelprimerniveldeatencionenbahiablancaargentina
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first_indexed 2026-01-17T05:00:40Z
last_indexed 2026-01-17T05:00:40Z
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