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Introduction: Integration in health and care can improve quality and outcomes, but it is challenged by expansion of medical knowledge, social pressures on patient needs, and demands to deliver critical information. In Latin American and in other lower and middle-income countries integrated care remains in development. This paper examined the available literature on integrated care to understand how Latin American countries identify and measure integration, and what factors influence success. Methods: This integrative literature review included systematic searches in Global Health, PubMed, SciELO and BVSPsi databases for articles on integrated care in Spanish, Portuguese, and English in the period from January of 1999 to December 2020. The articles were screened for selection and assessed independently by five reviewers that used the inclusion criteria of papers about integration in health care systems. The sample excluded articles that did not deal with the integration of health care, which addressed issues related to public health campaigns, programs to control endemics and epidemics, reports on the experience of implementing health services, health promotion guidelines, food safety, oral health, and books evaluation. Results: 24 articles were included: qualitative (75%), quantitative (12,5%), and mixed-method research (4%) published between 2000 and 2017. All studies were undertaken in Brazil, and two of them were also conducted in Latin American countries. In 15 articles there was an interchangeable use between concepts of integration of services and integrated care, while nine studies did not define integration. Barriers to integration included absence of shared understanding of knowledge among members of interprofessional teams, lack of clarity on professional roles, missing consensus on a definition and measurement of integrated care, power struggles between professionals, poor institutional support, insufficient team preparation and training and unequal valuation of professions by society. Conclusion: Several types of integration and factors contributing to the success of implementation of integrated care in various contexts in Brazil were identified. The concept of integration reflected the varied local and regional realities including different health settings and levels of health and care, suggesting a need for further clarifications on its objective and components especially in LMIC contexts. [ABSTRACT FROM AUTHOR]

In a context of rapid technological innovation and expensive new products, the paper calls for the generation of real-world data to inform decision-making and an international discussion on the affordability of new medicines, particularly for low- and middle-income countries. Without these, the challenges of health judicialization will continue to grow. [ABSTRACT FROM AUTHOR]

Latin American foreign-policy elites defend the principle of non-intervention to shield their countries' autonomy. By 2005, however, most Latin American foreign policy elites accepted the easing of limits on the use of force in international law. They supported the Responsibility to Protect (R2P), which regulates the use of force to protect populations from mass atrocities. The paper presents a comparison of the Brazilian, Chilean, and Mexican positions in the R2P debates to understand why they supported this norm. During the debates leading to the emergence of R2P, these elites questioned a central premise of liberal internationalism: the idea that great powers would restrain their use of military force as part of their commitment to a liberal international order (LIO). Using Republican international political theory, I argue that these Latin American foreign-policy elites viewed a restricted humanitarian-intervention norm as a new defence against great powers interfering in developing countries. Instead of trusting that great powers would restrain their actions, these elites advocated for a humanitarian-intervention norm that would prevent uncontrolled humanitarian interventions. [ABSTRACT FROM AUTHOR]

This paper engages with debates over the Liberal International Order (LIO) and Latin America by focusing on Brazil. More specifically, it addresses President Jair Bolsonaro's foreign policy. His radical-right populist and religious-infused approach has been characterised by an explicit rejection of practically all elements of the LIO, including multilateralism, multiculturism, and regionalism—historically core features of Brazilian foreign policy. We seek to answer two interrelated questions: (1) what were the political conditions—domestic and international—that allowed for such dramatic foreign policy change? (2) what impact is Brazil's new foreign policy orientation having on the LIO? To address them, we resort to the aspirational constructivist theory, which has allowed us to theorise Brazil's new identity formation. We argue that Bolsonaro has reshaped Brazil's foreign policy as part of his endeavour to create a national self-image based on three pillars: anti-globalism, anti-Communism, and religious nationalism. By doing so, the Bolsonaro administration has transformed Brazil, otherwise an avid supporter of the LIO, into one of the order's most vocal critics. While anti-globalism (and, subsidiarily, anti-Communism) undermines the normative and institutional foundations of the LIO, religious nationalism offers a replacement to the order, based on independent ethno-nationalist communities. If Brazil's radical right populist model spreads across Latin America, it has the potential to hollow out the region's support to the LIO. [ABSTRACT FROM AUTHOR]

Interdisciplinarity, multidisciplinarity and counter-disciplinarity are the hallmark of cultural studies and qualitative research, as scholars over the past three decades have discussed through extensive self-reflexive inquiry into their own unstable and ever-shifting methods (Denzin and Lincoln, 2018; Dicks et al., 2006: 78; Grossberg, 2010). Building on the interdisciplinary thought of Jacques Rancière and Caroline Levine on the one hand and traditions of participatory action research and activist anthropology on the other, we bring the methods conversation forward by shifting the focus from disciplines to forms and by making a case for aesthetic practice as qualitative research process. In this paper, the question of methods is approached through the action-based Cartonera Publishing Project with editoriales cartoneras in Latin America – community publishers who make low-cost books out of materials recovered from the street in the attempt to democratise and decolonise literary/artistic production – and specifically through our process-oriented, collaborative work with four cartonera publishers in Brazil and Mexico. Guided by the multiple forms of cartonera knowledge production, which are rooted not in academic research but rather in aesthetic practice and community relations, we offer an innovative 'trans-formal' methodological framework, which opens up new pathways for practitioners and researchers to work, think and act across social, cultural and aesthetic forms. [ABSTRACT FROM AUTHOR]