Rama, Martín, Vargas, Verónica, Iunes, Roberto, and Guerra Junior, Augusto Afonso
Subjects
*HEALTH services accessibility laws, *DRUG laws, *OCCUPATIONAL roles, *MEDICAL laws, *HUMAN rights, *UNIVERSAL healthcare, *MEDICAL care costs, *QUALITY of life, *PROFESSIONAL autonomy, *LEGAL procedure, *PHYSICIANS, *DECISION making in clinical medicine
Abstract
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]
Objective: this paper aims to describe the first phase of a project whose general goal was to develop a consensus-based set of advanced practice nurse competencies applicable to Latin American countries and, based on these competencies, produce an advanced practice nurse curricular prototype adapted to Latin American countries. The project was framed in a competency-based approach to advanced practice nursing education. The specific aims of the first phase of the project described in this paper were: 1) to identify a set of potential advanced practice nurse competencies that would serve as the template for Core Advanced Practice Nurse Competencies in Latin American countries and 2) to establish consensus for Core Advanced Practice Nurse Competencies in Latin American countries. Method: advanced practice nurse competencies were derived from a comprehensive review of published competencies and informed the development of a survey designed to assess the relevance of advanced practice nurse competencies in Latin American countries. The survey was distributed to nurse leaders and nurse educators. Data were analyzed using descriptive statistics. Results: consensus for Core Competencies was established. Conclusion: the Core Advanced Practice Nurse Competencies presented can provide a structured framework to build educational programs aligned to the needs of the regional environment. [ABSTRACT FROM AUTHOR]
*INTERNATIONAL cooperation, *MILITARY government, *HISTORY, *INTERNATIONAL economic relations, *ECONOMIC policy, *INTERNATIONAL economic integration, ARGENTINA-Brazil relations, LATIN American economic integration
Abstract
This paper analyzes the development of cooperation between Argentina and Brazil from their initial rapprochement of 1979 to the construction of Mercosur in 1991. It presents an account of cooperation that emphasizes the power and organizational interests of the armed forces and that challenges the prevailing emphases on democratization and neoliberalism. In doing so, it addresses a methodological problem for qualitative research in international relations: What can be done if our theories of why cooperation occurs affect our perceptions of when it begins? Conventional explanations of Argentine-Brazilian cooperation may be biased toward what historian Herbert Butterfield called 'Whig history,' which sees in past events associations that exist only in the present. These tendencies can alter our periodization of cases, omit or falsely reject important causal variables, and too readily confirm our preferred hypotheses, but they can also be corrected. [ABSTRACT FROM AUTHOR]