Today, on the third day here, we started early again, at 8:45, and we walked back over to Austral University, where we received a lecture from Josefina Medrano, who is the former head Minister of Health in Salta, which is a less wealthy province in the northwest of Argentina. The lecture was much more business based rather than nursing, and she talked about strategies to finance and manage health care facilities. She iterated conflicts such as having limited resources, divergent interests, external pressures, ideological differences, power competition, and emphasized that strategic thinking, proactiveness, communication, and understanding that not every person will be happy are very important for making decisions. Next, we toured Juan Fernandez public hospital, where we were lectured by Ignacio Previgliano about the history and logistics of the hospital, which has 323 beds and has many sub-departments, such as surgery, medicine, and maternal. The public hospital is free for anyone, and is much more crowded and run down than the private hospitals, because their budget and funding is not as high. There were many people in the hallways and in waiting rooms there, whereas in the private hospital, there was no one in the hallways. The tour of the private hospital, Swiss Medical Group, was given by Jorge Lantos, who is the health director of the hospital. The private hospital has way more incentives and risks, and the funding was shown by a triangle that consisted of consumers, producers, and payers. The hospital is known for its neurosurgery and its trauma department. The hospital has a quadruple aim, which is to improve population health, reduce the cost of care, enhance patients’ experiences, and improve provider satisfaction. The hospital had 250 beds and a 98% occupation rate, which is very high. The Swiss Medical hospital was really nice, the suites looked like hotel rooms, having a separate bathroom with a shower, and couches- it almost looked like a hotel room. Even though it was much nicer than American hospitals, it is still much cheaper- one night is only $100! My third day in Argentina was full of information.

