Blog 3: Trabajo en Tigre

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This morning we started the day on the Tigre river. We took a boat to a Public Primary Care center in rural Tigre and got a tour of the clinic and emergency ambulance boat. The Primary Care building had an outdoor and small indoor waiting area. The inside had a few small consultaríos and a vaccination room. The rooms were shared by different specialities. For example, one room might be used by a pediatrician and used as an ER room at the same time. The location of this clinic is an island; the locals travel by boat which means emergency services are also by boat. The medical boats also go around the island to provide care for free to children and mothers. 

The next place we went to was a public hospital in a wealthier area of Buenos Aires. San Isidro has 9 centros de atención primaria as it has a heavy focus on primary and preventative care. By focusing more on primary care, those who need hospital level care are able to be seen and the hospitals are able to save more money. Emergency and hospital services are much more costly to provide, so if there is a heavier focus on preventative care, less people will need to seek out costly services at the hospital. Although, how can a hospital invest more money into primary and preventative health without losing quality and funding towards hospitals? The answer is not perfectly clear. It seems the system itself is missing a certain order and organization as to where funds are intended to go. Some costs are already assumed while others are not spoken for. In the end, San Isidro sees the significance of growing their primary care in order to decrease the amount of spending in hospitals and decrease social cases in hospitals to open up beds for those who need hospital attention.

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