Sistemas redes y las nuevas arquitecturas organizacionales territoriales para la universalización de bienes colectivos, integrales e interdependientes

Within the epistemic theoretical framework of the refoundation of health systems, “network systems” are proposed as a new territorial organizational architecture for the universalization of collective, comprehensive, and interdependent goods. A critical reflection was conducted on three axes: a) the influence of bureaucratic theories on Latin American and Caribbean health systems; b) the trajectories in the construction of health networks in Latin America and the Caribbean (LAC), and c) health networks in the 21st century. The main results highlight: a) the effects of Taylorist and Fordist modes of production on health, reflected in the hierarchization of health levels, archipelago-type functioning, hospital departmentalization, establishment of assembly lines with intense division of activities, and the industrial increase of work processes, leading to the dehumanization of care; b) the determination of health network trajectories in LAC by inequalities expressed in the structural and institutional conditions of health systems (fragmentation, segmentation in access, separation of functions, and intermediation in management and provision), and c) the characterization of network systems by integrated health networks that are open, heterogeneous, and symmetrical, allowing for the “recitizenization” through inclusion based on territory and territoriality, under a new decolonial paradigm that reveals the intersectionalities of oppression in ways of life.