Researching-Acting-Reflecting on Public Health Services in Venezuela. I. A Conceptual Framework

This is the first of a duology of articles reporting on an action research project about public health services in Venezuela. This first paper presents a summary of a conceptual framework from which a process of intervention was launched. The second paper, which follows immediately in this special issue, presents a narrative of the intervention process and a final discussion about it. The conceptual framework is constituted by two types of interpretive models of the role of the state concerning health services. On the one hand, four logical interpretive models are summarized. They correspond to four theories about the socioeconomic mission of the state in a modern society. Different thematic interpretations concerning the role of the state in health services are derived from such general missions. On the other hand, two different and, to a certain degree, opposed historical interpretive models about the present Venezuelan socioeconomic-political situation and their corresponding power structures are outlined. The four logical interpretive models are discussed in the light of the two historical models in terms of desirable and feasible courses of political action.