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In this paper the author critically analyzes the transactional processes operating between the professionals of public health services and the Community Centre: QADUOQHQTE (Qom) settled in The Pumitas (Rosario) Argentina, Concerning the process of health / disease / oral care, within the context of social and health policies emanating from national, provincial and municipal jurisdictions.

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Procesos transaccionales y desarrollo autogestivo en salud y atención bucal entre los grupos (Qom) tobas asentados en Los Pumitas (Rosario), Argentina.