Generation and evaluation of an indicator of the health system’s performance in maternal and reproductive health in Colombia: An ecological study

15 páginas

Autores:: Pinzón Flórez, Carlos Eduardo
Fernandez-Niño, Julian Alfredo
Cardenas-Cardenas, Luz Mery
Díaz Quijano, Diana Marcela
Ruiz Rodriguez, Myriam
Reveiz, Ludovic
Arredondo López, Armando

Tipo de recurso:

Fecha de publicación:: 2017

Institución:: Universidad de la Sabana

Repositorio:: Repositorio Universidad de la Sabana

Idioma:: eng

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dc.title.es_CO.fl_str_mv	Generation and evaluation of an indicator of the health system’s performance in maternal and reproductive health in Colombia: An ecological study
title	Generation and evaluation of an indicator of the health system’s performance in maternal and reproductive health in Colombia: An ecological study
spellingShingle	Generation and evaluation of an indicator of the health system’s performance in maternal and reproductive health in Colombia: An ecological study
title_short	Generation and evaluation of an indicator of the health system’s performance in maternal and reproductive health in Colombia: An ecological study
title_full	Generation and evaluation of an indicator of the health system’s performance in maternal and reproductive health in Colombia: An ecological study
title_fullStr	Generation and evaluation of an indicator of the health system’s performance in maternal and reproductive health in Colombia: An ecological study
title_full_unstemmed	Generation and evaluation of an indicator of the health system’s performance in maternal and reproductive health in Colombia: An ecological study
title_sort	Generation and evaluation of an indicator of the health system’s performance in maternal and reproductive health in Colombia: An ecological study
dc.creator.fl_str_mv	Pinzón Flórez, Carlos Eduardo Fernandez-Niño, Julian Alfredo Cardenas-Cardenas, Luz Mery Díaz Quijano, Diana Marcela Ruiz Rodriguez, Myriam Reveiz, Ludovic Arredondo López, Armando
dc.contributor.author.none.fl_str_mv	Pinzón Flórez, Carlos Eduardo Fernandez-Niño, Julian Alfredo Cardenas-Cardenas, Luz Mery Díaz Quijano, Diana Marcela Ruiz Rodriguez, Myriam Reveiz, Ludovic Arredondo López, Armando
description	15 páginas
publishDate	2017
dc.date.issued.none.fl_str_mv	2017-08
dc.date.available.none.fl_str_mv	2019-09-12T20:45:58Z
dc.date.accessioned.none.fl_str_mv	9/12/2019 15:45
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dc.identifier.citation.es_CO.fl_str_mv	Pinzo´n-Flo´rez CE, Fernandez-Niño JA, Cardenas-Cardenas LM, Dı´az-Quijano DM, RuizRodriguez M, Reveiz L, et al. (2017) Generation and evaluation of an indicator of the health system’s performance in maternal and reproductive health in Colombia: An ecological study. PLoS ONE 12(8): e0180857. https://doi.org/ 10.1371/journal.pone.0180857
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identifier_str_mv	Pinzo´n-Flo´rez CE, Fernandez-Niño JA, Cardenas-Cardenas LM, Dı´az-Quijano DM, RuizRodriguez M, Reveiz L, et al. (2017) Generation and evaluation of an indicator of the health system’s performance in maternal and reproductive health in Colombia: An ecological study. PLoS ONE 12(8): e0180857. https://doi.org/ 10.1371/journal.pone.0180857 10.1371/journal.pone.0180857
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dc.language.iso.es_CO.fl_str_mv	eng
language	eng
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dc.source.es_CO.fl_str_mv	Universidad de La Sabana Intellectum Repositorio Universidad de La Sabana
institution	Universidad de la Sabana
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spelling	Pinzón Flórez, Carlos EduardoFernandez-Niño, Julian AlfredoCardenas-Cardenas, Luz MeryDíaz Quijano, Diana MarcelaRuiz Rodriguez, MyriamReveiz, LudovicArredondo López, Armando9/12/2019 15:452019-09-12T20:45:58Z2017-08Pinzo´n-Flo´rez CE, Fernandez-Niño JA, Cardenas-Cardenas LM, Dı´az-Quijano DM, RuizRodriguez M, Reveiz L, et al. (2017) Generation and evaluation of an indicator of the health system’s performance in maternal and reproductive health in Colombia: An ecological study. PLoS ONE 12(8): e0180857. https://doi.org/ 10.1371/journal.pone.0180857https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0180857https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0180857&type=printablehttp://hdl.handle.net/10818/3715610.1371/journal.pone.018085715 páginasObjective To generate and evaluate an indicator of the health system’s performance in the area of maternal and reproductive health in Colombia. Materials and methods An indicator was constructed based on variables related to the coverage and utilization of healthcare services for pregnant and reproductive-age women. A factor analysis was performed using a polychoric correlation matrix and the states were classified according to the indicator’s score. A path analysis was used to evaluate the relationship between the indicator and social determinants, with the maternal mortality ratio as the response variable. Results The factor analysis indicates that only one principal factor exists, namely "coverage and utilization of maternal healthcare services" (eigenvalue 4.35). The indicator performed best in the states of Atlantic, Bogota, Boyaca, Cundinamarca, Huila, Risaralda and Santander (Q4). The poorest performance (Q1) occurred in Caqueta, Choco, La Guajira, Vichada, Guainia, Amazonas and Vaupes. The indicator’s behavior was found to have an association with the unsatisfied basic needs index and women’s education (β = -0.021; 95%CI -0031 to -0.01 and β 0.554; 95%CI 0.39 to 0.72, respectively). According to the path analysis, an inverse relationship exists between the proposed indicator and the behavior of the maternal mortality ratio (β = -49.34; 95%CI -77.7 to -20.9); performance was a mediating variable. Discussion The performance of the health system with respect to its management of access and coverage for maternal and reproductive health appears to function as a mediating variable between social determinants and maternal mortality in Colombia.application/pdfengPLoS ONEAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2Universidad de La SabanaIntellectum Repositorio Universidad de La SabanaGeneration and evaluation of an indicator of the health system’s performance in maternal and reproductive health in Colombia: An ecological studyarticlepublishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501LICENSElicense.txtlicense.txttext/plain; charset=utf-8498https://intellectum.unisabana.edu.co/bitstream/10818/37156/3/license.txtf52a2cfd4df262e08e9b300d62c85cabMD53CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805https://intellectum.unisabana.edu.co/bitstream/10818/37156/2/license_rdf4460e5956bc1d1639be9ae6146a50347MD5210818/37156oai:intellectum.unisabana.edu.co:10818/371562022-05-10 05:19:50.239Intellectum Universidad de la Sabanacontactointellectum@unisabana.edu.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

Generation and evaluation of an indicator of the health system’s performance in maternal and reproductive health in Colombia: An ecological study

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