Oral health services coverage in Medellín, 2015
ABSTRACT Introduction: despite the advances in coverage in social security in health, the Colombian population still faces access barriers. In oral health, although the benefit plan is broad, the coverage of services provided by Health Maintenance Organizations (HMOs)* is low. Objective: analyze den...
- Autores:
-
Restrepo Zea, Jairo Humberto
Castro García, Paula Andrea
Casas Bustamante, Lina Patricia
Betancur Romero, John Edison
López Hernández, Mayra Alejandra
Moreno López, Carolina
Rangel Valencia, Vanessa
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2020
- Institución:
- Universidad de Antioquia
- Repositorio:
- Repositorio UdeA
- Idioma:
- eng
- OAI Identifier:
- oai:bibliotecadigital.udea.edu.co:10495/26203
- Acceso en línea:
- http://hdl.handle.net/10495/26203
- Palabra clave:
- Oral Health
Salud Bucal
Dental Health Services
Servicios de Salud Dental
Health Services Coverage
Cobertura de los Servicios de Salud
State Health Care Coverage
Cobertura de Servicios Públicos de Salud
- Rights
- openAccess
- License
- http://creativecommons.org/licenses/by-nc-sa/2.5/co/
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| dc.title.spa.fl_str_mv |
Oral health services coverage in Medellín, 2015 |
| dc.title.alternative.spa.fl_str_mv |
Cobertura de los servicios de salud bucal en Medellín, 2015 |
| title |
Oral health services coverage in Medellín, 2015 |
| spellingShingle |
Oral health services coverage in Medellín, 2015 Oral Health Salud Bucal Dental Health Services Servicios de Salud Dental Health Services Coverage Cobertura de los Servicios de Salud State Health Care Coverage Cobertura de Servicios Públicos de Salud |
| title_short |
Oral health services coverage in Medellín, 2015 |
| title_full |
Oral health services coverage in Medellín, 2015 |
| title_fullStr |
Oral health services coverage in Medellín, 2015 |
| title_full_unstemmed |
Oral health services coverage in Medellín, 2015 |
| title_sort |
Oral health services coverage in Medellín, 2015 |
| dc.creator.fl_str_mv |
Restrepo Zea, Jairo Humberto Castro García, Paula Andrea Casas Bustamante, Lina Patricia Betancur Romero, John Edison López Hernández, Mayra Alejandra Moreno López, Carolina Rangel Valencia, Vanessa |
| dc.contributor.author.none.fl_str_mv |
Restrepo Zea, Jairo Humberto Castro García, Paula Andrea Casas Bustamante, Lina Patricia Betancur Romero, John Edison López Hernández, Mayra Alejandra Moreno López, Carolina Rangel Valencia, Vanessa |
| dc.subject.decs.none.fl_str_mv |
Oral Health Salud Bucal Dental Health Services Servicios de Salud Dental Health Services Coverage Cobertura de los Servicios de Salud State Health Care Coverage Cobertura de Servicios Públicos de Salud |
| topic |
Oral Health Salud Bucal Dental Health Services Servicios de Salud Dental Health Services Coverage Cobertura de los Servicios de Salud State Health Care Coverage Cobertura de Servicios Públicos de Salud |
| description |
ABSTRACT Introduction: despite the advances in coverage in social security in health, the Colombian population still faces access barriers. In oral health, although the benefit plan is broad, the coverage of services provided by Health Maintenance Organizations (HMOs)* is low. Objective: analyze dental services coverage among users in Medellín in the year 2015. Methods: mix study with a quantitative approach to estimate expected coverage, according to normative need and expressed need, and real coverage based on service provision records referring to Medellín users who accessed dental services in the HMO network in 2015. A qualitative approach was also conducted via interviews with oral health referents in six HMOs. Results: in order to meet the needs of the affiliated population, 9,6 million specific protection and early detection activities were required in the year, following the normative guidelines, and 6,8 million activities to assist caries and periodontitis patients. Real coverage would have hardly been 10.6% of the city’s population, and in the studied HMOs this value would have been 16% to 23%. Conclusion: the gap between the necessary services and those provided exceeds 70%, which is mainly due to social and cultural factors and low induced demand. In addition to greater resources, this must be taken into account to improve coverage and achieve a greater impact on oral health. |
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2020 |
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2020 |
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2022-02-26T12:14:18Z |
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2022-02-26T12:14:18Z |
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info:eu-repo/semantics/article |
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http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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info:eu-repo/semantics/publishedVersion |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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Artículo de investigación |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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Restrepo Zea JH, Castro García PA, Casas Bustamante LP, Betancur-Romero JE, López Hernández MA, Moreno López C et al. Oral health services coverage in Medellín, 2015. Rev Fac Odontol Univ Antioq. 2020; 32(2): 6-17. DOI: http://dx.doi.org/10.17533/udea.rfo.v32n2a1 |
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2145-7670 |
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http://hdl.handle.net/10495/26203 |
| dc.identifier.doi.none.fl_str_mv |
10.17533/udea.rfo.v32n2a1 |
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0121-246X |
| identifier_str_mv |
Restrepo Zea JH, Castro García PA, Casas Bustamante LP, Betancur-Romero JE, López Hernández MA, Moreno López C et al. Oral health services coverage in Medellín, 2015. Rev Fac Odontol Univ Antioq. 2020; 32(2): 6-17. DOI: http://dx.doi.org/10.17533/udea.rfo.v32n2a1 2145-7670 10.17533/udea.rfo.v32n2a1 0121-246X |
| url |
http://hdl.handle.net/10495/26203 |
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eng |
| language |
eng |
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Rev Fac Odontol Univ Antioq |
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info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by-nc-sa/2.5/co/ |
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openAccess |
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| dc.publisher.spa.fl_str_mv |
Universidad de Antioquia, Facultad de Odontología |
| dc.publisher.group.spa.fl_str_mv |
Economía de la Salud |
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Medellín, Colombia |
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Universidad de Antioquia |
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http://bibliotecadigital.udea.edu.co/bitstream/10495/26203/8/RestrepoJairo_2020_OralHealthServices.pdf http://bibliotecadigital.udea.edu.co/bitstream/10495/26203/9/license_rdf http://bibliotecadigital.udea.edu.co/bitstream/10495/26203/10/license.txt |
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andres.perez@udea.edu.co |
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Restrepo Zea, Jairo HumbertoCastro García, Paula AndreaCasas Bustamante, Lina PatriciaBetancur Romero, John EdisonLópez Hernández, Mayra AlejandraMoreno López, CarolinaRangel Valencia, Vanessa2022-02-26T12:14:18Z2022-02-26T12:14:18Z2020Restrepo Zea JH, Castro García PA, Casas Bustamante LP, Betancur-Romero JE, López Hernández MA, Moreno López C et al. Oral health services coverage in Medellín, 2015. Rev Fac Odontol Univ Antioq. 2020; 32(2): 6-17. DOI: http://dx.doi.org/10.17533/udea.rfo.v32n2a12145-7670http://hdl.handle.net/10495/2620310.17533/udea.rfo.v32n2a10121-246XABSTRACT Introduction: despite the advances in coverage in social security in health, the Colombian population still faces access barriers. In oral health, although the benefit plan is broad, the coverage of services provided by Health Maintenance Organizations (HMOs)* is low. Objective: analyze dental services coverage among users in Medellín in the year 2015. Methods: mix study with a quantitative approach to estimate expected coverage, according to normative need and expressed need, and real coverage based on service provision records referring to Medellín users who accessed dental services in the HMO network in 2015. A qualitative approach was also conducted via interviews with oral health referents in six HMOs. Results: in order to meet the needs of the affiliated population, 9,6 million specific protection and early detection activities were required in the year, following the normative guidelines, and 6,8 million activities to assist caries and periodontitis patients. Real coverage would have hardly been 10.6% of the city’s population, and in the studied HMOs this value would have been 16% to 23%. Conclusion: the gap between the necessary services and those provided exceeds 70%, which is mainly due to social and cultural factors and low induced demand. In addition to greater resources, this must be taken into account to improve coverage and achieve a greater impact on oral health.RESUMEN Introducción: a pesar de los avances en la cobertura de la seguridad social en salud, la población colombiana enfrenta barreras al acceso. En salud bucal, si bien el plan de beneficios es amplio, la cobertura de los servicios a cargo de las EPS es baja. Objetivo: analizar la cobertura de los servicios odontológicos entre la población afiliada en Medellín en 2015. Métodos: estudio mixto con un componente central cuantitativo para estimar la cobertura esperada, según necesidad normativa y necesidad expresada, y la cobertura real a partir de registros de prestación de servicios de los afiliados que en 2015 accedieron a servicios odontológicos en la red de seis EPS. También se desarrolló un componente cualitativo, a partir de entrevistas a referentes de salud bucal en las EPS. Resultados: para atender las necesidades de la población afiliada se requerían en el año 9.6 millones de actividades de protección específica y detección temprana, siguiendo los lineamientos normativos, y 6.8 millones de actividades para atender los diagnósticos de caries y periodontitis. La cobertura real apenas habría sido del 10,6%, y en las EPS del estudio entre 16% y 23%. Conclusión: la brecha entre los servicios necesarios y los prestados supera el 70%, lo cual puede deberse especialmente a factores sociales y culturales y a una baja demanda inducida. A la par con mayores recursos, esto debe ser tenido en cuenta para mejorar la cobertura y lograr un mayor impacto en salud bucal.COL000405912application/pdfengUniversidad de Antioquia, Facultad de OdontologíaEconomía de la SaludMedellín, Colombiainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-sa/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-sa/4.0/Oral health services coverage in Medellín, 2015Cobertura de los servicios de salud bucal en Medellín, 2015Oral HealthSalud BucalDental Health ServicesServicios de Salud DentalHealth Services CoverageCobertura de los Servicios de SaludState Health Care CoverageCobertura de Servicios Públicos de SaludRev Fac Odontol Univ AntioqRevista Facultad de Odontología Universidad de Antioquia617322Medellín. Secretaria de SaludUniversidad de AntioquiaCoverage and costs of oral health services in the benefit plan4600070610 2017ORIGINALRestrepoJairo_2020_OralHealthServices.pdfRestrepoJairo_2020_OralHealthServices.pdfArtículo de investigaciónapplication/pdf605263http://bibliotecadigital.udea.edu.co/bitstream/10495/26203/8/RestrepoJairo_2020_OralHealthServices.pdf6a804e5288cd886e8e3d2ef77c8a7836MD58CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-81051http://bibliotecadigital.udea.edu.co/bitstream/10495/26203/9/license_rdfe2060682c9c70d4d30c83c51448f4eedMD59LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://bibliotecadigital.udea.edu.co/bitstream/10495/26203/10/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51010495/26203oai:bibliotecadigital.udea.edu.co:10495/262032022-02-26 07:17:15.959Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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 |