Accesibilidad geográfica al cuidado obstétrico y neonatal y su efecto en la mortalidad neonatal temprana en Colombia 2012-2014

La distribución de los recursos de salud influencia la mortalidad neonatal temprana, garantizar el acceso atención obstétrica es un problema de salud pública. Sin embargo, la dimensión geográfica de esta influencia no ha sido estudiada en Colombia. Objetivo: Describir la accesibilidad geográfica a c...

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Autores:
Rojas Gualdrón, Diego Fernando
Caicedo Velásquez, Beatriz
Tipo de recurso:
Article of journal
Fecha de publicación:
2017
Institución:
Universidad Autónoma de Bucaramanga - UNAB
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Repositorio UNAB
Idioma:
spa
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oai:repository.unab.edu.co:20.500.12749/10014
Acceso en línea:
http://hdl.handle.net/20.500.12749/10014
Palabra clave:
Medically Underserved Area
Healthcare disparities
Health Services Accessibility
Maternal-Child Health Services
Early neonatal mortality
Spatial Analysis
Ciencias médicas
Sistema médico
Área sin atención médica
Disparidades en atención de salud
Accesibilidad a los servicios de salud
Servicios de salud materno-infantil
Mortalidad neonatal precoz
Análisis espacial
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id UNAB2_08eb9c1d6dfa40daac2b0019f2eca665
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dc.title.none.fl_str_mv Accesibilidad geográfica al cuidado obstétrico y neonatal y su efecto en la mortalidad neonatal temprana en Colombia 2012-2014
dc.title.translated.none.fl_str_mv Geographical accessibility to obstetric and neonatal care and its effect on early neonatal mortality in Colombia, 2012-2014
Acessibilidade geográfica aos cuidados obstétricos e neonatos e o seu efeito sobre a mortalidade neonatal inicial na Colômbia 2012-2014
title Accesibilidad geográfica al cuidado obstétrico y neonatal y su efecto en la mortalidad neonatal temprana en Colombia 2012-2014
spellingShingle Accesibilidad geográfica al cuidado obstétrico y neonatal y su efecto en la mortalidad neonatal temprana en Colombia 2012-2014
Medically Underserved Area
Healthcare disparities
Health Services Accessibility
Maternal-Child Health Services
Early neonatal mortality
Spatial Analysis
Ciencias médicas
Sistema médico
Área sin atención médica
Disparidades en atención de salud
Accesibilidad a los servicios de salud
Servicios de salud materno-infantil
Mortalidad neonatal precoz
Análisis espacial
title_short Accesibilidad geográfica al cuidado obstétrico y neonatal y su efecto en la mortalidad neonatal temprana en Colombia 2012-2014
title_full Accesibilidad geográfica al cuidado obstétrico y neonatal y su efecto en la mortalidad neonatal temprana en Colombia 2012-2014
title_fullStr Accesibilidad geográfica al cuidado obstétrico y neonatal y su efecto en la mortalidad neonatal temprana en Colombia 2012-2014
title_full_unstemmed Accesibilidad geográfica al cuidado obstétrico y neonatal y su efecto en la mortalidad neonatal temprana en Colombia 2012-2014
title_sort Accesibilidad geográfica al cuidado obstétrico y neonatal y su efecto en la mortalidad neonatal temprana en Colombia 2012-2014
dc.creator.fl_str_mv Rojas Gualdrón, Diego Fernando
Caicedo Velásquez, Beatriz
dc.contributor.author.spa.fl_str_mv Rojas Gualdrón, Diego Fernando
Caicedo Velásquez, Beatriz
dc.contributor.cvlac.none.fl_str_mv Rojas Gualdrón, Diego Fernando [0000778400]
Caicedo Velásquez, Beatriz [0000474240]
dc.contributor.googlescholar.none.fl_str_mv Rojas Gualdrón, Diego Fernando [wXTOFfEAAAAJ&hl=es&oi=ao]
dc.contributor.orcid.none.fl_str_mv Rojas Gualdrón, Diego Fernando [000-0002-2293-0431]
dc.subject.none.fl_str_mv Medically Underserved Area
Healthcare disparities
Health Services Accessibility
Maternal-Child Health Services
Early neonatal mortality
Spatial Analysis
topic Medically Underserved Area
Healthcare disparities
Health Services Accessibility
Maternal-Child Health Services
Early neonatal mortality
Spatial Analysis
Ciencias médicas
Sistema médico
Área sin atención médica
Disparidades en atención de salud
Accesibilidad a los servicios de salud
Servicios de salud materno-infantil
Mortalidad neonatal precoz
Análisis espacial
dc.subject.lemb.none.fl_str_mv Ciencias médicas
Sistema médico
dc.subject.proposal.none.fl_str_mv Área sin atención médica
Disparidades en atención de salud
Accesibilidad a los servicios de salud
Servicios de salud materno-infantil
Mortalidad neonatal precoz
Análisis espacial
description La distribución de los recursos de salud influencia la mortalidad neonatal temprana, garantizar el acceso atención obstétrica es un problema de salud pública. Sin embargo, la dimensión geográfica de esta influencia no ha sido estudiada en Colombia. Objetivo: Describir la accesibilidad geográfica a camas obstétricas y neonatales y su asociación con la mortalidad neonatal temprana en Colombia por municipios. Método: Se realizó un estudio ecológico a nivel municipal. Se recurrió a regresión por mínimos cuadrados ya regresión geográficamente ponderada para explorar las asociaciones estadísticas y espaciales. Resultados: Municipios con mayores tasas de mortalidad tienden a mostrar menor accesibilidad geográfica a camas obstétricas y neonatales, después de controlar las características municipales, económicas y de fecundidad. Esta asociación solo es significativa en municipios de la costa oeste. La fuerza de la asociación disminuyen municipios del interior. Discusión: Centralizar las camas obstétricas y neonatales en ciudades principales de la región central deja desatendidos a los municipios con mayor mortalidad. La descentralización de recursos de cuidado obstétrico y neonatal es un asunto obligatorio para reducir desigualdades geográficas en mortalidad, aumentarla supervivencia neonatal y lograr un inicio de vida saludable. [Rojas-Gualdrón DF, Caicedo-Velásquez B. Accesibilidad geográfica al cuidado obstétrico y neonatal y su efecto en la mortalidad neonatal temprana en Colombia.
publishDate 2017
dc.date.issued.none.fl_str_mv 2017-04-01
dc.date.accessioned.none.fl_str_mv 2020-10-27T14:19:39Z
dc.date.available.none.fl_str_mv 2020-10-27T14:19:39Z
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Lawn JE, Kinney M, Lee ACC, Chopra M, Donnay F, Paul VK, et al. Reducing intrapartum-related deaths and disability: can the health system deliver? Int J Gynaecol Obstet Off Organ Int Fed Gynaecol Obstet. 2009; 107 Suppl1:S123-40,S140-2.https://doi.org/10.1016/ j.ijgo.2009.07.021
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Luo W. Using a GIS-based floating catchment method to assess areas with shortage of physicians. Health Place. 2004;10(1):1-11.https://www.ncbi.nlm.nih.gov/ pubmed/14637284
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Mao L, Nekorchuk D. Measuring spatial accessibility to healthcare for populations with multiple transportation modes. Health Place. 2013; 24: 115-22. https://doi.org/ 10.1016/j.healthplace.2013.08.008
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Malqvist M, Eriksson L, Nga NT, Fagerland LI, Hoa DP, Wallin L, et al. Unreported births and deaths, a severe obstacle for improved neonatal survival in low-income countries; a population based study. BMCInt Health Hum Rights. 2008; 8: 4. https://doi.org/10.1186/1472-698X-8-4
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spelling Rojas Gualdrón, Diego Fernando9de4a9ec-a5b5-4209-bd53-a5d61f645425Caicedo Velásquez, Beatriz8a2b217d-a94d-4c27-bfab-932c69deebb1Rojas Gualdrón, Diego Fernando [0000778400]Caicedo Velásquez, Beatriz [0000474240]Rojas Gualdrón, Diego Fernando [wXTOFfEAAAAJ&hl=es&oi=ao]Rojas Gualdrón, Diego Fernando [000-0002-2293-0431]2020-10-27T14:19:39Z2020-10-27T14:19:39Z2017-04-012382-46030123-7047http://hdl.handle.net/20.500.12749/10014instname:Universidad Autónoma de Bucaramanga UNABrepourl:https://repository.unab.edu.co10.29375/01237047.2670La distribución de los recursos de salud influencia la mortalidad neonatal temprana, garantizar el acceso atención obstétrica es un problema de salud pública. Sin embargo, la dimensión geográfica de esta influencia no ha sido estudiada en Colombia. Objetivo: Describir la accesibilidad geográfica a camas obstétricas y neonatales y su asociación con la mortalidad neonatal temprana en Colombia por municipios. Método: Se realizó un estudio ecológico a nivel municipal. Se recurrió a regresión por mínimos cuadrados ya regresión geográficamente ponderada para explorar las asociaciones estadísticas y espaciales. Resultados: Municipios con mayores tasas de mortalidad tienden a mostrar menor accesibilidad geográfica a camas obstétricas y neonatales, después de controlar las características municipales, económicas y de fecundidad. Esta asociación solo es significativa en municipios de la costa oeste. La fuerza de la asociación disminuyen municipios del interior. Discusión: Centralizar las camas obstétricas y neonatales en ciudades principales de la región central deja desatendidos a los municipios con mayor mortalidad. La descentralización de recursos de cuidado obstétrico y neonatal es un asunto obligatorio para reducir desigualdades geográficas en mortalidad, aumentarla supervivencia neonatal y lograr un inicio de vida saludable. [Rojas-Gualdrón DF, Caicedo-Velásquez B. Accesibilidad geográfica al cuidado obstétrico y neonatal y su efecto en la mortalidad neonatal temprana en Colombia.The distribution of health resources influences early neonatal mortality, guaranteeing access to obstetric care is a public health problem. However, the geographical dimension of this influence has not been studied in Colombia. Objective: To describe the geographic accessibility to obstetric and neonatal beds and its association with early neonatal mortality in Colombia by municipalities. Method: An ecological study was carried out at the municipal level. Least squares regression and geographically weighted regression were used to explore statistical and spatial associations. Results: Municipalities with higher mortality rates tend to show less geographic accessibility to obstetric and neonatal beds, after controlling for municipal, economic and fertility characteristics. This association is only significant in municipalities on the west coast. The strength of the association diminish municipalities of the interior. Discussion: Centralizing obstetric and neonatal beds in the main cities of the central region leaves the municipalities with higher mortality unattended. The decentralization of obstetric and neonatal care resources is a mandatory matter to reduce geographic inequalities in mortality, increase neonatal survival and achieve a healthy start to life. [Rojas-Gualdrón DF, Caicedo-Velásquez B. Geographic accessibility to obstetric and neonatal care and its effect on early neonatal mortality in Colombia.A distribuição dos recursos de saúde influencia a mortalidade neonatal precoce, garantindo o acesso à assistência obstétrica é um problema de saúde pública. No entanto, a dimensão geográfica dessa influência não foi estudada na Colômbia. Objetivo: Descrever a acessibilidade geográfica aos leitos obstétricos e neonatais e sua associação com a mortalidade neonatal precoce na Colômbia por municípios. Método: Foi realizado um estudo ecológico em nível municipal. A regressão de mínimos quadrados e a regressão geograficamente ponderada foram usadas para explorar associações estatísticas e espaciais. Resultados: Municípios com maiores taxas de mortalidade tendem a apresentar menor acessibilidade geográfica aos leitos obstétricos e neonatais, controlados pelas características municipais, econômicas e de fertilidade. Essa associação é significativa apenas em municípios da costa oeste. A força da associação diminui os municípios do interior. Discussão: A centralização dos leitos obstétricos e neonatais nas principais cidades da região central deixa os municípios com maior mortalidade sem atendimento. A descentralização dos recursos de assistência obstétrica e neonatal é uma questão obrigatória para reduzir as desigualdades geográficas na mortalidade, aumentar a sobrevida neonatal e alcançar um início de vida saudável. [Rojas-Gualdrón DF, Caicedo-Velásquez B. 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BMCInt Health Hum Rights. 2008; 8: 4. https://doi.org/10.1186/1472-698X-8-4http://creativecommons.org/licenses/by-nc-nd/2.5/co/Atribución-NoComercial-SinDerivadas 2.5 Colombiahttp://purl.org/coar/access_right/c_abf2MedUNAB; Vol. 20 Núm. 1 (2017): Abril - Julio de 2017: Mortalidad Neonatal, Carga de Cuidado, Infección Hospitalaria; 7-18Medically Underserved AreaHealthcare disparitiesHealth Services AccessibilityMaternal-Child Health ServicesEarly neonatal mortalitySpatial AnalysisCiencias médicasSistema médicoÁrea sin atención médicaDisparidades en atención de saludAccesibilidad a los servicios de saludServicios de salud materno-infantilMortalidad neonatal precozAnálisis espacialAccesibilidad geográfica al cuidado obstétrico y neonatal y su efecto en la mortalidad neonatal temprana en Colombia 2012-2014Geographical accessibility to obstetric and neonatal care and its effect on early neonatal mortality in Colombia, 2012-2014Acessibilidade geográfica aos cuidados obstétricos e neonatos e o seu efeito sobre a mortalidade neonatal inicial na Colômbia 2012-2014info:eu-repo/semantics/articleArtículohttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/redcol/resource_type/ARTORIGINAL2017_Accesibilidad_geográfica_al_cuidado_obstétrico.pdf2017_Accesibilidad_geográfica_al_cuidado_obstétrico.pdfArticuloapplication/pdf5703146https://repository.unab.edu.co/bitstream/20.500.12749/10014/1/2017_Accesibilidad_geogr%c3%a1fica_al_cuidado_obst%c3%a9trico.pdf3c29effb8c753705a9698f442a1c28bfMD51open accessTHUMBNAIL2017_Accesibilidad_geográfica_al_cuidado_obstétrico.pdf.jpg2017_Accesibilidad_geográfica_al_cuidado_obstétrico.pdf.jpgIM Thumbnailimage/jpeg11159https://repository.unab.edu.co/bitstream/20.500.12749/10014/2/2017_Accesibilidad_geogr%c3%a1fica_al_cuidado_obst%c3%a9trico.pdf.jpgcae74941a7e446d22beb776cdb1cc4cfMD52open access20.500.12749/10014oai:repository.unab.edu.co:20.500.12749/100142022-11-25 15:52:47.372open accessRepositorio Institucional | Universidad Autónoma de Bucaramanga - UNABrepositorio@unab.edu.co

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