Reform and equity in the access to and use of health services in bogotá, colombia
In the present study we intended to evaluate the impact of the transformation of the national health system into the Social Security Health System upon the equity in access to health services as well as their use and quality. We interpreted equity as the equal opportunity for all people of gaining r...
- Autores:
-
Martínez, Patricia
Rodríguez, Luis A.
Agudelo Calderón, Carlos Alberto
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2001
- Institución:
- Universidad Nacional de Colombia
- Repositorio:
- Universidad Nacional de Colombia
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.unal.edu.co:unal/32020
- Acceso en línea:
- https://repositorio.unal.edu.co/handle/unal/32020
http://bdigital.unal.edu.co/22100/
- Palabra clave:
- equidad
acceso
utilización
reforma
competencia regulada
equity
access
use
reform
regulated competition
- Rights
- openAccess
- License
- Atribución-NoComercial 4.0 Internacional
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Reform and equity in the access to and use of health services in bogotá, colombia |
| title |
Reform and equity in the access to and use of health services in bogotá, colombia |
| spellingShingle |
Reform and equity in the access to and use of health services in bogotá, colombia equidad acceso utilización reforma competencia regulada equity access use reform regulated competition |
| title_short |
Reform and equity in the access to and use of health services in bogotá, colombia |
| title_full |
Reform and equity in the access to and use of health services in bogotá, colombia |
| title_fullStr |
Reform and equity in the access to and use of health services in bogotá, colombia |
| title_full_unstemmed |
Reform and equity in the access to and use of health services in bogotá, colombia |
| title_sort |
Reform and equity in the access to and use of health services in bogotá, colombia |
| dc.creator.fl_str_mv |
Martínez, Patricia Rodríguez, Luis A. Agudelo Calderón, Carlos Alberto |
| dc.contributor.author.spa.fl_str_mv |
Martínez, Patricia Rodríguez, Luis A. Agudelo Calderón, Carlos Alberto |
| dc.subject.proposal.spa.fl_str_mv |
equidad acceso utilización reforma competencia regulada equity access use reform regulated competition |
| topic |
equidad acceso utilización reforma competencia regulada equity access use reform regulated competition |
| description |
In the present study we intended to evaluate the impact of the transformation of the national health system into the Social Security Health System upon the equity in access to health services as well as their use and quality. We interpreted equity as the equal opportunity for all people of gaining real access to health services. A cross-sectional study was designed to detect the differences, which might exist between affiliated and non-affiliated people, and the differences in access to and use of health services according to the nature of affiliation. A survey was carried out in 364 households comprising 1324 people aged 9 years or older, in which socio-demographic and labor aspects, affiliation to social security, nature of the affiliation (contributive or subsidized regime), use of health services, attention and expenditure in health services were studied. 297 randomly chosen patients of the outpatient clinics of hospitals of levels 1,2 and 3 were asked to answer a survey about affiliation, awareness of their rights, opportunity and quality of the health service, general satisfaction and social participation. Numerous differences, which could not be justified by necessity, cause for requesting attention, place where people demanded health services, attention received or use of health services, were found once adjustments for gender, age, housing stratum, occupation and income were made. These problems in equity relate to the design, structure and operation of the model of regulated competition. |
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2001 |
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2001 |
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2019-06-26T14:59:30Z |
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2019-06-26T14:59:30Z |
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Artículo de revista |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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info:eu-repo/semantics/article |
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https://repositorio.unal.edu.co/handle/unal/32020 |
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http://bdigital.unal.edu.co/22100/ |
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https://repositorio.unal.edu.co/handle/unal/32020 http://bdigital.unal.edu.co/22100/ |
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spa |
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spa |
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http://revistas.unal.edu.co/index.php/revsaludpublica/article/view/18664 |
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Universidad Nacional de Colombia Revistas electrónicas UN Revista de Salud Pública Revista de Salud Pública |
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Journal of Public Health; Vol. 3, núm. 1 (2001); 13-39 Revista de Salud Pública; Vol. 3, núm. 1 (2001); 13-39 0124-0064 |
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Martínez, Patricia and Rodríguez, Luis A. and Agudelo Calderón, Carlos Alberto (2001) Reform and equity in the access to and use of health services in bogotá, colombia. Journal of Public Health; Vol. 3, núm. 1 (2001); 13-39 Revista de Salud Pública; Vol. 3, núm. 1 (2001); 13-39 0124-0064 . |
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Derechos reservados - Universidad Nacional de Colombia |
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Atribución-NoComercial 4.0 Internacional |
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Atribución-NoComercial 4.0 Internacional Derechos reservados - Universidad Nacional de Colombia http://creativecommons.org/licenses/by-nc/4.0/ http://purl.org/coar/access_right/c_abf2 |
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Revista de Salud Pública |
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Atribución-NoComercial 4.0 InternacionalDerechos reservados - Universidad Nacional de Colombiahttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Martínez, Patriciab08b021e-a4c9-4480-9a50-7417977adff0300Rodríguez, Luis A.efcab18b-5ff7-4f58-bc71-0dbcf038342a300Agudelo Calderón, Carlos Alberto8d3af0f2-6070-4a76-bb54-5ea86726d8c43002019-06-26T14:59:30Z2019-06-26T14:59:30Z2001https://repositorio.unal.edu.co/handle/unal/32020http://bdigital.unal.edu.co/22100/In the present study we intended to evaluate the impact of the transformation of the national health system into the Social Security Health System upon the equity in access to health services as well as their use and quality. We interpreted equity as the equal opportunity for all people of gaining real access to health services. A cross-sectional study was designed to detect the differences, which might exist between affiliated and non-affiliated people, and the differences in access to and use of health services according to the nature of affiliation. A survey was carried out in 364 households comprising 1324 people aged 9 years or older, in which socio-demographic and labor aspects, affiliation to social security, nature of the affiliation (contributive or subsidized regime), use of health services, attention and expenditure in health services were studied. 297 randomly chosen patients of the outpatient clinics of hospitals of levels 1,2 and 3 were asked to answer a survey about affiliation, awareness of their rights, opportunity and quality of the health service, general satisfaction and social participation. Numerous differences, which could not be justified by necessity, cause for requesting attention, place where people demanded health services, attention received or use of health services, were found once adjustments for gender, age, housing stratum, occupation and income were made. These problems in equity relate to the design, structure and operation of the model of regulated competition.En el presente estudio nos propusimos evaluar el impacto de la transformación del Sistema Nacional de Salud en Sistema de Seguridad Social en Salud, sobre la equidad en el acceso, la utilización y la calidad de los servicios de salud. Interpretamos la equidad como la igualdad de todos los individuos frente a las oportunidades de acceso real a los servicios de salud. Llevamos a cabo un estudio transversal para detectar las diferencias que pudiesen existir entre los afiliados y los no afiliados, y los tipos de afiliación en términos de acceso y utilización de los servicios de salud. Se aplicó una encuesta a 364 hogares con 1.324 personas mayores de 9 años sobre aspectos sociodemográficos y laborales, afiliación a la seguridad social, tipo de afiliación (régimen contributivo y subsidiado) utilización de los servicios de salud, atención y gasto en salud. En hospitales de nivel 1, 2 y 3 se escogieron al azar 297 usuarios del servicio de consulta externa y se les aplicó una encuesta sobre afiliación, conocimiento de derechos, oportunidad de atención, calidad del servicio, satisfacción general y participación social. Una vez que se controló para género, edad, estrato de vivienda, ocupación e ingreso se encontraron numerosas diferencias no justificadas en la necesidad, la consulta, el sitio al que se acude, el motivo para no consultar, la atención recibida y la utilización de servicios. Estos problemas de equidad remiten al diseño, la estructura y la operación del modelo de competencia regulada.application/pdfspaRevista de Salud Públicahttp://revistas.unal.edu.co/index.php/revsaludpublica/article/view/18664Universidad Nacional de Colombia Revistas electrónicas UN Revista de Salud PúblicaRevista de Salud PúblicaJournal of Public Health; Vol. 3, núm. 1 (2001); 13-39 Revista de Salud Pública; Vol. 3, núm. 1 (2001); 13-39 0124-0064Martínez, Patricia and Rodríguez, Luis A. and Agudelo Calderón, Carlos Alberto (2001) Reform and equity in the access to and use of health services in bogotá, colombia. Journal of Public Health; Vol. 3, núm. 1 (2001); 13-39 Revista de Salud Pública; Vol. 3, núm. 1 (2001); 13-39 0124-0064 .Reform and equity in the access to and use of health services in bogotá, colombiaArtículo de revistainfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85Texthttp://purl.org/redcol/resource_type/ARTequidadaccesoutilizaciónreformacompetencia reguladaequityaccessusereformregulated competitionORIGINAL18664-60626-1-PB.pdfapplication/pdf633117https://repositorio.unal.edu.co/bitstream/unal/32020/1/18664-60626-1-PB.pdf018b9fe9806a788e43e94207ca1dc878MD51THUMBNAIL18664-60626-1-PB.pdf.jpg18664-60626-1-PB.pdf.jpgGenerated Thumbnailimage/jpeg6762https://repositorio.unal.edu.co/bitstream/unal/32020/2/18664-60626-1-PB.pdf.jpg79f7ccff4e049a9af827442f05bf97d4MD52unal/32020oai:repositorio.unal.edu.co:unal/320202022-12-04 23:03:45.649Repositorio Institucional Universidad Nacional de Colombiarepositorio_nal@unal.edu.co |