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dc.creatorGarcia-Subirats, Irene 
dc.creatorVargas, Ingrid 
dc.creatorMogollon Perez, Amparo Susana 
dc.creatorDe Paepe, Pierre 
dc.creatorFerreira da Silva e, Maria Rejane 
dc.creatorPierre Unger, Jean 
dc.creatorVázquez, María Luisa 
dc.date.accessioned2018-11-21T17:46:27Z
dc.date.available2018-11-21T17:46:27Z
dc.date.created2014
dc.date.issued2014 
dc.identifier.issnISSN 0277-9536
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/18723
dc.description.abstractThere are few comprehensive studies available on barriers encountered from the initial seeking of healthcare through to the resolution of the health problem; in other words, on access in its broad domain. For Colombia and Brazil, countries with different healthcare systems but common stated principles, there have been no such analyses to date. This paper compares factors that influence access in its broad domain in two municipalities of each country, by means of a cross-sectional study based on a survey of a multistage probability sample of people who had had at least one health problem within the last three months (2163 in Colombia and 2155 in Brazil). The results reveal important barriers to healthcare access in both samples, with notable differences between and within countries, once differences in sociodemographic characteristics and health needs are accounted for. In the Colombian study areas, the greatest barriers were encountered in initial access to healthcare and in resolving the problem, and similarly when entering the health service in the Brazilian study areas. Differences can also be detected in the use of services: in Colombia greater geographical and economic barriers and the need for authorization from insurers are more relevant, whereas in Brazil, it is the limited availability of health centres, doctors and drugs that leads to longer waiting times. There are also differences according to enrolment status and insurance scheme in Colombia, and between areas in Brazil. The barriers appear to be related to the Colombian system's segmented, non-universal nature, and to the involvement of insurance companies, and to chronic underfunding of the public system in Brazil. Further research is required, but the results obtained reveal critical points to be tackled by health policies in both countries. © 2014 The Authors.
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.relation.ispartofSocial Science and Medicine, ISSN: 0277-9536, Vol. 106 (2014) pp. 204-213
dc.relation.urihttps://ac.els-cdn.com/S0277953614000951/1-s2.0-S0277953614000951-main.pdf?_tid=48fed9f8-f6b5-4a61-9dd6-b65c54af8afc&acdnat=1540051209_640d002ed26c367137d017affb97b50e
dc.rights.uri
dc.subjectAccess Barriers
dc.subjectBrazil
dc.subjectColombia
dc.subjectHealth Care Utilization
dc.subjectHealthcare Systems
dc.subjectManaged Competition
dc.subjectUniversal Healthcare Coverage
dc.subjectUnmet Healthcare Needs
dc.subject.lembAtención médica
dc.subject.lembCentros médicos
dc.subject.lembServicios de salud
dc.titleBarriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil
dc.typearticle
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.subject.decsAccessibility
dc.subject.decsHealth Care
dc.subject.decsHealth Policy
dc.subject.decsHealth Services
dc.subject.decsPolicy Approach
dc.subject.decsPolicy Implementation
dc.subject.decsAdolescent
dc.subject.decsAdult
dc.subject.decsAged
dc.subject.decsArticle
dc.subject.decsBrazil
dc.subject.decsChild
dc.subject.decsColombia
dc.subject.decsCross-Sectional Study
dc.subject.decsDemography
dc.subject.decsEconomic Aspect
dc.subject.decsFemale
dc.subject.decsGeneral Practitioner
dc.subject.decsGeography
dc.subject.decsHealth Care Access
dc.subject.decsHealth Care Availability
dc.subject.decsHealth Care Facility
dc.subject.decsHealth Care Financing
dc.subject.decsHealth Care Need
dc.subject.decsHealth Care Policy
dc.subject.decsHealth Care System
dc.subject.decsHealth Care Utilization
dc.subject.decsHealth Insurance
dc.subject.decsHuman
dc.subject.decsInfant
dc.subject.decsMajor Clinical Study
dc.subject.decsMale
dc.subject.decsMiddle Aged
dc.subject.decsProbability Sample
dc.subject.decsSocial Status
dc.subject.decsYoung Adult
dc.subject.decsBrazil
dc.subject.decsColombia
dc.subject.decsAccess Barriers
dc.subject.decsBrazil
dc.subject.decsColombia
dc.subject.decsHealth Care Utilization
dc.subject.decsHealthcare Systems
dc.subject.decsManaged Competition
dc.subject.decsUniversal Healthcare Coverage
dc.subject.decsUnmet Healthcare Needs
dc.subject.decsBrazil
dc.subject.decsCities
dc.subject.decsColombia
dc.subject.decsCross-Sectional Studies
dc.subject.decsDelivery Of Health Care
dc.subject.decsHealth Services Accessibility
dc.subject.decsHealth Services Research
dc.subject.decsHealthcare Disparities
dc.subject.decsHumans
dc.subject.decsSocioeconomic Factors
dc.type.spaArtículo
dc.rights.accesoAbierto (Texto Completo)
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.source.bibliographicCitationAbadia, C.E., Oviedo, D.G., Bureaucratic itineraries in Colombia. A theoretical and methodological tool to assess managed-care health care systems (2009) Social Science & Medicine, 68, pp. 1153-1160
dc.rights.cchttps://creativecommons.org/licenses/by-nc-nd/3.0/
dc.creator.googleGarcia-Subirats, Irene
dc.creator.googleVargas, Ingrid
dc.creator.googleMogollón-Pérez, Amparo Susana
dc.creator.googleDe Paepe, Pierre
dc.creator.googleFerreira da Silva e, Maria Rejane
dc.creator.googlePierre Unger, Jean
dc.creator.googleVázquez, María Luisa
dc.relation.citationEndPage213
dc.relation.citationStartPage204
dc.relation.citationTitleSocial Science and Medicine
dc.relation.citationVolumeVol. 106


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