Ítem
Acceso Abierto

Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil

Mostrar el registro sencillo de la publicación
dc.creatorGarcia-Subirats, Irene
dc.creatorVargas, Ingrid
dc.creatorMogollón Pérez, Amparo Susana
dc.creatorDe Paepe, Pierre
dc.creatorFerreira da Silva e, Maria Rejane
dc.creatorPierre Unger, Jean
dc.creatorVázquez, María Luisa
dc.creator.googleGarcia-Subirats, Irenespa
dc.creator.googleVargas, Ingridspa
dc.creator.googleMogollón-Pérez, Amparo Susanaspa
dc.creator.googleDe Paepe, Pierrespa
dc.creator.googleFerreira da Silva e, Maria Rejanespa
dc.creator.googlePierre Unger, Jeanspa
dc.creator.googleVázquez, María Luisaspa
dc.date.accessioned2018-11-21T17:46:27Z
dc.date.available2018-11-21T17:46:27Z
dc.date.created2014
dc.date.issued2014
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.eng
dc.format.mimetypeapplication/pdf
dc.identifier.issnISSN 0277-9536
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/18723
dc.language.isoengspa
dc.relation.citationEndPage213
dc.relation.citationStartPage204
dc.relation.citationTitleSocial Science and Medicine
dc.relation.citationVolumeVol. 106
dc.relation.ispartofSocial Science and Medicine, ISSN: 0277-9536, Vol. 106 (2014) pp. 204-213spa
dc.relation.urihttps://ac.els-cdn.com/S0277953614000951/1-s2.0-S0277953614000951-main.pdf?_tid=48fed9f8-f6b5-4a61-9dd6-b65c54af8afc&acdnat=1540051209_640d002ed26c367137d017affb97b50espa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.rights.cchttps://creativecommons.org/licenses/by-nc-nd/3.0/spa
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. 1153-1160spa
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectAccess Barriersspa
dc.subjectBrazilspa
dc.subjectColombiaspa
dc.subjectHealth Care Utilizationspa
dc.subjectHealthcare Systemsspa
dc.subjectManaged Competitionspa
dc.subjectUniversal Healthcare Coveragespa
dc.subjectUnmet Healthcare Needsspa
dc.subject.decsAccessibilityspa
dc.subject.decsHealth Carespa
dc.subject.decsHealth Policyspa
dc.subject.decsHealth Servicesspa
dc.subject.decsPolicy Approachspa
dc.subject.decsPolicy Implementationspa
dc.subject.decsAdolescentspa
dc.subject.decsAdultspa
dc.subject.decsAgedspa
dc.subject.decsArticlespa
dc.subject.decsBrazilspa
dc.subject.decsChildspa
dc.subject.decsColombiaspa
dc.subject.decsCross-Sectional Studyspa
dc.subject.decsDemographyspa
dc.subject.decsEconomic Aspectspa
dc.subject.decsFemalespa
dc.subject.decsGeneral Practitionerspa
dc.subject.decsGeographyspa
dc.subject.decsHealth Care Accessspa
dc.subject.decsHealth Care Availabilityspa
dc.subject.decsHealth Care Facilityspa
dc.subject.decsHealth Care Financingspa
dc.subject.decsHealth Care Needspa
dc.subject.decsHealth Care Policyspa
dc.subject.decsHealth Care Systemspa
dc.subject.decsHealth Care Utilizationspa
dc.subject.decsHealth Insurancespa
dc.subject.decsHumanspa
dc.subject.decsInfantspa
dc.subject.decsMajor Clinical Studyspa
dc.subject.decsMalespa
dc.subject.decsMiddle Agedspa
dc.subject.decsProbability Samplespa
dc.subject.decsSocial Statusspa
dc.subject.decsYoung Adultspa
dc.subject.decsBrazilspa
dc.subject.decsColombiaspa
dc.subject.decsAccess Barriersspa
dc.subject.decsBrazilspa
dc.subject.decsColombiaspa
dc.subject.decsHealth Care Utilizationspa
dc.subject.decsHealthcare Systemsspa
dc.subject.decsManaged Competitionspa
dc.subject.decsUniversal Healthcare Coveragespa
dc.subject.decsUnmet Healthcare Needsspa
dc.subject.decsBrazilspa
dc.subject.decsCitiesspa
dc.subject.decsColombiaspa
dc.subject.decsCross-Sectional Studiesspa
dc.subject.decsDelivery Of Health Carespa
dc.subject.decsHealth Services Accessibilityspa
dc.subject.decsHealth Services Researchspa
dc.subject.decsHealthcare Disparitiesspa
dc.subject.decsHumansspa
dc.subject.decsSocioeconomic Factorsspa
dc.subject.lembAtención médicaspa
dc.subject.lembCentros médicosspa
dc.subject.lembServicios de saludspa
dc.titleBarriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazilspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
Archivos
Bloque original
Mostrando1 - 1 de 1
Miniatura
Nombre:
127.pdf
Tamaño:
717.67 KB
Formato:
Adobe Portable Document Format
Descripción:
Descargar
Colecciones
Artículos