Por favor, use este identificador para citar o enlazar este ítem: http://hdl.handle.net/10495/7331
Título : Acceso a servicios de salud : análisis de barreras y estrategias en el caso de Medellín, Colombia
Otros títulos : Access to Health Services : Analysis of Barriers and Strategies in Medellín, Colombia
Autor : Restrepo Zea, Jairo Humberto
Silva Maya, Constanza Elena
Andrade Rivas, Federico
Dover Van Horn, Robert
metadata.dc.subject.*: Servicios de salud
Políticas públicas en salud
Equidad en salud
Fecha de publicación : 2014
Editorial : Pontifica Universidad Javeriana, Facultad de Ciencias Económicas y Administrativas
Citación : Restrepo Zea, J. H., Silva Maya, C. E., Andrade Rivas, F. & VH-Dover Van-Horn, R. (2014). Acceso a servicios de salud: análisis de barreras y estrategias en el caso de Medellín, Colombia. Revista Gerencia y Políticas de Salud, 13(27), 242-265. DOI: 10.11144/Javeriana.rgyps13-27.assa
Resumen : Context: The access to health services is an increasingly worrying topic in the research and public policies agendas. In the case of Colombia, this topic becomes more important and attains supremacy opposite to assurance. Objective: Building a concept of access and identifying barriers, as well as strategies and alternatives to overcome them from the perspective of the actors of the health system in Medellin. Materials and Methods: qualitative research, focused on three areas of Medellin. We used techniques such as semi-structured interviews; social cartography workshops; observation and result questionnaires of the services. Results: The vision on the access is heterogeneous between actors, although some similarities and differences were identified, that allowed us to build a proposal of the concept of access. The barriers and factors that facilitate access can be attributed to factors on the offer side as well as on the demand side. Most of the barriers happen during real access, during the search and continuity of the treatment. The social characteristics of the population, such as knowledge of the system and social and community support are also determinant factors of access. Discussion and Conclusions: All actors use strategies to solve the access barriers and are affected by them on different levels. The qualitative analysis of the concept of access, of barriers and facilities, allow the identification of alternatives that may serve as components for health policies.
ISSN : 16577027
metadata.dc.identifier.doi: 10.11144/Javeriana.rgyps13-27.assa
Aparece en las colecciones: CIC (Centro de Investigaciones y Consultorías en Ciencias Económicas)

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