Access to health services in six Colombian cities: limitations and consequences
Objective: To understand the characteristics of access to the General System of Social Security in health (SGSS), from the perspective of doctors, nurses, administrators and users. Methodology: based on the grounded theory we present a study in six cities in Colombia: Barranquilla, Bucaramanga, Bogo...
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Universidad de Antioquia
2009-08-01
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Series: | Revista Facultad Nacional de Salud Pública |
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Online Access: | http://aprendeenlinea.udea.edu.co/revistas/index.php/fnsp/article/view/259/1863 |
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doaj-43e2c2ae179d4191aaadddb1fd10bb6b2020-11-25T03:29:34ZspaUniversidad de AntioquiaRevista Facultad Nacional de Salud Pública0120-386X2009-08-01272121130Access to health services in six Colombian cities: limitations and consequencesJulián Vargas JGloria Molina MObjective: To understand the characteristics of access to the General System of Social Security in health (SGSS), from the perspective of doctors, nurses, administrators and users. Methodology: based on the grounded theory we present a study in six cities in Colombia: Barranquilla, Bucaramanga, Bogota, Leticia, Medellín and Pasto, for which interviews were conducted in-depth with health professionals involved in service delivery and focus groups with service users. Results: The findings indicate that insurance has become an end in itself, and being affiliated to SGSSS does not guarantee effective access to services. The dominance of the market, the financial profitability of insurers, imposed cost-containment mechanisms over the right to health. There are limitations from the rules, benefit plans that create geographical, economic and cultural barriers from the various actors involved in the chain of decisions. Additionally, display individual and institutional ethical shortcomings, clientelism and corruption in the management of resources, coupled with poverty and geographical dispersion of communities, mean that further limiting access to health services.http://aprendeenlinea.udea.edu.co/revistas/index.php/fnsp/article/view/259/1863Decision making in healthaccess to health serviceshealth determinantsright to health. |
collection |
DOAJ |
language |
Spanish |
format |
Article |
sources |
DOAJ |
author |
Julián Vargas J Gloria Molina M |
spellingShingle |
Julián Vargas J Gloria Molina M Access to health services in six Colombian cities: limitations and consequences Revista Facultad Nacional de Salud Pública Decision making in health access to health services health determinants right to health. |
author_facet |
Julián Vargas J Gloria Molina M |
author_sort |
Julián Vargas J |
title |
Access to health services in six Colombian cities: limitations and consequences |
title_short |
Access to health services in six Colombian cities: limitations and consequences |
title_full |
Access to health services in six Colombian cities: limitations and consequences |
title_fullStr |
Access to health services in six Colombian cities: limitations and consequences |
title_full_unstemmed |
Access to health services in six Colombian cities: limitations and consequences |
title_sort |
access to health services in six colombian cities: limitations and consequences |
publisher |
Universidad de Antioquia |
series |
Revista Facultad Nacional de Salud Pública |
issn |
0120-386X |
publishDate |
2009-08-01 |
description |
Objective: To understand the characteristics of access to the General System of Social Security in health (SGSS), from the perspective of doctors, nurses, administrators and users. Methodology: based on the grounded theory we present a study in six cities in Colombia: Barranquilla, Bucaramanga, Bogota, Leticia, Medellín and Pasto, for which interviews were conducted in-depth with health professionals involved in service delivery and focus groups with service users. Results: The findings indicate that insurance has become an end in itself, and being affiliated to SGSSS does not guarantee effective access to services. The dominance of the market, the financial profitability of insurers, imposed cost-containment mechanisms over the right to health. There are limitations from the rules, benefit plans that create geographical, economic and cultural barriers from the various actors involved in the chain of decisions. Additionally, display individual and institutional ethical shortcomings, clientelism and corruption in the management of resources, coupled with poverty and geographical dispersion of communities, mean that further limiting access to health services. |
topic |
Decision making in health access to health services health determinants right to health. |
url |
http://aprendeenlinea.udea.edu.co/revistas/index.php/fnsp/article/view/259/1863 |
work_keys_str_mv |
AT julianvargasj accesstohealthservicesinsixcolombiancitieslimitationsandconsequences AT gloriamolinam accesstohealthservicesinsixcolombiancitieslimitationsandconsequences |
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