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

There 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 principl...

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Autores Principales: Garcia-Subirats, Irene, Vargas, Ingrid, Mogollon Perez, Amparo Susana, De Paepe, Pierre, Ferreira da Silva e, Maria Rejane, Pierre Unger, Jean, Vázquez, María Luisa
Formato: Artículo (Article)
Lenguaje:Inglés (English)
Publicado: 2014
Materias:
Acceso en línea:http://repository.urosario.edu.co/handle/10336/18723
id ir-10336-18723
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spelling ir-10336-187232019-09-19T12:38:03Z Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil Garcia-Subirats, Irene Vargas, Ingrid Mogollon Perez, Amparo Susana De Paepe, Pierre Ferreira da Silva e, Maria Rejane Pierre Unger, Jean Vázquez, María Luisa Access Barriers Brazil Colombia Health Care Utilization Healthcare Systems Managed Competition Universal Healthcare Coverage Unmet Healthcare Needs Atención médica Centros médicos Servicios de salud Accessibility Health Care Health Policy Health Services Policy Approach Policy Implementation Adolescent Adult Aged Article Brazil Child Colombia Cross-Sectional Study Demography Economic Aspect Female General Practitioner Geography Health Care Access Health Care Availability Health Care Facility Health Care Financing Health Care Need Health Care Policy Health Care System Health Care Utilization Health Insurance Human Infant Major Clinical Study Male Middle Aged Probability Sample Social Status Young Adult Brazil Colombia Access Barriers Brazil Colombia Health Care Utilization Healthcare Systems Managed Competition Universal Healthcare Coverage Unmet Healthcare Needs Brazil Cities Colombia Cross-Sectional Studies Delivery Of Health Care Health Services Accessibility Health Services Research Healthcare Disparities Humans Socioeconomic Factors There 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. 2014 2018-11-21T17:46:27Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion ISSN 0277-9536 http://repository.urosario.edu.co/handle/10336/18723 eng info:eu-repo/semantics/openAccess application/pdf Abadia, 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
institution EdocUR - Universidad del Rosario
collection DSpace
language Inglés (English)
topic Access Barriers
Brazil
Colombia
Health Care Utilization
Healthcare Systems
Managed Competition
Universal Healthcare Coverage
Unmet Healthcare Needs
Atención médica
Centros médicos
Servicios de salud
Accessibility
Health Care
Health Policy
Health Services
Policy Approach
Policy Implementation
Adolescent
Adult
Aged
Article
Brazil
Child
Colombia
Cross-Sectional Study
Demography
Economic Aspect
Female
General Practitioner
Geography
Health Care Access
Health Care Availability
Health Care Facility
Health Care Financing
Health Care Need
Health Care Policy
Health Care System
Health Care Utilization
Health Insurance
Human
Infant
Major Clinical Study
Male
Middle Aged
Probability Sample
Social Status
Young Adult
Brazil
Colombia
Access Barriers
Brazil
Colombia
Health Care Utilization
Healthcare Systems
Managed Competition
Universal Healthcare Coverage
Unmet Healthcare Needs
Brazil
Cities
Colombia
Cross-Sectional Studies
Delivery Of Health Care
Health Services Accessibility
Health Services Research
Healthcare Disparities
Humans
Socioeconomic Factors
spellingShingle Access Barriers
Brazil
Colombia
Health Care Utilization
Healthcare Systems
Managed Competition
Universal Healthcare Coverage
Unmet Healthcare Needs
Atención médica
Centros médicos
Servicios de salud
Accessibility
Health Care
Health Policy
Health Services
Policy Approach
Policy Implementation
Adolescent
Adult
Aged
Article
Brazil
Child
Colombia
Cross-Sectional Study
Demography
Economic Aspect
Female
General Practitioner
Geography
Health Care Access
Health Care Availability
Health Care Facility
Health Care Financing
Health Care Need
Health Care Policy
Health Care System
Health Care Utilization
Health Insurance
Human
Infant
Major Clinical Study
Male
Middle Aged
Probability Sample
Social Status
Young Adult
Brazil
Colombia
Access Barriers
Brazil
Colombia
Health Care Utilization
Healthcare Systems
Managed Competition
Universal Healthcare Coverage
Unmet Healthcare Needs
Brazil
Cities
Colombia
Cross-Sectional Studies
Delivery Of Health Care
Health Services Accessibility
Health Services Research
Healthcare Disparities
Humans
Socioeconomic Factors
Garcia-Subirats, Irene
Vargas, Ingrid
Mogollon Perez, Amparo Susana
De Paepe, Pierre
Ferreira da Silva e, Maria Rejane
Pierre Unger, Jean
Vázquez, María Luisa
Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil
description There 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.
format Artículo (Article)
author Garcia-Subirats, Irene
Vargas, Ingrid
Mogollon Perez, Amparo Susana
De Paepe, Pierre
Ferreira da Silva e, Maria Rejane
Pierre Unger, Jean
Vázquez, María Luisa
author_facet Garcia-Subirats, Irene
Vargas, Ingrid
Mogollon Perez, Amparo Susana
De Paepe, Pierre
Ferreira da Silva e, Maria Rejane
Pierre Unger, Jean
Vázquez, María Luisa
author_sort Garcia-Subirats, Irene
title Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil
title_short Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil
title_full Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil
title_fullStr Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil
title_full_unstemmed Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil
title_sort barriers in access to healthcare in countries with different health systems. a cross-sectional study in municipalities of central colombia and north-eastern brazil
publishDate 2014
url http://repository.urosario.edu.co/handle/10336/18723
_version_ 1651341500035891200
score 10,762022