Disability as a determinant of access to health care services in Colombia

The relationship between disability and poverty has been described in different contexts. Nevertheless, the basic characteristics of this relationship have not yet been fully established. The social exclusion and discrimination against people with disabilities increase the risk of poverty and reduce...

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Autor Principal: Pinilla Roncancio, Monica Viviana
Otros Autores: Van Ourti, Tom
Formato: Tesis de maestría (Master Thesis)
Lenguaje:Español (Spanish)
Publicado: Universidad del Rosario 2012
Materias:
Acceso en línea:http://repository.urosario.edu.co/handle/10336/3831
id ir-10336-3831
recordtype dspace
institution EdocUR - Universidad del Rosario
collection DSpace
language Español (Spanish)
topic Disability
health care
Personas con discapacidades físicas
Personas con discapacidades::Situación Socioeconómica
Pobreza
Problemas sociales
Economía
disability
health care
spellingShingle Disability
health care
Personas con discapacidades físicas
Personas con discapacidades::Situación Socioeconómica
Pobreza
Problemas sociales
Economía
disability
health care
Pinilla Roncancio, Monica Viviana
Disability as a determinant of access to health care services in Colombia
description The relationship between disability and poverty has been described in different contexts. Nevertheless, the basic characteristics of this relationship have not yet been fully established. The social exclusion and discrimination against people with disabilities increase the risk of poverty and reduce the access to basic opportunities such as health and education. This study examines the impact of a health limitation and poverty in the access to health care services in Colombia. Data from the Colombian National Health Survey (2007) was used in the analysis. Variables related with health condition and socio economic characteristics were first generated. Then interactions between health limitations and the lower levels of the asset index were created. This variable gave information related to the relationship between disability and poverty. A probabilistic model was estimated to examine the impact of a health condition and the relation between poverty and disability on the access to health care. The results suggest that living with a physical limitation increases by 10% the probability of access to health care services in Colombia. However, people with a disability and in the lowest quartile of the asset index have a 5% less probability of access to health care services. We conclude that people who live with a physical, mental or sensorial limitation have a higher probability of access to health care services. However, poor and disabled people have a lower probability in access, which increases the risk of having a severe disease and become chronically poor.
author2 Van Ourti, Tom
author_facet Van Ourti, Tom
Pinilla Roncancio, Monica Viviana
format Tesis de maestría (Master Thesis)
author Pinilla Roncancio, Monica Viviana
author_sort Pinilla Roncancio, Monica Viviana
title Disability as a determinant of access to health care services in Colombia
title_short Disability as a determinant of access to health care services in Colombia
title_full Disability as a determinant of access to health care services in Colombia
title_fullStr Disability as a determinant of access to health care services in Colombia
title_full_unstemmed Disability as a determinant of access to health care services in Colombia
title_sort disability as a determinant of access to health care services in colombia
publisher Universidad del Rosario
publishDate 2012
url http://repository.urosario.edu.co/handle/10336/3831
_version_ 1645141999031943168
spelling ir-10336-38312019-09-19T12:37:01Z Disability as a determinant of access to health care services in Colombia Pinilla Roncancio, Monica Viviana Van Ourti, Tom Disability health care Personas con discapacidades físicas Personas con discapacidades::Situación Socioeconómica Pobreza Problemas sociales Economía disability health care The relationship between disability and poverty has been described in different contexts. Nevertheless, the basic characteristics of this relationship have not yet been fully established. The social exclusion and discrimination against people with disabilities increase the risk of poverty and reduce the access to basic opportunities such as health and education. This study examines the impact of a health limitation and poverty in the access to health care services in Colombia. Data from the Colombian National Health Survey (2007) was used in the analysis. Variables related with health condition and socio economic characteristics were first generated. Then interactions between health limitations and the lower levels of the asset index were created. This variable gave information related to the relationship between disability and poverty. A probabilistic model was estimated to examine the impact of a health condition and the relation between poverty and disability on the access to health care. The results suggest that living with a physical limitation increases by 10% the probability of access to health care services in Colombia. However, people with a disability and in the lowest quartile of the asset index have a 5% less probability of access to health care services. We conclude that people who live with a physical, mental or sensorial limitation have a higher probability of access to health care services. However, poor and disabled people have a lower probability in access, which increases the risk of having a severe disease and become chronically poor. The relationship between disability and poverty has been described in different contexts. Nevertheless, the basic characteristics of this relationship have not yet been fully established. The social exclusion and discrimination against people with disabilities increase the risk of poverty and reduce the access to basic opportunities such as health and education. This study examines the impact of a health limitation and poverty in the access to health care services in Colombia. Data from the Colombian National Health Survey (2007) was used in the analysis. Variables related with health condition and socio economic characteristics were first generated. Then interactions between health limitations and the lower levels of the asset index were created. This variable gave information related to the relationship between disability and poverty. A probabilistic model was estimated to examine the impact of a health condition and the relation between poverty and disability on the access to health care. The results suggest that living with a physical limitation increases by 10% the probability of access to health care services in Colombia. However, people with a disability and in the lowest quartile of the asset index have a 5% less probability of access to health care services. We conclude that people who live with a physical, mental or sensorial limitation have a higher probability of access to health care services. However, poor and disabled people have a lower probability in access, which increases the risk of having a severe disease and become chronically poor. 2012-04-01 2012-09-06T13:13:07Z info:eu-repo/semantics/masterThesis info:eu-repo/semantics/acceptedVersion http://repository.urosario.edu.co/handle/10336/3831 spa http://creativecommons.org/licenses/by-nc-nd/2.5/co/ info:eu-repo/semantics/openAccess application/pdf Universidad del Rosario Maestría en Economía Facultad de Economía instname:Universidad del Rosario reponame:Repositorio Institucional EdocUR Alcaldia Mayor de Bogota- (2007). Decreto 70 “ Por el cual de se adopta la política publica de discapacidad para el Distrito Capital”. Available on red: [http://www.alcaldiabogota .gov.co/sisjur/normas/Norma1.jsp?i=27092] Last visit: July 24 2011. Alzate, M. (2006). La estratificación socioeconómica para el cobro de los servicios públicos domiciliarios en Colombia: ¿Solidaridad o Focalización? CEPAL: Bogotá D.C. Así vamos en Salud. (2011). Seguimiento al sector salud en Colombia. Data online [http://www.asivamosensalud.org/] Last visit: June 15th 2011. Atkins, D. Guisti, C. (2003) Poverty and the most vulnerable. The confluence of poverty and disability. In The realities of poverty in Delawere-2004. Braithwait, J. Croll, R. et al. (2008) Disability and development in the World Bank: FY2000-2007, Social Protection Unit, Washington D.C.: World Bank. Braihwaite, J. Mont, D. (2008) Disability and poverty a survey of World Bank Poverty assessments and Implications, Social protection and Labour, Washington D.C.: World Bank
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