Factores que inciden en el acceso de la población desplazada a las instituciones prestadoras de servicios de salud en Colombia
Autor(a) principal: | |
---|---|
Data de Publicação: | 2008 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | spa |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3628 |
Resumo: | In Colombia, the on-going armed conflict causes displacement of thousands of persons that suffer its economic, social, and health consequences. Despite government regulatory efforts, displaced people still experience serious problems in securing access to health care. In order to analyze the institutional factors that affect access to health care by the internally displaced population, a qualitative, exploratory, and descriptive study was carried out by means of semi-structured individual interviews with a criterion sample of stakeholders (81). A narrative content analysis was performed, with mixed generation of categories and segmentation of data by themes and informants. Inadequate funding, providers' problems with reimbursement by insurers, and lack of clear definition as to coverage under the Social Security System in Health pose barriers to access to health care by the internally displaced population. Bureaucratic procedures, limited inter- and intra-sector coordination, and scarce available resources for public health service providers also affect access. Effective government action is required to ensure the right to health care for this population. |
id |
FIOCRUZ-5_7eb5435fb33f374c01403c231f0067d9 |
---|---|
oai_identifier_str |
oai:ojs.teste-cadernos.ensp.fiocruz.br:article/3628 |
network_acronym_str |
FIOCRUZ-5 |
network_name_str |
Cadernos de Saúde Pública |
repository_id_str |
|
spelling |
Factores que inciden en el acceso de la población desplazada a las instituciones prestadoras de servicios de salud en ColombiaPersonas DesplazadasAcceso a la Atención de SaludServicios de SaludIn Colombia, the on-going armed conflict causes displacement of thousands of persons that suffer its economic, social, and health consequences. Despite government regulatory efforts, displaced people still experience serious problems in securing access to health care. In order to analyze the institutional factors that affect access to health care by the internally displaced population, a qualitative, exploratory, and descriptive study was carried out by means of semi-structured individual interviews with a criterion sample of stakeholders (81). A narrative content analysis was performed, with mixed generation of categories and segmentation of data by themes and informants. Inadequate funding, providers' problems with reimbursement by insurers, and lack of clear definition as to coverage under the Social Security System in Health pose barriers to access to health care by the internally displaced population. Bureaucratic procedures, limited inter- and intra-sector coordination, and scarce available resources for public health service providers also affect access. Effective government action is required to ensure the right to health care for this population.En Colombia, el desplazamiento por conflicto armado genera importantes repercusiones económicas y sociales, que afectan, entre otros, a la salud. A pesar de los esfuerzos normativos, el acceso a los servicios de salud de la población desplazada es limitado. Con el objetivo de analizar los factores que desde las instituciones inciden en el acceso potencial de la población desplazada a los servicios de salud, se desarrolló un estudio cualitativo descriptivo, exploratorio, mediante 81 entrevistas individuales semiestructuradas a actores principales. Una insuficiente financiación y dificultades de los proveedores para recibir el pago de las aseguradoras, junto a las indefiniciones y límites del aseguramiento del Sistema General de Seguridad Social en Salud, son las principales barreras al acceso a la atención en salud de la población desplazada. Acceso que también se ve afectado por los numerosos procedimientos establecidos para la atención, la escasa coordinación inter e intrasectorial y los limitados recursos de las instituciones prestadoras de servicios de salud de carácter público. Se requiere una acción gubernamental efectiva que garantice el derecho a la salud en este colectivo.Reports in Public HealthCadernos de Saúde Pública2008-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3628Reports in Public Health; Vol. 24 No. 4 (2008): AprilCadernos de Saúde Pública; v. 24 n. 4 (2008): Abril1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZspahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3628/7349https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3628/7350Mogollón-Pérez, Amparo SusanaVázquez, María Luisainfo:eu-repo/semantics/openAccess2024-03-06T15:27:43Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/3628Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:04:10.162800Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Factores que inciden en el acceso de la población desplazada a las instituciones prestadoras de servicios de salud en Colombia |
title |
Factores que inciden en el acceso de la población desplazada a las instituciones prestadoras de servicios de salud en Colombia |
spellingShingle |
Factores que inciden en el acceso de la población desplazada a las instituciones prestadoras de servicios de salud en Colombia Mogollón-Pérez, Amparo Susana Personas Desplazadas Acceso a la Atención de Salud Servicios de Salud |
title_short |
Factores que inciden en el acceso de la población desplazada a las instituciones prestadoras de servicios de salud en Colombia |
title_full |
Factores que inciden en el acceso de la población desplazada a las instituciones prestadoras de servicios de salud en Colombia |
title_fullStr |
Factores que inciden en el acceso de la población desplazada a las instituciones prestadoras de servicios de salud en Colombia |
title_full_unstemmed |
Factores que inciden en el acceso de la población desplazada a las instituciones prestadoras de servicios de salud en Colombia |
title_sort |
Factores que inciden en el acceso de la población desplazada a las instituciones prestadoras de servicios de salud en Colombia |
author |
Mogollón-Pérez, Amparo Susana |
author_facet |
Mogollón-Pérez, Amparo Susana Vázquez, María Luisa |
author_role |
author |
author2 |
Vázquez, María Luisa |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Mogollón-Pérez, Amparo Susana Vázquez, María Luisa |
dc.subject.por.fl_str_mv |
Personas Desplazadas Acceso a la Atención de Salud Servicios de Salud |
topic |
Personas Desplazadas Acceso a la Atención de Salud Servicios de Salud |
description |
In Colombia, the on-going armed conflict causes displacement of thousands of persons that suffer its economic, social, and health consequences. Despite government regulatory efforts, displaced people still experience serious problems in securing access to health care. In order to analyze the institutional factors that affect access to health care by the internally displaced population, a qualitative, exploratory, and descriptive study was carried out by means of semi-structured individual interviews with a criterion sample of stakeholders (81). A narrative content analysis was performed, with mixed generation of categories and segmentation of data by themes and informants. Inadequate funding, providers' problems with reimbursement by insurers, and lack of clear definition as to coverage under the Social Security System in Health pose barriers to access to health care by the internally displaced population. Bureaucratic procedures, limited inter- and intra-sector coordination, and scarce available resources for public health service providers also affect access. Effective government action is required to ensure the right to health care for this population. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3628 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3628 |
dc.language.iso.fl_str_mv |
spa |
language |
spa |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3628/7349 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3628/7350 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 24 No. 4 (2008): April Cadernos de Saúde Pública; v. 24 n. 4 (2008): Abril 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1798943362727804928 |