Visión comprensiva y crítica de los modelos conceptuales sobre acceso a servicios de salud, 1970-2013

Detalhes bibliográficos
Autor(a) principal: Marcela Arrivillaga
Data de Publicação: 2016
Outros Autores: Yadira Eugenia Borrero
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/6064
Resumo: The aim of this study was to critically analyze various conceptual models on access to health services described in the literature from 1970 to 2013. A systematic review was conducted on applied and theoretical research publications that explicitly conceptualized access to health services. The review included 25 articles that met the study's objectives. The analysis used a matrix containing the conceptual model's logic and its description. Access to health services was classified in five categories: (i) decent minimums, (ii) market-driven, (iii) factors and multicausality, (iv) needs-based, and (v) social justice and the right to health. The study concludes that the predominant concept of access in the literature has been the market logic of medical care services, linked to the logic of factors and multicausality. Meanwhile, no conceptual model was found for access to health services based explicitly on social justice and the right to health.
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spelling Visión comprensiva y crítica de los modelos conceptuales sobre acceso a servicios de salud, 1970-2013Derecho a la SaludEquidad en SaludAccesibilidad a los Servicios de SaludThe aim of this study was to critically analyze various conceptual models on access to health services described in the literature from 1970 to 2013. A systematic review was conducted on applied and theoretical research publications that explicitly conceptualized access to health services. The review included 25 articles that met the study's objectives. The analysis used a matrix containing the conceptual model's logic and its description. Access to health services was classified in five categories: (i) decent minimums, (ii) market-driven, (iii) factors and multicausality, (iv) needs-based, and (v) social justice and the right to health. The study concludes that the predominant concept of access in the literature has been the market logic of medical care services, linked to the logic of factors and multicausality. Meanwhile, no conceptual model was found for access to health services based explicitly on social justice and the right to health.Este estudio tuvo como objetivo analizar críticamente los modelos conceptuales sobre acceso a servicios de salud, descritos en la literatura entre 1970 y 2013. Se realizó una revisión sistemática de publicaciones empíricas y teóricas que conceptualizaron el acceso a servicios de salud de manera explícita. Se revisaron 25 publicaciones que respondían a los objetivos del estudio. El análisis se realizó utilizando una matriz que contenía la lógica del modelo conceptual y su descripción. Los resultados se clasificaron en cinco categorías: (i) acceso a servicios de salud en la lógica de los "mínimos decentes", (ii) de mercado, (iii) de factores y multicausalidad, (iv) de necesidades y (v) de justicia social y derecho a la salud. El estudio concluye que ha sido dominante en la literatura el concepto de acceso desde la lógica de mercado de servicios de atención médica, articulada con la lógica de factores y multicausalidad. Por el contrario, no se encontró ningún modelo conceptual de acceso a servicios de salud, basado explícitamente en la justicia sanitaria y el derecho a la salud.O presente estudo tinha como objetivo analisar criticamente os modelos conceituais sobre o aceso a serviços de saúde descritos na literatura, entre 1970 e 2013. Foi feita uma revisão sistemática de publicações empíricas e teóricas que conceitualizaram o aceso a serviços de saúde de maneira explícita. Foram revistas 25 publicações que correspondiam aos objetivos do estudo. A análise lançou mão de uma matriz que contemplava a lógica do modelo conceitual e a sua descrição. Os resultados foram classificados em cinco categorias: (i) aceso a serviços de saúde pela lógica dos "mínimos decentes", (ii) de mercado, (iii) de fatores e multicausalidade, (iv) de necessidades e (v) de justiça social e de direito à saúde. O estudo conclui que na literatura predominou o conceito de aceso pela lógica de mercado de serviços de atenção médica, atrelado à lógica de fatores e multicausalidade. Em contraponto, não foi encontrado nenhum modelo conceitual de aceso a serviços de saúde explicitamente baseado na justiça sanitária e no direito à saúde.Reports in Public HealthCadernos de Saúde Pública2016-05-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6064Reports in Public Health; Vol. 32 No. 5 (2016): MayCadernos de Saúde Pública; v. 32 n. 5 (2016): Maio1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZspahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6064/12784https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6064/12785Marcela ArrivillagaYadira Eugenia Borreroinfo:eu-repo/semantics/openAccess2024-03-06T15:29:05Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/6064Revistahttps://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:2024-03-06T13:06:55.983805Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Visión comprensiva y crítica de los modelos conceptuales sobre acceso a servicios de salud, 1970-2013
title Visión comprensiva y crítica de los modelos conceptuales sobre acceso a servicios de salud, 1970-2013
spellingShingle Visión comprensiva y crítica de los modelos conceptuales sobre acceso a servicios de salud, 1970-2013
Marcela Arrivillaga
Derecho a la Salud
Equidad en Salud
Accesibilidad a los Servicios de Salud
title_short Visión comprensiva y crítica de los modelos conceptuales sobre acceso a servicios de salud, 1970-2013
title_full Visión comprensiva y crítica de los modelos conceptuales sobre acceso a servicios de salud, 1970-2013
title_fullStr Visión comprensiva y crítica de los modelos conceptuales sobre acceso a servicios de salud, 1970-2013
title_full_unstemmed Visión comprensiva y crítica de los modelos conceptuales sobre acceso a servicios de salud, 1970-2013
title_sort Visión comprensiva y crítica de los modelos conceptuales sobre acceso a servicios de salud, 1970-2013
author Marcela Arrivillaga
author_facet Marcela Arrivillaga
Yadira Eugenia Borrero
author_role author
author2 Yadira Eugenia Borrero
author2_role author
dc.contributor.author.fl_str_mv Marcela Arrivillaga
Yadira Eugenia Borrero
dc.subject.por.fl_str_mv Derecho a la Salud
Equidad en Salud
Accesibilidad a los Servicios de Salud
topic Derecho a la Salud
Equidad en Salud
Accesibilidad a los Servicios de Salud
description The aim of this study was to critically analyze various conceptual models on access to health services described in the literature from 1970 to 2013. A systematic review was conducted on applied and theoretical research publications that explicitly conceptualized access to health services. The review included 25 articles that met the study's objectives. The analysis used a matrix containing the conceptual model's logic and its description. Access to health services was classified in five categories: (i) decent minimums, (ii) market-driven, (iii) factors and multicausality, (iv) needs-based, and (v) social justice and the right to health. The study concludes that the predominant concept of access in the literature has been the market logic of medical care services, linked to the logic of factors and multicausality. Meanwhile, no conceptual model was found for access to health services based explicitly on social justice and the right to health.
publishDate 2016
dc.date.none.fl_str_mv 2016-05-17
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/6064
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6064
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/6064/12784
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6064/12785
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. 32 No. 5 (2016): May
Cadernos de Saúde Pública; v. 32 n. 5 (2016): Maio
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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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
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