| Advisor | Porto, Silvia Marta | pt_BR |
| Author | Salamanca, Marly Eugenia Cabezas | |
| Access date | 2018-01-31T13:27:40Z | |
| Available date | 2018-01-31T13:27:40Z | |
| Document date | 2011 | |
| Citation | SALAMANCA, Marly Eugenia Cabezas. Equidad en la utilización de servicios de salud en el Sistema General deSeguridad Social en Salud en Colombia. 2011. 117 f. Dissertação (Mestrado em Saúde Pública) - Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, 2011. | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/24249 | |
| Language | por | pt_BR |
| Rights | open access | pt_BR |
| Title | Equidad en la utilización de servicios de salud en el Sistema General deSeguridad Social en Salud en Colombia | pt_BR |
| Alternative title | Equity in health care utilization in the General Social deSeguridad in Health in Colombia | pt_BR |
| Type | Dissertation | pt_BR |
| Departament | Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. | pt_BR |
| Defense Institution | Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sergio Arouca. | pt_BR |
| Place of Defense | Rio de Janeiro/RJ | pt_BR |
| Program | Programa de Pós-Graduação em Saúde Pública | |
| Co-Advisor | Souza Junior, Paulo Borges de | pt_BR |
| Abstract | Objective: Analyzing the equity in the utilization of the health care in the General
System of Social Security in Colombian Health from the reform initiated in the year of
1993.
Methodology: A descriptive, retrospective and transversal study was done, with a
quantitative methodological focus, based on secondary data that come from the
National Survey of Health/2007. Sociodemographic variables of need, utilization of
services, structure of the consumption, pocket expense and the reasons for not using
the health care services were identified. Measures of simple frequency were
calculated and models of regressive logistic were built to evaluate the inequity in the
utilization of the services.
Results: The profile of the needs in health shows, independent from the indicator
analyzed, that people affiliated to the contributory regime report less needs than the
Colombian people who belong to the subsidized and linked regimes, except by the
presence of chronic illnesses. The utilization of the health center services is different
from each type of affiliation to the system, favorable to the people affiliated to the
contributory regime and unfavorable to the people affiliated to the linked regime. In
the hospitalization, differences are not found in the use among the people affiliated to
the contributory and subsidized regime, but among these and the people affiliated to
the linked regime. The main reason for not using the health care services in people
affiliated to the contributory and subsidized regime was because the problem was solved by itself or they felt well, while for the people affiliated to the linked regime, the
main barrier was the lack of money.
Conclusion: The inequity in the utilization of the services of health is greater in the
consumption of the services of health centre than in the hospitalization. There is a
direct relation between the use of the services of health care and the type of
affiliation to the system: The people affiliated to the contributory regime consume
more services than the people affiliated to the subsidized and linked regime. | |
| xmlui.metadata.dc.description.abstractes | Objetivo: Analizar la equidad en la utilización de los servicios de salud en el Sistema
General de Seguridad Social en Salud Colombiano a partir de la reforma iniciada en
el año de 1993.
Metodología: Se efectuó un estudio de tipo descriptivo, retrospectivo y transversal,
con un enfoque metodológico cuantitativo basado en datos secundarios
provenientes de la Encuesta Nacional de Salud/2007. Se identificaron variables
sociodemográficas, de necesidad, de utilización de los servicios, estructura del
consumo, gasto de bolsillo y razones para no usar los servicios de salud. Se
calcularon medidas de frecuencia simple y se construyeron modelos de regresión
logística para evaluar la inequidad en la utilización de los servicios.
Resultados: El perfil de las necesidades en salud evidencia que independiente del
indicador analizado, los afiliados al régimen contributivo relatan menos necesidades
que los colombianos pertenecientes al régimen subsidiado y vinculados, excepto por
la presencia de enfermedades crónicas. La utilización de los servicios de salud
ambulatorios es diferenciada para cada tipo de afiliación al sistema, favorable para
los afiliados al régimen contributivo y desfavorable para los vinculados. En la
internación hospitalaria no se encuentran diferencias en el uso entre los afiliados al
régimen contributivo y subsidiado, pero sí entre estos y los vinculados. La razón
principal para no utilizar los servicios de salud en los afiliados al régimen contributivo y subsidiado fue porque el problema se resolvió solo o se sintieron bien, mientras
que en los vinculados la falta de dinero constituyó la principal barrera de acceso.
Conclusiones: La inequidad en la utilización de los servicios de salud es mayor en
el consumo de los servicios de salud ambulatorios que en la internación hospitalaria.
Existe una relación directa entre el uso de los servicios de salud y el tipo de afiliación
al sistema: Afiliados al régimen contributivo consumen más servicios que los
afiliados al régimen subsidiado y vinculados. | |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Subject | Equity | |
| Subject | Utilization | |
| Subject | Health Care Systems | |
| Subject | Colombian | |
| Subject in Spanish | Equidad | |
| Subject in Spanish | Utilización | |
| Subject in Spanish | Sistemas de Salud | |
| Subject in Spanish | Colombia | |
| DeCS | Eqüidade em Saúde | pt_BR |
| DeCS | Sistemas de Saúde | pt_BR |
| DeCS | Reforma dos Serviços de Saúde | pt_BR |
| DeCS | Seguridade Social | pt_BR |
| DeCS | Acesso aos Serviços de Saúde | pt_BR |
| DeCS | Hospitalização | pt_BR |
| xmlui.metadata.dc.subject.ods | 03 Saúde e Bem-Estar | |
| xmlui.metadata.dc.subject.ods | 10 Redução das desigualdades | |
