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Barreras y facilitadores del sistema de salud relacionadas con el seguimiento de anormalidades citológicas, Medellín-Colombia.
- Source :
-
Revista Gerencia y Políticas de Salud . jul-dic2014, Vol. 13 Issue 27, p200-211. 12p. - Publication Year :
- 2014
-
Abstract
- Objectives: Identifying barriers and facilitators of the diagnostic monitoring and treatment of cytological abnormalities in low-income women users of the public health service network in Medellin, Colombia. Methods: We created eight focal groups (62 women) according to age groups (ages 25-45 and 46-69), and performed a content analysis. Results: The reported barriers of the health system were: a) structural barriers: fragmentation in the provision of the service, problems with the affiliations and characteristics of the affiliation regime; b) management barriers: problems and delays in the assignment of appointments, long queues, problems with authorizations and mistreatment; and c) economic barriers derived from the aforementioned and related with expenses. Management and structural facilitators were also mentioned. Conclusion: Some structural characteristics of the health system and the management of insurance companies limit access for women to the monitoring of pre-cancerous lesions. [ABSTRACT FROM AUTHOR]
Details
- Language :
- Spanish
- ISSN :
- 16577027
- Volume :
- 13
- Issue :
- 27
- Database :
- Academic Search Index
- Journal :
- Revista Gerencia y Políticas de Salud
- Publication Type :
- Academic Journal
- Accession number :
- 102232160
- Full Text :
- https://doi.org/10.11144/Javeriana.rgyps13-27.bfss