Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil

dc.creatorGarcia-Subirats, Irene
dc.creatorVargas, Ingrid
dc.creatorMogollón-Pérez, Amparo Susana
dc.creatorDe Paepe, Pierre
dc.creatorSilva, Maria Rejane Ferreira da
dc.creatorUnger, Jean Pierre
dc.creatorVázquez, María Luisa
dc.date2017-11-29T13:47:10Z
dc.date2017-11-29T13:47:10Z
dc.date2014
dc.date.accessioned2023-09-26T20:17:18Z
dc.date.available2023-09-26T20:17:18Z
dc.identifierGARCIA-SUBIRATS, I. et al. Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil. Social Science & Medicine (1982), v. 106, p. 204–213, abr. 2014.
dc.identifier1873-5347
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/23449
dc.identifier10.1016/j.socscimed.2014.01.054
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8853387
dc.descriptionThere are few comprehensive studies available on barriers encountered from the initial seeking of healthcare through to the resolution of the health problem; in other words, on access in its broad domain. For Colombia and Brazil, countries with different healthcare systems but common stated principles, there have been no such analyses to date. This paper compares factors that influence access in its broad domain in two municipalities of each country, by means of a cross-sectional study based on a survey of a multistage probability sample of people who had had at least one health problem within the last three months (2163 in Colombia and 2155 in Brazil). The results reveal important barriers to healthcare access in both samples, with notable differences between and within countries, once differences in sociodemographic characteristics and health needs are accounted for. In the Colombian study areas, the greatest barriers were encountered in initial access to healthcare and in resolving the problem, and similarly when entering the health service in the Brazilian study areas. Differences can also be detected in the use of services: in Colombia greater geographical and economic barriers and the need for authorization from insurers are more relevant, whereas in Brazil, it is the limited availability of health centres, doctors and drugs that leads to longer waiting times. There are also differences according to enrolment status and insurance scheme in Colombia, and between areas in Brazil. The barriers appear to be related to the Colombian system's segmented, non-universal nature, and to the involvement of insurance companies, and to chronic underfunding of the public system in Brazil. Further research is required, but the results obtained reveal critical points to be tackled by health policies in both countries.
dc.formatapplication/pdf
dc.languageeng
dc.rightsopen access
dc.subjectNecessidades de saúde insatisfeitas
dc.subjectBarreiras de acesso
dc.subjectCompetição gerida
dc.subjectCobertura universal de saúde
dc.subjectColômbia
dc.subjectBrasil
dc.subjectSistemas de saúde
dc.subjectUtilização de cuidados de saúde
dc.subjectUnmet healthcare needs
dc.subjectAccess barriers
dc.subjectManaged competition
dc.subjectUniversal healthcare coverage
dc.subjectColombia
dc.subjectBrazil
dc.subjectHealthcare systems
dc.subjectHealth care utilization
dc.subjectCidades
dc.subjectBrasil
dc.subjectAssistência à Saúde
dc.subjectorganização & administração
dc.subjectAcesso aos Serviços de Saúde
dc.subjectestatística & dados numéricos
dc.subjectColômbia
dc.subjectEstudos Transversais
dc.subjectPesquisa sobre Serviços de Saúde
dc.subjectDisparidades em Assistência à Saúde
dc.subjectHumanos
dc.subjectFatores Socioeconômicos
dc.titleBarriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil
dc.typeArticle


Este ítem pertenece a la siguiente institución