Examinando por Materia "Utilización"

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  • Publicación
    Acceso abierto
    Determinantes socioeconómicos del acceso a los servicios de prevención primaria, consulta externa y urgencias en Colombia: Análisis secundario de la encuesta nacional de calidad de vida, 2013.
    (Bucaramanga : Universidad de Santander, 2014, 2014-12-12) Pinzón Ochoa, María Isabel; Angarita Fonseca, Adriana; Martínez Marín, Rocío del Pilar
    Objective: Using the National Survey on Quality of Life in Colombia during 2013, found socioeconomic determinants of access to health services such as primary prevention, primary care consultation, and emergency consultation in the Colombian population. Methods: It was made a secondary analysis of the National Survey on Quality of Life in Colombia during 2013. At first, people older than 15 years were included, and those who belonged to special social security health regime were excluded. The dependent variables were: Without being sick and to attend for prevention to primary care at least once a year to the physician, dentist, or both. The second part of the analysis, people who had no health issues in the past 30 days was excluded. The dependent variable was: The formal health care provided in outpatient consultation and emergency cause by a health issue. To identify the determinants of real access was used generalized linear models for complex samples where the link function was logarithm ratio of the dependent variable and Poisson’s error distribution. The explanatory variables were categorized according to Andersen’s model (1995) in predisposing components by resources, capacity and need. Results: About the access to primary prevention, 50,532 individuals representing 31,968,124 Colombians were included. The results of the multivariate data analysis showed that the being male, people who belong to an ethnic group, those who worked in the week prior to the survey, which inhabited housing deficit, which had no classification of socioeconomic status, which were affiliated to the subsidized regime, that did not know if were affiliated to the social security health and who had filed out a petition right for protection had the probability of access to primary prevention health services significantly lower than the rest of the population. On the other hand, people between 39 and 103 years, that had a life partner, with secondary or higher level of education, middle or high socioeconomic status, in urban area, with permanent restrictions, poor health status or even very poor, who received shares promotion and prevention of the secretariat or municipality, that have received contributions, and that were in the top two quintiles of household income had a significantly higher probability of accessing prevention services. 5,758 individuals representing 3,348,977 Colombians were included in the analysis of access to emergency services or outpatient consultation. The prevalence of access to those was 74.3%. In multivariate data analysis, significant and positive association was found between access and poor or very poor health status; and a lower probability statistically significant of access to health services with the variable poverty perception and being part of subsidized regime or not knowing or not being affiliated to the social security health. Conclusions: The characteristics of resource capacity and necessity Andersen’s model still continue influencing access to primary health services and tertiary prevention in Colombia.
  • Publicación
    Acceso abierto
    Utilización de los programas de promoción y prevención en la comunidad asignada a un centro de salud de Bucaramanga
    (2013-07) Torres Contreras, Claudia-Consuelo; Pérez, Paula Andrea
    Introducción: En éste artículo se describe el conocimiento y la utilización de los programas de promoción y prevención de la comuna cuatro de Bucaramanga la cual esta asignada al Centro de salud del Barrio Girardot. Lo anterior con el fin de fomentar acciones que fortalezcan la estrategia de demanda inducida en esta población y así mejorar el conocimiento de los programas a que tienen derecho. Materiales y Métodos: Estudio descriptivo, de corte transversal, con una muestra de 430 habitantes de los diez barrios de la comuna cuatro de Bucaramanga. Se trabajó en dos fases; la primera fase que cubre el barrio Girardot siendo esta la de mayor proporción y la segunda que abarca los 9 barrios restantes, para la recolección de la información se escogió las casas de manera aleatoria por medio del mapa de la Comuna , se realizó visita domiciliaria, se aplico consentimiento informado previo al diligenciamiento del instrumento que mide el grado de conocimiento y uso de los programas de promoción y prevención dicho instrumento se tomó como referente, el instrumento de Realpe, Cecilia y colaboradores. Resultados: En esta población se observó un desconocimiento del 48.4% y un porcentaje de no utilización de los programas de promoción y prevención del 49.9%, especialmente en el programa de prevención del adulto joven y adulto mayor de 45 años. El programa que presentó mayor conocimiento y utilización fue el de prevención de Ca de cérvix. La comunidad asignada al Centro de salud del barrio Girardot que no utiliza los programas de promoción y prevención, manifiesta como razón principal el desconocimiento (40%), seguido de no le gusta el servicio (20%). Discusión y Conclusiones: La comunidad asignada al Centro de salud del barrio Girardot perteneciente a la comuna 4 de Bucaramanga presenta en general una baja utilización de los servicios correspondientes a los programas de promoción y prevención, existiendo relación con el bajo nivel de conocimiento presentado en esta comunidad.