Configuration and characteristics of health service networks in Colombia

Revista de la Universidad Industrial de Santander. Salud

López, Sandra Liliana²  Mogollón, Amparo²  Barragán, Ana María²  Pinilla, Mónica²  de Paepe, Pierre⁴  Unger, Jean Pierre⁴  García, Virginia²  Valencia, Sandra Carolina²  Vázquez, María Luisa³  Vargas, Ingrid³  Ferreira, Rejane María¹  Morales, Natalia²  Rodríguez, Luis Fernando² 

[1] Fundacao Universidade de Pernambuco;Universidad del Rosario, Bogotá, Colombia;Consorcio de Salud y Social de Cataluña, España;Instituto de Medicina Tropical Príncipe Leopoldo, Bélgica

关键词: Health services;    health services research;    health public policy;    Colombia;    qualitative research;   

DOI  :  

学科分类：医学（综合）

来源: Universidad Industrial de Santander

【 摘 要 】

Objective: To describe stakeholders' opinions related to Integrated Health Care Networks (IHN) organizations in Colombia. Methodology: Descriptive qualitative research based on 21 semi-structured interviews were conducted to policy makers and IHN organization managers. Narrative content analysis was carried out. Results: There are three approximation to the network concept: health service providers configuration by levels of complexity, coordination of insurance organization with health care providers and service offerings with georeferenciation criteria Although the policies allowing the health insurer guarantee the health care provision, through their own networks or outsourced networks exist differences due to: the service offer, the ways of hiring and integration processes which impact the access, the coordination of care and efficiency in health care provision. Conclusion: The introduction of managed competition model make difficult the network configuration and sustainability of public health care providers. Salud UIS 2011; 43(1): 73-77.

【 授权许可】

Unknown