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Colombian public health system

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https://www.readbyqxmd.com/read/29624582/geospatial-temporal-distribution-of-tegumentary-leishmaniasis-in-colombia-2007-2016
#1
Giovanny Herrera, Aníbal Teherán, Iván Pradilla, Mauricio Vera, Juan David Ramírez
BACKGROUND: Tegumentary Leishmaniasis (TL) is a neglected disease with worldwide distribution and considered a public health problem, especially in Latin America. In Colombia, the governmental epidemiological surveillance system (SIVIGILA) is responsible for collecting information on the presentation of cases of TL from each of the municipalities and departments. In absence of a study compiling and analyzing currently available metadata of TL in Colombia, this study describes the geospatial-temporal distribution of TL and identifies the regions of the country on which prevention measures should be established in order to control the disease...
April 6, 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29378537/comprehensive-economic-evaluation-of-thermotherapy-for-the-treatment-of-cutaneous-leishmaniasis-in-colombia
#2
Jaiberth Antonio Cardona-Arias, Liliana López-Carvajal, Mery Patricia Tamayo-Plata, Iván Darío Vélez
BACKGROUND: Cutaneous leishmaniasis causes a high disease burden in Colombia, and available treatments present systemic toxicity, low patient compliance, contraindications, and high costs. The purpose of this study was to estimate the cost-effectiveness of thermotherapy versus Glucantime in patients with cutaneous leishmaniasis in Colombia. METHODS: Cost-effectiveness study from an institutional perspective in 8133 incident cases. Data on therapeutic efficacy and safety were included, calculating standard costs; the outcomes were disability adjusted life years (DALYs) and the number of patients cured...
January 29, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29373768/results-of-the-national-surveillance-of-antimicrobial-resistance-of-enterobacteriaceae-and-gram-negative-bacilli-in-health-care-associated-infections-in-colombia-2012-2014
#3
María Victoria Ovalle, Sandra Yamile Saavedra, María Nilse González, Andrea Melissa Hidalgo, Carolina Duarte, Mauricio Beltrán
INTRODUCTION: The Colombian National Antimicrobial Resistance Monitoring System for the surveillance of healthcare-associated infections was set up to meet this problem in the third quarter of 2012. OBJECTIVE: To describe resistance profiles and laboratory-based surveillance based on the information collected by the System. MATERIALS AND METHODS: We conducted a retrospective and descriptive study of the information notified to the Colombian Public Health Surveillance System (Sivigila), and in the Whonet databases covering the period from July 2012 to December 2014 provided by the primary data-generating units in the country, as well as laboratory surveillance results from 1,642 phenotypic and genotypic tests on carbapenemase isolates (927 from Enterobacteriaceae, 614 from Pseudomonas spp...
December 1, 2017: Biomédica: Revista del Instituto Nacional de Salud
https://www.readbyqxmd.com/read/29261699/sugary-drinks-taxation-projected-consumption-and-fiscal-revenues-in-colombia-evidence-from-a-quaids-model
#4
Juan Carlos Caro, Shu Wen Ng, Ricardo Bonilla, Jorge Tovar, Barry M Popkin
The global shift towards diets high in sugar-sweetened beverages (SSBs) is linked to higher prevalence of obesity, diabetes and most other non-communicable diseases. In Colombia, one out of every two people was overweight or obese by 2010. This study estimates price-elasticities from a Quadratic Almost Ideal Demand System model, using the 2006-2007 Colombian Income and Expenditure survey. The food groups that were jointly considered were: unsweetened unflavored milks; coffee and tea; sugar sweetened beverages (SSBs); sweets and candies (including sugar); dairy products; meats and animal-based products; grains based staples; fruits and vegetables; and condiments and snacks...
2017: PloS One
https://www.readbyqxmd.com/read/29248058/supplemental-health-insurance-in-the-colombian-managed-care-system-adverse-or-advantageous-selection
#5
David Bardey, Giancarlo Buitrago
The aim of this article is to estimate the type of selection that exists in the supplemental health insurance market in Colombia where compulsory coverage is implemented through managed care competition. We build a panel database that combines individuals' information from the Ministry of Health and a database provided by two private health insurers. We perform the correlation test for consumption of health services frequency and supplemental coverage. Following Fang et al. (2008), we condition the estimation on health controls that are available to the econometrician but not to insurers...
December 2017: Journal of Health Economics
https://www.readbyqxmd.com/read/29243016/health-status-and-experience-of-the-migrant-workers-returned-from-spain-to-colombia-a-qualitative-approach
#6
Carolina Zapata-Villa, Andrés A Agudelo-Suárez, Doris Cardona-Arango, Elena Ronda-Pérez
This study aims to understand the migratory experience and the employment, work and health conditions of the returned migrants from Spain to Colombia. A qualitative study was conducted by means of 23 semi-structured interviews with Colombian returned migrant workers. Qualitative narrative content analysis was performed using Atlas.Ti software. Main findings are represented by nine categories emerged from the participants' discourses: (1) impact of the economic crisis on work and employment conditions in Spain, (2) economic crisis and return, (3) characteristics of returnees, (4) perception of the returnees about Colombia, (5) the role of social support networks, (6) employment and working conditions in Colombia, (7) health and wellbeing, (8) future plans and expectations, (9) the experience of being immigrant...
December 14, 2017: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/28977271/-health-workers-experiences-in-dealing-with-the-neoliberal-logic-a-study-of-primary-care-in-colombia-and-brazil
#7
Johanna Garrido-Pinzón, Marcia Hespanhol Bernardo
: The aim of this study was to analyze the experiences of primary healthcare workers in the public health systems in Colombia and Brazil in relation to the neoliberal logic. These two cases are relevant to public health research, as examples of health systems that emerged from opposing guidelines: the Colombian system was created at the government level with a marked private-sector influence, while the Brazilian system was an important conquest by social movements. Based on the Social Psychology of Work, this was a qualitative and empirical study...
September 28, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28915811/strategies-for-the-quality-assessment-of-the-health-care-service-providers-in-the-treatment-of-gastric-cancer-in-colombia
#8
María Del Pilar Villamil, David Barrera, Nubia Velasco, Oscar Bernal, Esteban Fajardo, Carlos Urango, Sebastian Buitrago
BACKGROUND: While, at its inception in 1993, the health care system in Colombia was publicized as a paradigm to be copied across the developing world, numerous problems in its implementation have led to, what is now, an inefficient and crisis-ridden health system. Furthermore, as a result of inappropriate tools to measure the quality of the health service providers, several corruption scandals have arisen in the country. This study attempts to tackle this situation by proposing a strategy for the quality assessment of the health service providers (Entidades Promotoras de Salud, EPS) in the Colombian health system...
September 15, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28767814/-public-private-relations-in-the-colombian-health-system-from-1991-to-2015
#9
William Iván López Cárdenas, Adelyne Maria Mendes Pereira, Cristiani Vieira Machado
The case of Colombia's health system exemplifies the neoliberal reforms conducted in Latin America, characterized by the private sector's broad participation in the administration of resources and provision of health services. The system includes a set of benefits for persons that can afford to pay and a package of basic services with state financing for poor persons. This study aimed to analyze the public-private arrangements in the Colombian health system from 1991 and 2015, including the dimensions of insurance and financing...
July 27, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/27821892/afrocolombian-ethnicity-a-paradoxical-protective-factor-against-dengue
#10
Jorge Humberto Rojas Palacios, Alberto Alzate, Héctor Jairo Martínez Romero, Alberto Ignacio Concha-Eastman
INTRODUCTION: Dengue is a priority public health problem. During epidemics in Cuba and Haiti, ethnic African descendant population had lower risk of dengue, and the ethnic factor was proposed as a protective one. OBJECTIVE: To determine the relation between the Dengue's cumulative incidence and the Afro-Colombian proportion in communities of Cali, during the epidemic of 2013. METHODS: This study was conducted in Cali, Colombia. The design was ecological, using information from the National Census 2005 projected to 2013, from the National Administrative Department of Statistics (DANE), and the National Epidemiological Surveillance System...
September 30, 2016: Colombia Médica: CM
https://www.readbyqxmd.com/read/27622806/presence-of-enteric-viruses-in-water-samples-for-consumption-in-colombia-challenges-for-supply-systems
#11
Dioselina Peláez, Blanca Lisseth Guzmán, Johanna Rodríguez, Felipe Acero, Gerardo Nava
INTRODUCTION: Since drinking water can be a vehicle for the transmission of pathogens, the detection of enteric viruses in these water samples is essential to establish the appropriate measures to control and prevent associated diseases.  OBJECTIVE: To analyze the results obtained for enteric viruses in water samples for human consumption received at the Colombian Instituto Nacional de Salud and establish their association with the data on water quality in Colombian municipalities...
April 15, 2016: Biomédica: Revista del Instituto Nacional de Salud
https://www.readbyqxmd.com/read/27622439/adverse-drug-reactions-in-colombian-patients-2007-2013-analysis-of-population-databases
#12
Jorge Enrique Machado-Alba, Manuel José Londoño-Builes, Luis Felipe Echeverri-Cataño, Sergio Andrés Ochoa-Orozco
INTRODUCTION: Recognizing adverse drug reactions (ADRs) is becoming more important in clinical practice.  OBJECTIVE: To determine the frequency of adverse drug reactions and ADR suspicions among the population affiliated to the Colombian health system and to describe the drugs, reactions and associated variables.  MATERIALS AND METHODS: We revised ADRs and ADRs suspicion databases from drugs dispensed by Audifarma, S.A., both for inpatient and outpatient care from 2007 to 2013...
March 3, 2016: Biomédica: Revista del Instituto Nacional de Salud
https://www.readbyqxmd.com/read/27557033/towards-a-community-mental-health-care-for-people-with-schizophrenia-in-colombia
#13
Daniel Ricardo Zaraza-Morales, Dora María Hernández-Holguín
Mental health care based on the community has shown to be effective and successful for the health care service to people with severe mental disorders such as schizophrenia, evidence that is less clear in the health care system in Colombia, where weaknesses are present, both for prevention and rehabilitation, although national guidelines give importance to the social context in relation to the disease. As a contribution to the discussion on providing care for people living with schizophrenia, a topic review was conducted with the aim of identifying experiences in community mental health care services, in relation to their relevance to these people at the national level...
August 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27165306/clinical-and-epidemiological-aspects-of-complicated-malaria-in-colombia-2007-2013
#14
Pablo E Chaparro-Narváez, Mary Lopez-Perez, Lina Marcela Rengifo, Julio Padilla, Sócrates Herrera, Myriam Arévalo-Herrera
BACKGROUND: During the last decade, Colombia presented a significant decrease in malaria clinical cases and associated mortality. However, there is a lack of reliable information about the prevalence and characteristics of complicated malaria cases as well as its association with different Plasmodium species. A description of the epidemiological and clinical aspects of complicated malaria in Colombia is presented here. METHODS: A descriptive study was conducted using data collected between 2007 and 2013 by the Public Health Surveillance System (SIVIGILA)...
May 10, 2016: Malaria Journal
https://www.readbyqxmd.com/read/26706808/implementation-and-adaptation-in-colombia-of-the-communities-that-care
#15
Juliana Mejía-Trujillo, Augusto Pérez-Gómez, María Fernanda Reyes-Rodríguez
For more than two years, Corporación Nuevos Rumbos (Colombia) has been carrying out, in eight Colombian communities, a preventive system called Comunidades Que se Cuidan (CQC), an adaptation of Communities That Care (CTC), created at the University of Washington (Seattle), developed for more than 25 years in the United States of America and implemented in eight countries of America, Oceania, and Europe. The system is based on the public health approach, and the social development strategy for community empowerment...
December 15, 2015: Adicciones
https://www.readbyqxmd.com/read/26535737/-proposal-to-establish-an-environmental-contaminants-surveillance-system-in-colombia
#16
Jancy Andrea Huertas
Environmental pollution is a growing problem that negatively impacts health with social and economic high costs. In this sense, coordinated surveillance of conditions, risks, exposures and health effects related to pollution is a useful tool to guide decision-making processes. The objective of this essay was to describe a surveillance system for environmental contaminants in Colombia and its design background. Using the technical guidelines proposed by the Pan American Health Organization, a literature review was conducted to identify the key elements to be included in such surveillance system and to establish which of these elements were already present in the Colombian context...
August 2015: Biomédica: Revista del Instituto Nacional de Salud
https://www.readbyqxmd.com/read/26039392/evaluation-of-dengue-fever-reports-during-an-epidemic-colombia
#17
Liliana Romero-Vega, Oscar Pacheco, Fernando de la Hoz-Restrepo, Fredi Alexander Díaz-Quijano
OBJECTIVE To assess the validity of dengue fever reports and how they relate to the definition of case and severity. METHODS Diagnostic test assessment was conducted using cross-sectional sampling from a universe of 13,873 patients treated during the fifth epidemiological period in health institutions from 11 Colombian departments in 2013. The test under analyses was the reporting to the National Public Health Surveillance System, and the reference standard was the review of histories identified by active institutional search...
December 2014: Revista de Saúde Pública
https://www.readbyqxmd.com/read/26022531/do-existing-mechanisms-contribute-to-improvements-in-care-coordination-across-levels-of-care-in-health-services-networks-opinions-of-the-health-personnel-in-colombia-and-brazil
#18
Ingrid Vargas, Amparo Susana Mogollón-Pérez, Pierre De Paepe, Maria Rejane Ferreira da Silva, Jean Pierre Unger, María Luisa Vázquez
BACKGROUND: The fragmentation of healthcare provision has given rise to a wide range of interventions within organizations to improve coordination across levels of care, primarily in high income countries but also in some middle and low-income countries. The aim is to analyze the use of coordination mechanisms in healthcare networks and its implications for the delivery of health care. This is studied from the perspective of health personnel in two countries with different health systems, Colombia and Brazil...
2015: BMC Health Services Research
https://www.readbyqxmd.com/read/25903494/the-establishment-of-the-colombian-integrated-program-for-antimicrobial-resistance-surveillance-coipars-a-pilot-project-on-poultry-farms-slaughterhouses-and-retail-market
#19
P Donado-Godoy, R Castellanos, M León, A Arevalo, V Clavijo, J Bernal, D León, M A Tafur, B A Byrne, W A Smith, E Perez-Gutierrez
The development of antimicrobial resistance among bacteria (AMR) is currently one of the world's most pressing public health problems. The use of antimicrobial agents in humans and animals has resulted in AMR which has narrowed the potential use of antibiotics for the treatment of infections in humans. To monitor AMR and to develop control measures, some countries, such as the USA, Canada and Denmark, have established national integrated surveillance systems (FDA, , CIPARS, 2007, DANMAP,2002). The components of these programs monitor changes in susceptibility/resistance to antimicrobial agents of selected zoonotic pathogens and commensal organisms recovered from animals, retail meats and humans...
April 2015: Zoonoses and Public Health
https://www.readbyqxmd.com/read/25813505/sociopolitical-determinants-of-international-health-policy
#20
Pol De Vos, Patrick Van der Stuyft
For decades, two opposing logics have dominated the health policy debate: a comprehensive health care approach, with the 1978 Alma Ata Declaration as its cornerstone, and a private competition logic, emphasizing the role of the private sector. We present this debate and its influence on international health policies in the context of changing global economic and sociopolitical power relations in the second half of the last century. The neoliberal approach is illustrated with Chile's health sector reform in the 1980s and the Colombian reform since 1993...
2015: International Journal of Health Services: Planning, Administration, Evaluation
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