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Colombia health policy

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https://www.readbyqxmd.com/read/28411523/doctors-experience-of-coordination-across-care-levels-and-associated-factors-a-cross-sectional-study-in-public-healthcare-networks-of-six-latin-american-countries
#1
María-Luisa Vázquez, Ingrid Vargas, Irene Garcia-Subirats, Jean-Pierre Unger, Pierre De Paepe, Amparo Susana Mogollón-Pérez, Isabella Samico, Pamela Eguiguren, Angelica-Ivonne Cisneros, Adriana Huerta, María-Cecilia Muruaga, Fernando Bertolotto
Improving coordination between primary care (PC) and secondary care (SC) has become a policy priority in recent years for many Latin American public health systems looking to reinforce a healthcare model based on PC. However, despite being a longstanding concern, it has scarcely been analyzed in this region. This paper analyses the level of clinical coordination between PC and SC experienced by doctors and explores influencing factors in public healthcare networks of Argentina, Brazil, Chile, Colombia, Mexico and Uruguay...
April 3, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28411119/worldwide-comparison-of-survival-from-childhood-leukaemia-for-1995-2009-by-subtype-age-and-sex-concord-2-a-population-based-study-of-individual-data-for-89%C3%A2-828-children-from-198-registries-in-53-countries
#2
Audrey Bonaventure, Rhea Harewood, Charles A Stiller, Gemma Gatta, Jacqueline Clavel, Daniela C Stefan, Helena Carreira, Devon Spika, Rafael Marcos-Gragera, Rafael Peris-Bonet, Marion Piñeros, Milena Sant, Claudia E Kuehni, Michael F G Murphy, Michel P Coleman, Claudia Allemani
BACKGROUND: Global inequalities in access to health care are reflected in differences in cancer survival. The CONCORD programme was designed to assess worldwide differences and trends in population-based cancer survival. In this population-based study, we aimed to estimate survival inequalities globally for several subtypes of childhood leukaemia. METHODS: Cancer registries participating in CONCORD were asked to submit tumour registrations for all children aged 0-14 years who were diagnosed with leukaemia between Jan 1, 1995, and Dec 31, 2009, and followed up until Dec 31, 2009...
April 11, 2017: Lancet Haematology
https://www.readbyqxmd.com/read/28344900/temporal-patterns-and-geographic-heterogeneity-of-zika-virus-zikv-outbreaks-in-french-polynesia-and-central-america
#3
Ying-Hen Hsieh
BACKGROUND: Zika virus (ZIKV) transmission has been reported in 67 countries/territories in the Oceania region and the Americas since 2015, prompting the World Health Organization (WHO) to declare ZIKV as a Public Health Emergency of International Concern in February 2016, due to its strong association with medical complications such as microcephaly and Guillain-Barré Syndrome (GBS). However, a substantial gap in knowledge still exists regarding differing temporal pattern and potential of transmission of ZIKV in different regions of the world...
2017: PeerJ
https://www.readbyqxmd.com/read/28335011/understanding-public-perception-of-the-need-for-major-change-in-latin-american-healthcare-systems
#4
Ricardo Pérez-Cuevas, Frederico C Guanais, Svetlana V Doubova, Leonardo Pinzón, Luis Tejerina, Diana Pinto Masis, Marcia Rocha, Donna O Harris, James Macinko
The opinions and experiences of the public regarding health services are valuable insights into identifying opportunities to improve healthcare systems. We analyzed the 2012-2013 Public Opinion Health Policy Survey carried out in Brazil (n = 1486), Colombia (n = 1485), El Salvador (n = 1460), Jamaica (n = 1480), México (n = 1492) and Panama (n = 1475). In these countries between 82 and 96% of participants perceived that their health systems needed fundamental changes. The most frequent barrier to access to healthcare was lack of the primary medical home, difficulties in obtaining medical care during the weekends and financial barriers...
March 17, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28242350/post-traumatic-stress-disorder-in-internally-displaced-people-of-colombia-an-ecological-study
#5
Mariana Lagos-Gallego, Julio César Gutierrez-Segura, Guillermo J Lagos-Grisales, Alfonso J Rodriguez-Morales
BACKGROUND: Post-Traumatic Stress Disorder (PTSD) has been described as one of the most frequently reported mental condition among refugees and internally displaced populations (IDPs). Despite this, few has been reported about it in Latin America, even in Colombia, the country with the highest number of IDPs in the in the world. METHOD: This ecological study assessed incidence and differences of PTSD in general population and IDPs in Colombia and its departments (32) during 2009-2012...
February 24, 2017: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/28146177/advanced-practice-nursing-a-strategy-for-achieving-universal-health-coverage-and-universal-access-to-health
#6
Denise Bryant-Lukosius, Ruta Valaitis, Ruth Martin-Misener, Faith Donald, Laura Morán Peña, Linda Brousseau
Objective: to examine advanced practice nursing (APN) roles internationally to inform role development in Latin America and the Caribbean to support universal health coverage and universal access to health. Method: we examined literature related to APN roles, their global deployment, and APN effectiveness in relation to universal health coverage and access to health. Results: given evidence of their effectiveness in many countries, APN roles are ideally suited as part of a primary health care workforce strategy in Latin America to enhance universal health coverage and access to health...
January 30, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28104694/patient-perceptions-of-continuity-of-health-care-and-associated-factors-cross-sectional-study-in-municipalities-of-central-colombia-and-north-eastern-brazil
#7
Ingrid Vargas, Irene Garcia-Subirats, Amparo Susana Mogollón-Pérez, Pierre De Paepe, Maria Rejane Ferreira da Silva, Jean-Pierre Unger, M B Aller, María Luisa Vázquez
Despite the fragmentation of healthcare provision being considered one of the main obstacles to attaining effective health care in Latin America, very little is known about patients' perceptions. This paper analyses the level of continuity of health care perceived by users and explores influencing factors in two municipalities of Colombia and Brazil, by means of a cross-sectional study based on a survey of a multistage probability sample of people who had suffered at least one health problem within the previous three months (2163 in Colombia; 2167 in Brazil)...
May 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28001198/-cigarette-taxes-and-demand-in-colombia
#8
Norman Maldonado, Blanca Llorente, Javier Deaza
Objective: Estimate price and income elasticities of aggregate demand for cigarettes in Colombia, by controlling for structural market changes since the late 1990s, to identify policy opportunities for taxes that could improve public health and increase tax revenues. Methods: Measurement of aggregate demand for cigarettes using gross income reported on value-added tax returns submitted to Colombia's National Tax and Customs Office (DIAN is the acronym in Spanish) by the tobacco product manufacturing industry, subtracting exports...
October 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/27993261/-design-and-implementation-of-the-data-collection-tools-for-national-mental-health-survey-of-colombia-2015
#9
Viviana Rodriguez, Socorro Moreno, Jhon Camacho, Carlos Gómez-Restrepo, Cecilia de Santacruz, Maria Nelcy Rodriguez, Nathalie Tamayo Martínez
INTRODUCTION: Population surveys on mental health are performed as part of the inputs required for the creation, implementation and evaluation of policies related to mental health, worldwide, and as an initiative of the World Health Organisation (WHO). was held The fourth National Survey of Mental Health (ENSM 2015) was carried out during the first half of 2015 on a representative sample of 2,727 children between 7 and 11 years of age, 1,754 adolescents, and 10, 870 adults who were selected throughout the country...
December 2016: Revista Colombiana de Psiquiatría
https://www.readbyqxmd.com/read/27993258/-suicidal-behaviour-and-associated-factors-in-colombia-results-from-the-2015-national-mental-health-survey
#10
Alvaro Arenas, Carlos Gómez-Restrepo, Martin Rondón
INTRODUCTION: Suicidal behaviour leads to a significant cause of mortality in the world. It is important to know the factors associated with this behaviour in order to design public health policies that may decrease its incidence. OBJECTIVE: Describe the results of the Colombian National Survey of Mental Health related to suicidal behaviour in adults. RESULTS: It was observed that 5.5% (95% CI, 4.5-6.7) of men and 7.6% (95% CI, 6.6-8.7) of women had suicidal thoughts...
December 2016: Revista Colombiana de Psiquiatría
https://www.readbyqxmd.com/read/27993253/-methodological-aspects-of-the-sampling-design-for-the-2015-national-mental-health-survey
#11
Nelcy Rodríguez, Viviana Alejandra Rodríguez, Eugenia Ramírez, Sandra Cediel, Fabián Gil, Martín Alonso Rondón
INTRODUCTION: The WHO has encouraged the development, implementation and evaluation of policies related to mental health all over the world. In Colombia, within this framework and promoted by the Ministry of Health and Social Protection, as well as being supported by Colciencias, the fourth National Mental Health Survey (NMHST) was conducted using a observational cross sectional study. According to the context and following the guidelines and sampling design, a summary of the methodology used for this sampling process is presented...
December 2016: Revista Colombiana de Psiquiatría
https://www.readbyqxmd.com/read/27993252/-colombia-2015-national-mental-health-survey-study-protocol
#12
Carlos Gómez-Restrepo, Cecilia de Santacruz, María Nelcy Rodriguez, Viviana Rodriguez, Nathalie Tamayo Martínez, Diana Matallana, Lina M Gonzalez
INTRODUCTION: The 2015 National Mental Health Survey (NMHS) is the fourth mental survey conducted in Colombia, and is part of the National System of Surveys and Population Studies for health. METHODS: A narrative description is used to explain the background, references, the preparation, and characteristics of the 2015 NMHS. The 2015 NMHS and its protocol emerge from the requirements that support the national and international policies related to mental health. Together with the Ministry of Health and Social Protection, the objectives, the collection tools, the sample, and the operational plan are defined...
December 2016: Revista Colombiana de Psiquiatría
https://www.readbyqxmd.com/read/27982371/tackling-malnutrition-in-latin-america-and-the-caribbean-challenges-and-opportunities
#13
Luis Galicia, Daniel López de Romaña, Kimberly B Harding, Luz María De-Regil, Rubén Grajeda
Undernutrition and micronutrient deficiencies are still a public health problem in Latin America and the Caribbean (LAC), and overweight and obesity have reached epidemic proportions. To assess the nutrition landscape in LAC countries and guide future nutrition efforts and investments, the Pan American Health Organization and the Micronutrient Initiative joined efforts to 1) identify information gaps and describe the current nutritional situation in the region; 2) map existing policies to address malnutrition in Latin America; 3) describe the impact of conditional cash transfer programs (CCTs) on nutrition and health outcomes; and 4) identify the challenges and opportunities to address malnutrition in the region...
August 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/27982369/mapping-of-nutrition-and-sectoral-policies-addressing-malnutrition-in-latin-america
#14
María Cristina Tirado, Luis Galicia, Hannah M Husby, Jaime Lopez, Stephania Olamendi, Maria Pia Chaparro, María A González, Rubén Grajeda
Objective: To map existing policies addressing malnutrition in all its forms in Latin America and identify gaps in enabling environments supporting the five priority lines of action outlined in the World Health Organization Comprehensive Implementation Plan on Maternal, Infant and Young Child Nutrition (CIP) approved in 2014. Methods: This descriptive study consisted of a systematic Internet search for and mapping of publicly available nutrition-related and sectoral policies already in place to address malnutrition in all its forms in 18 Latin American countries (Argentina, Belize, Bolivia, Brazil, Chile, Colombia, Costa Rica, Dominican Republic, Ecuador, El Salvador, Guatemala, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, and Uruguay)...
August 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/27956896/sabe-colombia-survey-on-health-well-being-and-aging-in-colombia-study-design-and-protocol
#15
Fernando Gomez, Jairo Corchuelo, Carmen-Lucia Curcio, Maria-Teresa Calzada, Fabian Mendez
Objective. To describe the design of the SABE Colombia study. The major health study of the old people in Latin America and the Caribbean (LAC) is the Survey on Health, Well-Being, and Aging in LAC, SABE (from initials in Spanish: SAlud, Bienestar & Envejecimiento). Methods. The SABE Colombia is a population-based cross-sectional study on health, aging, and well-being of elderly individuals aged at least 60 years focusing attention on social determinants of health inequities. Methods and design were similar to original LAC SABE...
2016: Current Gerontology and Geriatrics Research
https://www.readbyqxmd.com/read/27903479/cost-effectiveness-analysis-of-the-use-of-a-prophylactic-antibiotic-for-patients-undergoing-lower-limb-amputation-due-to-diabetes-or-vascular-illness-in-colombia
#16
REVIEW
Mateo Ceballos, Luis Esteban Orozco, Carlos Oliver Valderrama, Diana Isabel Londoño, Luz Helena Lugo
BACKGROUND: The use of a prophylactic antibiotic in an amputation surgery is a key element for the successful recovery of the patient. We aim to determine, from the perspective of the Colombian health system, the cost-effectiveness of administering a prophylactic antibiotic among patients undergoing lower limb amputation due to diabetes or vascular illness in Colombia. METHODS: A decision tree was constructed to compare the use and nonuse of a prophylactic antibiotic...
November 27, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27869389/-suicide-mortality-in-colombia-and-m%C3%A3-xico-trends-and-impact-between-2000-and-2013
#17
Claudio Alberto Dávila, Ana Melisa Pardo
INTRODUCTION: Suicides are one of the main public health issues globally. Objective: To analyze the trends and impact of suicide mortality in Colombia and México between 2000 and 2013, nationally, by sex and age groups. Materials and methods: Mortality vital statistics from the Colombian Departamento Administrativo Nacional de Estadística and the Mexican Instituto Nacional de Estadística y Geografía were used. We conducted a descriptive and cross sectional study for which we calculated standardized mortality rates and years of life lost in people between 0 and 100 years of age...
September 1, 2016: Biomédica: Revista del Instituto Nacional de Salud
https://www.readbyqxmd.com/read/27848732/results-from-colombia-s-2016-report-card-on-physical-activity-for-children-and-youth
#18
Silvia A González, Maria A Castiblanco, Luis F Arias-Gómez, Andrea Martinez-Ospina, Daniel D Cohen, Gustavo A Holguin, Adriana Almanza, Diana Marina Camargo Lemos, Jorge Enrique Correa-Bautista, Iván D Escobar, Johnattan García, Rocio Gámez, Mauricio Garzon, Yaneth Herazo Beltrán, Hernan Hurtado, Oscar Lozano, Diana C Páez, Robinson Ramírez-Vélez, Nubia Ruiz, Gustavo Tovar, Olga L Sarmiento
BACKGROUND: Physical activity (PA) is vital to the holistic development of young people. Regular participation in PA is associated with substantial benefits for health, cognitive function, and social inclusion. Recognizing the potential of PA in the context of the current peace process in Colombia, the purpose of this article is to present the methodology and results of Colombia's second Report Card on PA for children and youth. METHODS: A group of experts on PA graded 14 PA indicators based on data from national surveys and policy documents...
November 2016: Journal of Physical Activity & Health
https://www.readbyqxmd.com/read/27803361/a-markov-decision-process-model-for-cervical-cancer-screening-policies-in-colombia
#19
Raha Akhavan-Tabatabaei, Diana Marcela Sánchez, Thomas G Yeung
Cervical cancer is the second most common cancer in women around the world, and the human papillomavirus (HPV) is universally known as the necessary agent for developing this disease. Through early detection of abnormal cells and HPV virus types, cervical cancer incidents can be reduced and disease progression prevented. We propose a finite-horizon Markov decision process model to determine the optimal screening policies for cervical cancer prevention. The optimal decision is given in terms of when and what type of screening test to be performed on a patient based on her current diagnosis, age, HPV contraction risk, and screening test results...
February 2017: Medical Decision Making: An International Journal of the Society for Medical Decision Making
https://www.readbyqxmd.com/read/27736992/development-of-a-conceptual-model-and-survey-instrument-to-measure-conscientious-objection-to-abortion-provision
#20
Laura Florence Harris, John Koku Awoonor-Williams, Caitlin Gerdts, Laura Gil Urbano, Ana Cristina González Vélez, Jodi Halpern, Ndola Prata, Peter Baffoe
BACKGROUND AND OBJECTIVE: Conscientious objection to abortion, clinicians' refusal to perform legal abortions because of their religious or moral beliefs, has been the subject of increasing debate among bioethicists, policymakers, and public health advocates in recent years. Conscientious objection policies are intended to balance reproductive rights and clinicians' beliefs. However, in practice, clinician objection can act as a barrier to abortion access-impinging on reproductive rights, and increasing unsafe abortion and related morbidity and mortality...
2016: PloS One
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