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Colombia public health system

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https://www.readbyqxmd.com/read/29665783/surveillance-on-the-endemic-of-zika-virus-infection-by-meteorological-factors-in-colombia-a-population-based-spatial-and-temporal-study
#1
Lung-Chang Chien, Ro-Ting Lin, Yunqi Liao, Francisco S Sy, Adriana Pérez
BACKGROUND: Zika virus (ZIKV) infection is a pandemic and a public health emergency. It is transmitted by mosquitoes, primarily the Aedes genus. In light of no treatment currently, it is crucial to develop effective vector control programs to prevent the spread of ZIKV infection earlier when observing possible risk factors, such as weather conditions enhancing mosquito breeding and surviving. METHODS: This study collected daily meteorological measurements and weekly ZIKV infectious cases among 32 departments of Colombia from January 2015-December 2016...
April 17, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29642907/equity-of-access-to-maternal-health-interventions-in-brazil-and-colombia-a-retrospective-study
#2
Amaila De La Torre, Zlatko Nikoloski, Elias Mossialos
BACKGROUND: Reducing maternal mortality is a top priority in Latin American countries. Despite the progress in maternal mortality reduction, Brazil and Colombia still lag behind countries at similar levels of development. METHODS: Using data from the Demographic Health Survey, this study quantified and compared, by means of concentration indices, the socioeconomic-related inequity in access to four key maternal health interventions in Brazil and Colombia. Decomposition analysis of the concentration index was used for two indicators - skilled attendance at birth and postnatal care in Brazil...
April 11, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29628699/grouping-of-body-areas-affected-in-traffic-accidents-a-cohort-study
#3
Alba Luz León, Johana Ascuntar-Tello, Carlos Oliver Valderrama-Molina, Nelson Darío Giraldo, Alfredo Constaín, Andrés Puerta, Camilo Restrepo, Fabián Jaimes
Background: Traffic accidents are considered a public health problem and, according to the World Health Organization, currently is the eighth cause of death in the world. Specifically, pedestrians, cyclists and motorcyclists contribute half of the fatalities. Adequate clinical management in accordance with aggregation patterns of the body areas involved, as well as the characteristics of the accident, will help to reduce mortality and disability in this population. Methods: Secondary data analysis of a cohort of patients involved in traffic accidents and admitted to the emergency room (ER) of a high complexity hospital in Medellín, Colombia...
March 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29627722/economic-costs-of-chikungunya-virus-in-colombia
#4
Nelson J Alvis-Zakzuk, Diana Díaz-Jiménez, Liliana Castillo-Rodríguez, Carlos Castañeda-Orjuela, Ángel Paternina-Caicedo, Hernando Pinzón-Redondo, María Carrasquilla-Sotomayor, Nelson Alvis-Guzmán, Fernando De La Hoz-Restrepo
OBJECTIVE: The aim of the present study was to estimate the economic impact of chikungunya virus (CHIKV) infection in Colombia from a societal perspective. METHODS: We conducted a retrospective, bottom-up cost-of-illness study in clinically confirmed cases during the first chikungunya (CHIK) outbreak in Colombia in 2014. Direct and indirect costs were estimated per patient. Economic costs were calculated by the addition of direct costs (direct medical costs and out-of-pocket heath expenditures) and indirect cost as a result of loss of productivity...
April 5, 2018: Value in Health Regional Issues
https://www.readbyqxmd.com/read/29627357/estimating-the-numbers-of-pregnant-women-infected-with-zika-virus-and-infants-with-congenital-microcephaly-in-colombia-2015-2017
#5
Alys Adamski, Jeanne Bertolli, Carlos Castañeda-Orjuela, Owen J Devine, Michael A Johansson, Maritza Adegnis Gonzalez Duarte, Sarah C Tinker, Sherry L Farr, Marcela Maria Mercado Reyes, Van T Tong, Oscar Eduardo Pacheco Garcia, Diana Valencia, Diego Alberto Cuellar Ortiz, Margaret A Honein, Denise J Jamieson, Martha Lucía Ospina Martínez, Suzanne M Gilboa
BACKGROUND: Colombia experienced a Zika virus (ZIKV) outbreak in 2015-2016. To assist with planning for medical and supportive services for infants affected by prenatal ZIKV infection, we used a model to estimate the number of pregnant women infected with ZIKV and the number of infants with congenital microcephaly from August 2015- August 2017. METHODS: We used nationally-reported cases of symptomatic ZIKV disease among pregnant women and information from the literature on the percent of asymptomatic infections to estimate the number of pregnant women with ZIKV infection occurring August 2015 - December 2016...
April 5, 2018: Journal of Infection
https://www.readbyqxmd.com/read/29624582/geospatial-temporal-distribution-of-tegumentary-leishmaniasis-in-colombia-2007-2016
#6
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/29604514/renal-involvement-in-fatal-cases-of-chikungunya-virus-infection
#7
Marcela Mercado, Jorge Acosta-Reyes, Edgar Parra, Luis Guzmán, Mauricio Beltrán, Philippe Gasque, Carlos Mejía-García, Diego Viasus
BACKGROUND: Information regarding physiopathology and complications in fatal cases of chikungunya virus (CHIKV) is scarce. OBJECTIVES: The aim of this study was to describe the frequency and severity of renal complications in fatal cases associated with CHIKV infection based on the clinical and histopathological features from post-mortem tissue biopsies. STUDY DESIGN: This retrospective study included fatal cases associated with CHIKV infection occurring from September 2014 through October 2015, reported to National System for Public Health Surveillance (SIVIGILA) and laboratory-confirmed by the National Institute of Health of Colombia...
March 23, 2018: Journal of Clinical Virology: the Official Publication of the Pan American Society for Clinical Virology
https://www.readbyqxmd.com/read/29564250/time-for-the-two-spirits-shaping-the-inclusive-policy-environment-for-hispanics-and-transgenders-through-global-health-diplomacy
#8
Vijay Kumar Chattu, Mario O Laplume, Soosanna Kumary
Minority populations in the world are permanently challenged with unequal living and working conditions in their daily lives that compromise their access to needed clinical and preventive services. When we discuss the health-care conditions for minorities, we must address the social determinants of access that are ultimately determined by the policies and politics of the governments. Renowned experts of quality in healthcare have been critical of the current design and implementation of randomized clinical trials, the gold standard of clinical research because they believe that they often, but not always, presume a linear, mechanistic system when in fact improvement in health care takes place within complex adaptive systems that evolve...
October 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29378537/comprehensive-economic-evaluation-of-thermotherapy-for-the-treatment-of-cutaneous-leishmaniasis-in-colombia
#9
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/29373771/-estimation-of-underreporting-of-chikungunya-virus-infection-cases-in-girardot-colombia-from-november-2014-to-may-2015
#10
Óscar Pacheco, Máncel Martínez, Ángela Alarcón, Mauricio Bonilla, Alexandra Caycedo, Tania Valbuena, Angie Zabaleta
INTRODUCTION: Chikungunya virus infection in Colombia became epidemic in 2015. It is estimated that there is underreporting of cases to the public health surveillance system which can induce bias in epidemiological projections for decision making, a serious problem, as it veils the real magnitude and actual epidemiological importance of this disease. OBJECTIVE: To estimate the underreporting of cases of chikungunya infection in the municipality of Girardot, Cundinamarca, from November, 2014, to May, 2015...
December 1, 2017: Biomédica: Revista del Instituto Nacional de Salud
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
#11
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/29288739/mapping-the-residual-incidence-of-taeniasis-and-cysticercosis-in-colombia-2009-2013-using-geographical-information-systems-implications-for-public-health-and-travel-medicine
#12
Alfonso J Rodríguez-Morales, María Camila Yepes-Echeverri, Wilmer F Acevedo-Mendoza, Hamilton A Marín-Rincón, Carlos Culquichicón, Esteban Parra-Valencia, Jaime A Cardona-Ospina, Ana Flisser
BACKGROUND: In Colombia, taeniasis and cysticercosis have been significantly reduced over the past decades, however still reported with implications for public health and travel medicine. METHODS: An observational, retrospective study, in which the incidence of taeniasis and cysticercosis (ICD-10 codes B68s/B69s) in Colombia, 2009-2013, was estimated based on data extracted from the Individual Health Records System (Registro Individual de Prestación de Servicios, RIPS) was performed...
December 27, 2017: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/29261699/sugary-drinks-taxation-projected-consumption-and-fiscal-revenues-in-colombia-evidence-from-a-quaids-model
#13
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
#14
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
#15
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/29177397/-not-everything-is-zika-congenital-toxoplasmosis-still-prevalent-in-colombia
#16
Jorge L Alvarado-Socarras, Keyla Meneses-Silvera, Andrea Carolina Zarate-Vergara, Carlos Guerrero-Gomez, Alfonso J Rodriguez-Morales
Congenital toxoplasmosis continues to be a public health threat. Even existing guidelines, publicly known, its implementation and lack of appropriate interpretation of serological tests in pregnancy is often observed. This leds to failure in opportunities for positive and known interventions to decrease the fetal risk due to Toxoplasma gondii infection. We reported herein a case series, with variable neurological and systemic compromise (respiratory distress, hepatosplenomegaly, enterocolitis, brain calcifications, thrombocytopenia, ascites, shock), even fatal, calling for awareness about the fact that despite the Zika epidemics in 2015-2016 in Brazil, Colombia and other countries, precisely toxoplasmosis, is a differential diagnosis still prevalent in these territories, that can leds to severe consequences, with neurological disability and risk of ocular damage, even lately...
April 2017: Revista Peruana de Medicina Experimental y Salud Pública
https://www.readbyqxmd.com/read/28977271/-health-workers-experiences-in-dealing-with-the-neoliberal-logic-a-study-of-primary-care-in-colombia-and-brazil
#17
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/28923090/mapping-occurrence-of-taenia-solium-taeniosis-cysticercosis-and-areas-at-risk-of-porcine-cysticercosis-in-central-america-and-the-caribbean-basin
#18
Uffe Christian Braae, Brecht Devleesschauwer, Fortune Sithole, Ziqi Wang, Arve Lee Willingham
BACKGROUND: This study aimed to map the occurrence of Taenia solium taeniosis/cysticercosis at national level within Central America and the Caribbean basin, and to map the distribution of porcine cysticercosis at first-level administrative subdivision level (department level) and the porcine population at risk. This zoonotic parasite is believed to be widely endemic across most of Latin America. However, there is little information readily available for Central America and the Caribbean basin...
September 18, 2017: Parasites & Vectors
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
#19
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
#20
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
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