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Accesibilidad geográfica y equidad en la prestación del servicio de salud: un estudio de caso para Barranquilla

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  • Gerson Javier Pérez V.

Abstract

En este artículo se utiliza la ampliación de la red pública hospitalaria de Barranquilla, como un cuasi-experimento que evalúa los avances en la accesibilidad geográfica y la equidad en la prestación del servicio de salud. En particular, se emplean medidas de gravedad para calcular la accesibilidad considerando restricciones a la movilidad así como información de demanda por servicios de salud. Adicionalmente, se utiliza información de satisfacción con el fin de evaluar los niveles de equidad logrados con la ampliación de la red pública. Los resultados muestran avances significativos en accesibilidad geográfica entre 2008 y 2013, especialmente para los habitantes de las localidades más pobres. En términos de equidad, se encontró que los factores socioeconómicos siguen siendo determinantes de los niveles de satisfacción de los usuarios del sistema de salud.

Suggested Citation

  • Gerson Javier Pérez V., 2013. "Accesibilidad geográfica y equidad en la prestación del servicio de salud: un estudio de caso para Barranquilla," Borradores de Economia 770, Banco de la Republica de Colombia.
    • Handle: RePEc:bdr:borrec:770
    DOI: 10.32468/be.770
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    More about this item

    Keywords

    Health economics; spatial accessibility; generalized threshold models;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • R53 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - Regional Government Analysis - - - Public Facility Location Analysis; Public Investment and Capital Stock
    • C35 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Discrete Regression and Qualitative Choice Models; Discrete Regressors; Proportions

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