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Estimación de los determinantes del acceso a los servicios de salud en la region Caribe

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  • Sandra Rodríguez
  • Paola Roldán

Abstract

This document analyzes the access to health services for the population belonging to the contributive and subsidized regimes in the Colombian Caribbean region. Models of discreet selection are constructed - simple logit and Heckman probit - to gain insight about the determinants for the use of health services because of both preventive and curative reasons. Among the main results were that while the difference in the probability of access for the affiliated is very important in the case of use of the services because of prevention, this difference does not exist in the case of hospitalization. This suggests severity of the disease reduces the access difference to health services of the non affiliated with respect to those belonging to any regime of affiliation.En este artículo se analiza el acceso a los servicios de salud para la población perteneciente a los regímenes Contributivo y Subsidiado en la región Caribe colombiana. Se construyen modelos de elección discreta -logit simples y Heckman probit- para conocer los determinantes del uso de los servicios de salud tanto por motivos preventivos como curativos. Entre los principales resultados se encontró que mientras la diferencia en la probabilidad de acceso para los no afiliados es muy importante en el caso de uso de los servicios por prevención, esta diferencia no existe en el caso de hospitalización. Esto sugiere que la severidad de la enfermedad reduce la diferencia de acceso a los servicios de salud de los no afiliados con respecto a aquellos que pertenecen a algún régimen de afiliación.

Suggested Citation

  • Sandra Rodríguez & Paola Roldán, 2008. "Estimación de los determinantes del acceso a los servicios de salud en la region Caribe," Revista de Economía del Caribe 7109, Universidad del Norte.
    • Handle: RePEc:col:000382:007109
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    File URL: http://rcientificas.uninorte.edu.co/index.php/economia/article/viewFile/553/899
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    References listed on IDEAS

    as
    1. Heckman, James, 2013. "Sample selection bias as a specification error," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 31(3), pages 129-137.
    2. Philip Musgrove, 1985. "Reflexiones sobre la Demanda por Salud en América Latina," Latin American Journal of Economics-formerly Cuadernos de Economía, Instituto de Economía. Pontificia Universidad Católica de Chile., vol. 22(66), pages 293-306.
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    Cited by:

    1. Santiago Arroyo & Luis Miguel TOvar, 2009. "Accesibilidad al régimen contributivo de salud en Colombia: caso de la población rural migrante," Revista Desarrollo y Sociedad, Universidad de los Andes,Facultad de Economía, CEDE, September.

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    More about this item

    Keywords

    Access to health services; health economics; insurance; discrete selection modelsAcceso a servicios de salud; economía de la salud; aseguramiento; modelos de elección discreta;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • C35 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Discrete Regression and Qualitative Choice Models; Discrete Regressors; Proportions
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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