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Acceso a salud y percepción sobre la calidad de la atención médica en el departamento del Meta: una mirada después de los acuerdos con las Farc

Author

Listed:
  • Sebastián León-Giraldo
  • Óscar Bernal
  • Catalina González-Uribe
  • Germán Casas
  • Juan Sebastián Cuervo-Sánchez
  • Antonio Olmos
  • Tatiana García
  • Rodrigo MorenoSerra

Abstract

Este documento presenta un análisis comparado sobre el acceso y la utilización del sistema de salud por parte de personas desplazadas y no desplazadas por el conflicto armado en el departamento del Meta. Para esto, se hace una medición de los niveles de afiliación y acceso al sistema, la calidad percibida del servicio médico y la percepción individual de estas poblaciones sobre su propia salud. Adicionalmente, se presentan datos sobre la implementación y niveles de cobertura del Programa de Atención Psicosocial a Víctimas del Conflicto Armado (PAPSIVI). Los datos evidencian menores niveles de acceso al sistema de salud y una peor percepción sobre la calidad de la atención médica por parte de la población desplazada. Algunas características sociodemográficas tales como la edad, el sexo, los niveles de pobreza y la zona y el nivel de afectación por el conflicto del municipio en el cual vive la persona explican diferencias en los niveles de acceso y percepción de la calidad de los servicios de atención médica. A partir de estos resultados se proponen algunas recomendaciones de política sobre la atención en salud a víctimas del conflicto. Este estudio resume los hallazgos preliminares del proyecto War and Peace: The Health and Health System Consequences of Conflict in Colombia, liderado por la Universidad de los Andes y la Universidad de York en Reino Unido y financiado por el UK Medical Research Council, Economic and Social Research Council, DFID y Wellcome Trust (Joint Health Systems Research Initiative, Grant MR/R013667/1). ***** This document presents a comparative analysis of access and use of health services by displaced and non-displaced people due to armed conflict in Meta’s department. To achieve this, we measure levels of affiliation and access to the health system, perceived quality of medical services, and personal appreciation of these populations about their own health. Additionally, we present the implementation and coverage levels of the Psychosocial Attention Program for Victims of the Armed Conflict (PAPSIVI). Data show lower levels of access to the health system and a worse perception of the quality of medical care by displaced populations. Some sociodemographic characteristics such as age, sex, poverty levels, the area, and the level of conflict incidence of the municipality in which the person lives explain differences in access and perception of medical attention quality. Based on these results, some policy recommendations are proposed on healthcare services for victims of armed conflict. This study summarizes the preliminary findings of the project War and Peace: The Health and Health System Consequences of Conflict in Colombia led by Universidad de Los Andes and the University of York, UK, and funded by the UK Medical Research Council, Economic and Social Research Council, DFID y Wellcome Trust (Joint Health Systems Research Initiative, Grant MR/R013667/1).

Suggested Citation

  • Sebastián León-Giraldo & Óscar Bernal & Catalina González-Uribe & Germán Casas & Juan Sebastián Cuervo-Sánchez & Antonio Olmos & Tatiana García & Rodrigo MorenoSerra, 2020. "Acceso a salud y percepción sobre la calidad de la atención médica en el departamento del Meta: una mirada después de los acuerdos con las Farc," Documentos de trabajo 20147, Escuela de Gobierno - Universidad de los Andes.
    • Handle: RePEc:col:000547:020147
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    References listed on IDEAS

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    1. Ghobarah, Hazem Adam & Huth, Paul & Russett, Bruce, 2003. "Civil Wars Kill and Maim People—Long After the Shooting Stops," American Political Science Review, Cambridge University Press, vol. 97(2), pages 189-202, May.
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