IDEAS home Printed from https://ideas.repec.org/p/col/000547/020147.html
   My bibliography  Save this paper

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
    as

    Download full text from publisher

    File URL: https://gobierno.uniandes.edu.co/sites/default/files/books/DT/DT-76.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ciccone, Antonio, 2018. "International Commodity Prices and Civil War Outbreak: New Evidence for Sub-Saharan Africa and Beyond," CEPR Discussion Papers 12625, C.E.P.R. Discussion Papers.
    2. Le, Duong Trung & Pham, Thanh Minh & Polachek, Solomon, 2022. "The long-term health impact of Agent Orange: Evidence from the Vietnam War," World Development, Elsevier, vol. 155(C).
    3. Nobuaki Yamashita & Trong‐Anh Trinh, 2022. "Long‐Term Effects of Vietnam War: Agent Orange and the Health of Vietnamese People After 30 Years," Asian Economic Journal, East Asian Economic Association, vol. 36(2), pages 180-202, June.
    4. Francesco Cecchi & Koen Leuveld & Maarten Voors, 2016. "Conflict Exposure and Competitiveness: Experimental Evidence from the Football Field in Sierra Leone," Economic Development and Cultural Change, University of Chicago Press, vol. 64(3), pages 405-435.
    5. Satish Chand, 2010. "From Predation to Production Post-conflict," Working Papers 200, Center for Global Development.
    6. Stergios Skaperdas, 2011. "The costs of organized violence: a review of the evidence," Economics of Governance, Springer, vol. 12(1), pages 1-23, March.
    7. Oscar Hernan Cerquera Losada & Norvi Guaraca Trujillo & Stefany Marín Muñoz, 2019. "Conflicto Armado Y La Producción Agraria: Caso Departamento Del Huila," Dictamen Libre 19380, Universidad Libre Barranquilla.
    8. Dominic Rohner & Mathias Thoenig, 2021. "The Elusive Peace Dividend of Development Policy: From War Traps to Macro Complementarities," Annual Review of Economics, Annual Reviews, vol. 13(1), pages 111-131, August.
    9. Stubbs, Thomas & Kentikelenis, Alexander & Stuckler, David & McKee, Martin & King, Lawrence, 2017. "The impact of IMF conditionality on government health expenditure: A cross-national analysis of 16 West African nations," Social Science & Medicine, Elsevier, vol. 174(C), pages 220-227.
    10. Kirschner, Shanna A. & Finaret, Amelia B., 2021. "Conflict and health: Building on the role of infrastructure," World Development, Elsevier, vol. 146(C).
    11. Joyce P. Jacobsen, 2012. "Gender and the Economic Impacts of War," Wesleyan Economics Working Papers 2012-008, Wesleyan University, Department of Economics.
    12. Antonio Jose Garzon Gordon & Luis Angel Hierro Recio, 2019. "External Effects of the War in Ukraine: The Impact on the Price of Oil in the Short-term," International Journal of Energy Economics and Policy, Econjournals, vol. 9(2), pages 267-276.
    13. Meddings, David & Bettcher, Douglas & Ghafele, Roya, 2003. "Violence and human security policy relevance of a central health linkage," MPRA Paper 37361, University Library of Munich, Germany.
    14. Haas, Steven A. & Ramirez, Daniel, 2022. "Childhood exposure to war and adult onset of cardiometabolic disorders among older Europeans," Social Science & Medicine, Elsevier, vol. 309(C).
    15. Münch Angela & Fielding David & Freytag Andreas, 2020. "Public Spending on Health as Political Instrument? – Regime-type dependency of public spending," Open Economics, De Gruyter, vol. 3(1), pages 121-134, January.
    16. S. Chandrasekhar & Tesfayi Gebreselassie & Anuja Jayaraman, 2011. "Maternal Health Care Seeking Behavior in a Post-Conflict HIPC: The Case of Rwanda," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 30(1), pages 25-41, February.
    17. fofana, moustapha & Lawson, Laté & ballo, zié, 2019. "Assessing the migration and social instability nexus in sub-saharan Africa : A spatial analysis," MPRA Paper 96471, University Library of Munich, Germany.
    18. Daniel G. Arce, 2019. "On the human consequences of terrorism," Public Choice, Springer, vol. 178(3), pages 371-396, March.
    19. Sanghamitra Bandyopadhyay & Elliott Green, 2018. "Urbanization and mortality decline," Journal of Regional Science, Wiley Blackwell, vol. 58(2), pages 483-503, March.
    20. Christopher Blattman & Edward Miguel, 2010. "Civil War," Journal of Economic Literature, American Economic Association, vol. 48(1), pages 3-57, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:col:000547:020147. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Alejandra Rojas Forero (email available below). General contact details of provider: https://edirc.repec.org/data/egandco.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.