Abstract

VELASQUEZ U, Gloria et al. Sanitary reforms and AIDS health care indicators: comparison between two specialized remission services. Rev. Fac. Nac. Salud Pública [online]. 2006, vol.24, n.1, pp.18-29. ISSN 0120-386X.

Colombian health care reform (Sistema General de Seguridad Social en Salud, SGSSS) transformed public health system into an insurance model system. Objective: to compare health care in two remission centers for HIV/AIDS control functioning before (center A) and after (center B) SGSSS implementation. Materials and methods: retrospective study of all records collected by the two specialized centers between 1986 and 2002 (n = 1.252). Results: for each service, indicators about reference, diagnosis, treatment, AIDS risk, survival, lethality and effectiveness of HAART (highly active anti-retroviral therapy) were obtained. Conclusions: some unfavo- Sanitary reforms and AIDS health care indicators: comparison between two specialized remission services rable conditions were identified in center B suggesting a worsening in interventions and operation continuity of the regional health care remission system. Those factors could be related to administrative barriers -imposed by requirements of the new insurance model- and they could explain patients’ seriousness at the moment of remission.

Keywords : HIV infection; acquired immunodeficiency syndrome; program evaluation; health care reform; Colombia; health policy.