Abstract

GARCES-PALACIO, Isabel Cristina; RUBIO-LEON, Diana Carolina  and  RAMOS-JARABA, Sara Milena. Barriers and Facilitators of the Health System Related to the Follow-Up of Cytological Abnormalities, Medellin-Colombia. Rev. Gerenc. Polit. Salud [online]. 2014, vol.13, n.27, pp.200-211. ISSN 1657-7027.  https://doi.org/10.11144/Javeriana.rgyps13-27.bfss.

Objectives: Identifying barriers and facilitators of the diagnostic monitoring and treatment of cytological abnormalities in low-income women users of the public health service network in Medellin, Colombia. Methods: We created eight focal groups (62 women) according to age groups (ages 25-45 and 46-69), and performed a content analysis. Results: The reported barriers ofthe health system were: a) structural barriers: fragmentation in the provision of the service, problems with the affiliations and characteristics of the affiliation regime; b) management barriers: problems and delays in the assignment of appointments, long queues, problems with authorizations and mistreatment; and c) economic barriers derived from the aforementioned and related with expenses. Management and structural facilitators were also mentioned. Conclusion: Some structural characteristics of the health system and the management of insurance companies limit access for women to the monitoring of pre-cancerous lesions.

Keywords : accessibility; opportunity; monitoring; cervical cancer; barriers; cytological abnormalities.

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