Abstract

DIAZ-GRAJALES, Constanza; ZAPATA-BERMUDEZ, Yolanda  and  ARISTIZABAL-GRISALES, Juan Carlos. Access and satisfaction related to curative services: Case analysis of the contributory regime and members of the subsidized regime in a strata 2 neighborhood. Cali, Colombia. Rev. Gerenc. Polit. Salud [online]. 2015, vol.14, n.29, pp.155-178. ISSN 1657-7027.  https://doi.org/10.11144/Javeriana.rgyps14-29.assc.

This study presents a case analysis to identify differences in access to curative services among people affiliated to the contributive and subsidized system. At the population level, around a tenth of the population feels the need and demand a healing service, 97.8% being treated. Descriptive, cross-sectional investigation; fundamentals variables were operationalized taking into account the need serviced. Cases were considered, those presenting a health problem in the last month, consulted a formal service and were treated. The results show differences between the regimes of access and satisfaction; for example, in relation to the medicines they claimed 87.8 % of contributive and subsidized 55.9 %, statistically significant differences. Administrative and financial barriers were found; and characteristics of the services that affect access to care and quality in both regimes, demonstrating infringement of the fundamental right to health care.

Keywords : social security; health services accessibility; health services needs and demand; medical care; utilization; patient satisfaction.

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