<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-2596</journal-id>
<journal-title><![CDATA[Lecturas de Economía]]></journal-title>
<abbrev-journal-title><![CDATA[Lect. Econ.]]></abbrev-journal-title>
<issn>0120-2596</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-25962020000100201</article-id>
<article-id pub-id-type="doi">10.17533/udea.le.n92a07</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Spatial Dynamic Effects in the Colombian Health System]]></article-title>
<article-title xml:lang="es"><![CDATA[Efectos de la dinámica espacial en el sistema de salud colombiano]]></article-title>
<article-title xml:lang="fr"><![CDATA[Les effets de la dynamique spatiale sur le système de santé colombien]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodriguez-Pineda]]></surname>
<given-names><![CDATA[Leonardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Saldarriaga]]></surname>
<given-names><![CDATA[Andrés Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cancelado-Carretero]]></surname>
<given-names><![CDATA[Helena María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af2">
<institution><![CDATA[,Universidad EAFIT  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad EAFIT  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Icesi  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<numero>92</numero>
<fpage>201</fpage>
<lpage>222</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-25962020000100201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-25962020000100201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-25962020000100201&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract We seek to understand if spatial dynamics affect the population in social, economic and health terms. To carry out this study, we propose the following two stages. In the first stage we try to understand the causes of high infant mortality in rural areas in comparison to the urban areas based on literature and the changes made to the Colombian health model. The second stage is a spatial econometric analysis of the variables of interest, where the CEDE database of the Universidad de los Andes is utilized. The findings of this study confirm the importance of the inclusion of spatial effects, which is a sign that the health dynamics of populations are interrelated. This spatial interdependence corroborates the suggestion from literature where proposing policies coordinate the system and consider local and neighboring populations. Also, municipal administrations require the need to consider mechanisms of interlocution whilst working with their peers and allow these factors to be included in the planning of political measures taken that affect health conditions. Finally, we confirm differences between the rural and urban performance.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Buscamos entender si la dinámica espacial afecta a la población en términos sociales, económicos y de salud. Para llevar a cabo este estudio, proponemos dos etapas. En la primera, buscamos comprender, desde la literatura y los cambios realizados en el modelo de salud colombiano, las causas de la alta mortalidad infantil en las zonas rurales en comparación con las zonas urbanas. La segunda, es un análisis econométrico espacial de las variables de interés, donde se utiliza la base de datos CEDE de la Universidad de los Andes. Los resultados de este estudio confirman la importancia de la inclusión de efectos espaciales, lo cual es una señal de que la dinámica de salud de las poblaciones está interrelacionada. Esta interdependencia espacial corrobora la sugerencia de la literatura que propone que las políticas deben estar coordinadas y considerar poblaciones locales y vecinas. Además, las administraciones municipales deberían considerar mecanismos de interlocución, mientras trabajan con sus pares, y permitir que estos factores se incluyan en la planificación de las medidas políticas en temas de salud. Finalmente, confirmamos diferencias en áreas rurales y urbanas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="fr"><p><![CDATA[Résumé Nous cherchons à comprendre si la dynamique spatiale affecte la population en termes sociaux, économiques et sanitaires. Pour réaliser cette étude, nous proposons deux étapes. Dans la première, nous cherchons à comprendre, à partir de la littérature et des changements apportés au modèle de santé colombien, les causes de la haute mortalité infantile dans le milieu rural par rapport aux milieux urbaines. La deuxième étape est une analyse économétrique spatiale des variables d&#8217;intérêt, à partir de la base de données CEDE de l&#8217;Université de los Andes. Les résultats confirment l&#8217;importance de la prise en compte des effets spatiaux, puisque les dynamiques de santé des populations sont interdépendantes. Cette interdépendance spatiale montre que les politiques doivent être coordonnées et doivent également prendre en compte l&#8217;avis des populations locales. En outre, les villes devraient envisager mécanismes de dialogue et permettre que les effets spatiaux soient inclus dans la planification des politiques de santé publique. Enfin, nous confirmons les différences dans les zones rurales et urbaines.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[gastos del gobierno y salud]]></kwd>
<kwd lng="es"><![CDATA[comportamiento de salud]]></kwd>
<kwd lng="es"><![CDATA[política gubernamental]]></kwd>
<kwd lng="es"><![CDATA[regulación]]></kwd>
<kwd lng="es"><![CDATA[salud pública]]></kwd>
<kwd lng="es"><![CDATA[modelos transversales]]></kwd>
<kwd lng="es"><![CDATA[modelos espaciales]]></kwd>
<kwd lng="es"><![CDATA[modelos de efectos de tratamiento]]></kwd>
<kwd lng="es"><![CDATA[regresiones cuantiles]]></kwd>
<kwd lng="en"><![CDATA[government expenditures and health]]></kwd>
<kwd lng="en"><![CDATA[health behavior]]></kwd>
<kwd lng="en"><![CDATA[government policy]]></kwd>
<kwd lng="en"><![CDATA[regulation]]></kwd>
<kwd lng="en"><![CDATA[public health]]></kwd>
<kwd lng="en"><![CDATA[cross-sectional models]]></kwd>
<kwd lng="en"><![CDATA[spatial models]]></kwd>
<kwd lng="en"><![CDATA[treatment effect models]]></kwd>
<kwd lng="en"><![CDATA[quantile regressions]]></kwd>
<kwd lng="fr"><![CDATA[dépenses gouvernementales et de santé]]></kwd>
<kwd lng="fr"><![CDATA[comportement en matière de santé]]></kwd>
<kwd lng="fr"><![CDATA[politique gouvernementale]]></kwd>
<kwd lng="fr"><![CDATA[régulation]]></kwd>
<kwd lng="fr"><![CDATA[santé publique]]></kwd>
<kwd lng="fr"><![CDATA[modèles transversaux]]></kwd>
<kwd lng="fr"><![CDATA[modèles spatiaux]]></kwd>
<kwd lng="fr"><![CDATA[modèles d&#8217;effet de traitement]]></kwd>
<kwd lng="fr"><![CDATA[régressions quantiles]]></kwd>
</kwd-group>
</article-meta>
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</nlm-citation>
</ref>
</ref-list>
</back>
</article>
