<?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>0120-9957</journal-id>
<journal-title><![CDATA[Revista colombiana de Gastroenterología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Col Gastroenterol]]></abbrev-journal-title>
<issn>0120-9957</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Gastroenterología  ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-99572019000100017</article-id>
<article-id pub-id-type="doi">10.22516/25007440.353</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Barreras para la atención en salud del cáncer gástrico, Santander, Colombia. Etapa exploratoria]]></article-title>
<article-title xml:lang="en"><![CDATA[Barriers to Health Care for Gastric Cancer Patients in Santander, Colombia: Exploratory Stage]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Uribe P]]></surname>
<given-names><![CDATA[Claudia Janeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amado N]]></surname>
<given-names><![CDATA[Angélica María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rueda P]]></surname>
<given-names><![CDATA[Ana María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mantilla V]]></surname>
<given-names><![CDATA[Leydi Yurani]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Registro Poblacional de Cáncer del Área Metropolitana de Bucaramanga  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Autónoma de Bucaramanga  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>34</volume>
<numero>1</numero>
<fpage>17</fpage>
<lpage>22</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-99572019000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-99572019000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-99572019000100017&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  el cáncer gástrico es un problema de salud pública; ocupa el quinto y tercer lugar en incidencia y mortalidad mundial, respectivamente.  Objetivo:  describir las barreras para la atención en salud percibidas por el adulto con cáncer gástrico, su cuidador y el médico tratante en el departamento de Santander, Colombia-etapa exploratoria en el período 2015-2016.  Metodología:  estudio cualitativo utilizando algunas técnicas del proceso de análisis de la teoría fundamentada a partir de la aplicación de entrevistas semiestructuradas que fueron codificadas y categorizadas con el software N-VIVO 10.  Resultados:  Emergieron 13 categorías, 182 códigos descritos en 6 ejes: el primero relacionado con el significado del cáncer y sus barreras; el segundo con las principales barreras para la atención en salud, cuyo orden de mayor a menor frecuencia fue: administrativas, económicas, culturales, de conocimiento, de comunicación e institucionales; el tercero es las estrategias para superar las barreras; el cuarto, las estrategias para disminuirlas; el quinto, sentimientos y el rol de la familia; y el sexto, necesidades del paciente.  Conclusión:  la fragmentación y segmentación del sistema de salud impone barreras que limitan el diagnóstico temprano del cáncer gástrico y su manejo oportuno. Además, amenazan la calidad de vida del adulto enfermo y su familia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Gastric cancer is a public health problem that ranks fifth in world incidence and third in mortality.  Objective: The aim of the exploratory stage of this study was to describe the barriers to health care perceived by adults with gastric cancer, their caregivers, and their attending physicians in the department of Santander, Colombia in 2015 and 2016.  Methodology: This is a qualitative study using process techniques and grounded theory analysis based on semi-structured interviews that were codified and categorized with N-VIVO 10.  Results: Thirteen categories and 182 codes described along 6 axes emerged. The first axis is related to the meaning of cancer and its barriers. The second is related to the primary barriers to health care which are, in order from most frequent to least frequent: administrative, economic, cultural, knowledge, communication and institutional. The third axis consists of strategies to overcome barriers. The fourth consists of strategies to diminish barriers. The fifth is related to feelings and the role of the family, and the sixth contains the patient&#8217;s needs.  Conclusion: Fragmentation and segmentation of the health care system imposes barriers that limit early diagnosis of gastric cancer and timely management. In addition, they threaten the quality of life of the sick adult and her or his family.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Neoplasia gástrica]]></kwd>
<kwd lng="es"><![CDATA[cáncer gástrico]]></kwd>
<kwd lng="es"><![CDATA[servicios de salud]]></kwd>
<kwd lng="es"><![CDATA[inequidades]]></kwd>
<kwd lng="es"><![CDATA[sistema de salud]]></kwd>
<kwd lng="en"><![CDATA[Gastric neoplasm]]></kwd>
<kwd lng="en"><![CDATA[gastric cancer]]></kwd>
<kwd lng="en"><![CDATA[health services]]></kwd>
<kwd lng="en"><![CDATA[inequities]]></kwd>
<kwd lng="en"><![CDATA[health system]]></kwd>
</kwd-group>
</article-meta>
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