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Accesibilidad geográfica y equidad en la prestación del servicio de salud: un estudio de caso para Barranquilla

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  • Gerson Javier Pérez V.

    ()

Abstract

En este artículo se utiliza la ampliación de la red pública hospitalaria de Barranquilla, como un cuasi-experimento que evalúa los avances en la accesibilidad geográfica y la equidad en la prestación del servicio de salud. En particular, se emplean medidas de gravedad para calcular la accesibilidad considerando restricciones a la movilidad así como información de demanda por servicios de salud. Adicionalmente, se utiliza información de satisfacción con el fin de evaluar los niveles de equidad logrados con la ampliación de la red pública. Los resultados muestran avances significativos en accesibilidad geográfica entre 2008 y 2013, especialmente para los habitantes de las localidades más pobres. En términos de equidad, se encontró que los factores socioeconómicos siguen siendo determinantes de los niveles de satisfacción de los usuarios del sistema de salud.

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Paper provided by BANCO DE LA REPÚBLICA in its series BORRADORES DE ECONOMIA with number 010853.

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Length: 33
Date of creation: 11 Jun 2013
Handle: RePEc:col:000094:010853
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Keywords: Health economics; spatial accessibility; generalized threshold models..;

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Find related papers by JEL classification:
  • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
  • R53 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - Regional Government Analysis - - - Public Facility Location Analysis; Public Investment and Capital Stock
  • C35 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Discrete Regression and Qualitative Choice Models; Discrete Regressors; Proportions

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  1. Laura Cepeda Emiliani§, 2011. "Los sures de Barranquilla: La distribución espacial de la pobreza," Documentos de trabajo sobre Economía Regional 142, Banco de la Republica de Colombia.
  2. Eda UNAL & Susan E. CHEN & Brigitte S. WALDORF, 2007. "Spatial Accessibility Of Health Care In Indiana," Working Papers 07-07, Purdue University, College of Agriculture, Department of Agricultural Economics.
  3. Rosero-Bixby, Luis, 2004. "Spatial access to health care in Costa Rica and its equity: a GIS-based study," Social Science & Medicine, Elsevier, vol. 58(7), pages 1271-1284, April.
  4. David Albouy, 2008. "Are Big Cities Bad Places to Live? Estimating Quality of Life across Metropolitan Areas," NBER Working Papers 14472, National Bureau of Economic Research, Inc.
  5. John Gibson & Xiangzheng Deng & Geua Boe-Gibson & Scott Rozelle & Jikun Huang, 2008. "Which Households Are Most Distant from Health Centers in Rural China? Evidence from a GIS Network Analysis," Working Papers in Economics 08/19, University of Waikato, Department of Economics.
  6. Wei Luo & Fahui Wang, 2003. "Measures of spatial accessibility to health care in a GIS environment: synthesis and a case study in the Chicago region," Environment and Planning B: Planning and Design, Pion Ltd, London, vol. 30(6), pages 865-884, November.
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