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Accesibilidad geogr�fica y equidad en la prestaci�n del servicio de salud: un estudio de caso para Barranquilla

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  • Gerson Javier P�rez V.

Abstract

En este art�culo se utiliza la ampliaci�n de la red p�blica hospitalaria de Barranquilla, como un cuasi-experimento que eval�a los avances en la accesibilidad geogr�fica y la equidad en la prestaci�n del servicio de salud. En particular, se emplean medidas de gravedad para calcular la accesibilidad considerando restricciones a la movilidad as� como informaci�n de demanda por servicios de salud. Adicionalmente, se utiliza informaci�n de satisfacci�n con el fin de evaluar los niveles de equidad logrados con la ampliaci�n de la red p�blica. Los resultados muestran avances significativos en accesibilidad geogr�fica entre 2008 y 2013, especialmente para los habitantes de las localidades m�s pobres. En t�rminos de equidad, se encontr� que los factores socioecon�micos siguen siendo determinantes de los niveles de satisfacci�n de los usuarios del sistema de salud.

Suggested Citation

  • Gerson Javier P�rez V., 2013. "Accesibilidad geogr�fica y equidad en la prestaci�n del servicio de salud: un estudio de caso para Barranquilla," Borradores de Economia 10853, Banco de la Republica.
    • Handle: RePEc:col:000094:010853
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    More about this item

    Keywords

    Health economics; spatial accessibility; generalized threshold models..;
    All these keywords.

    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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