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THE COLOMBIAN HEALTH INSURANCE SYSTEM AND ITS EFFECT ON ACCESS TO HEALTH CARE
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THE COLOMBIAN HEALTH INSURANCE SYSTEM AND ITS EFFECT ON ACCESS TO HEALTH CARE
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Journal Article
THE COLOMBIAN HEALTH INSURANCE SYSTEM AND ITS EFFECT ON ACCESS TO HEALTH CARE
2011
Overview
In 1993, the Colombian government sought to reform its health care system under the guidance of international financial institutions (the World Bank and International Monetary Fund). These institutions maintain that individual private health insurance systems are more appropriate than previously established national public health structures for overcoming inequities in health care in developing countries. The reforms carried out following international financial institution guidelines are known as \"neoliberal reforms.\" This qualitative study explores consumer health choices and associated factors, based on interviews with citizens living in Medellin, Colombia, in 2005-2006. The results show that most study participants belonging to low-income and middle-income strata, even with medical expense subsidies, faced significant barriers to accessing health care. Only upper-income participants reported a selection of different options without barriers, such as complementary and alternative medicines, along with private Western biomedicine. This study is unique in that the informal health system is linked to overall neoliberal policy change.
Publisher
Baywood Publishing Company, Inc,SAGE Publications
Subject
/ Banking
/ Colombia
/ Delivery of Health Care - economics
/ Delivery of Health Care - organization & administration
/ Delivery of Health Care - trends
/ Health Services Accessibility - economics
/ Health Services Accessibility - standards
/ Humans
/ Insurance, Health - economics
/ Insurance, Health - standards
/ International financial institutions
/ Medellin
/ Medicine
/ Privatization of Health Care
/ Reform
/ Reforms
