Equity in access to treatment for breast cancer in Colombia

To evaluate equity in access by comparing geographic, economic, and organizational barriers as well as authorization obstacles that women encounter depending on their affiliation with the social security health system. A retrospective survey was conducted among women undergoing breast cancer treatme...

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Bibliographic Details
Published in:Salud pública de México 2009, Vol.51 Suppl 2, p.s246-s253
Main Authors: Velásquez-De Charry, Ligia Constanza, Carrasquilla, Gabriel, Roca-Garavito, Sandra
Format: Article
Language:Spanish
Subjects:
Breast Neoplasms - therapy
Colombia
Female
Health Services Accessibility - statistics & numerical data
Healthcare Disparities - statistics & numerical data
Humans
Middle Aged
Retrospective Studies
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Summary:To evaluate equity in access by comparing geographic, economic, and organizational barriers as well as authorization obstacles that women encounter depending on their affiliation with the social security health system. A retrospective survey was conducted among women undergoing breast cancer treatment to determine differences and the degree of fairness in access to care according to their affiliation with the social security health system. Women affiliated with the subsidized social security health system as well as women living in rural areas have a greater probability to travel to another city (OR 2.40 IC95%;1.64-3.43 and OR 1.80 IC95%;1.04-3.06, respectively). Poor women without insurance have greater probability of having to pay for medications (OR 3.7 IC95%;2.15-6.44). Access to breast cancer treatment is inequitable and particularly detrimental to vulnerable populations.
ISSN:1606-7916
DOI:10.1590/S0036-36342009000800015