Primary Health Care Vital Signs Profile Assessment for Colombia
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World Bank, Washington, DC
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Since the first case of COVID-19 was
confirmed, on March 6, 2020, the Primary Health Care (PHC)
system in Colombia has been on trial, displayinga
variability in governance capacity across the national
territory. The response of the Colombian health system to
COVID-19 and the role that PHChas played highlight several
of its strengths and weaknesses. Barriers to access to
health services related to distance and cost perceived by
the Colombian population have steadily decreased since 2010,
while barriers corresponding to perceived quality of
services have remained relativelyconstant. Although barriers
have been reduced and the availability of services has
increased in the Health Service Delivery Institutions (HSDI)
of the country, aspects related to the quality of care they
provide continue to show weaknesses such as in the
continuity of care, adherence of providers to clinical
guidelines and aspects of patient safety. In the system,
inequities of access, quality and coverage of PHC services
persist throughout the national territory. To achieve a
high-performing PHC system, this report proposes a series of
recommendations, including: (a) Implement a new model of
care focused on PHC, which offers a comprehensive package of
services and reflects the health needs of the population;
(b) Prepare the next generation of technicians and health
professionals in PHC to work in multidisciplinary teams, and
(c) Use PHC as a strategy to reduce inequities in health.
Desde que se confirmó el primer caso de COVID-19 en Colombia, el 6 de marzo de 2020, el sistema de Atención Primaria en Salud (APS) del país ha estado a prueba, Las barreras de acceso a los servicios de salud relacionadas con la distancia y el costo percibidos por la población colombiana han disminuido constantemente desde el año 2010, mientras que los obstáculos correspondientes a la calidad de los servicios observados han continuado relativamente persistentes.
Desde que se confirmó el primer caso de COVID-19 en Colombia, el 6 de marzo de 2020, el sistema de Atención Primaria en Salud (APS) del país ha estado a prueba, Las barreras de acceso a los servicios de salud relacionadas con la distancia y el costo percibidos por la población colombiana han disminuido constantemente desde el año 2010, mientras que los obstáculos correspondientes a la calidad de los servicios observados han continuado relativamente persistentes.
Palabras clave
PRIMARY HEALTH CARE, HEALTH SERVICE DELIVERY, PUBLIC HEALTH SERVICE, ACCESS TO HEALTH SERVICES, MATERNAL HEALTH, CHILD HEALTH, DEMOGRAPHIC AND HEALTH SURVEY