Primary Health Care Vital Signs Profile Assessment for Colombia
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...
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| Language: | English |
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World Bank, Washington, DC
2021
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| Online Access: | http://documents.worldbank.org/curated/en/565701611165120832/Primary-Health-Care-Vital-Signs-Profile-Assessment-for-Colombia http://hdl.handle.net/10986/35021 |
| Summary: | 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. |
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