Effects of the health sector reform upon tuberculosis control interventions in Valle del Cauca, Colombia.
Keywords:
health sector reform, tuberculosis, managed care, health care package
Abstract
Implementation of the General System of Social Security in Health (GSSSH) was initiated for the control of tuberculosis (TBC) in the state of Valle del Cauca, Colombia, between 1991-2000. A study of its effects was centered in 7 municipalities of Valle del Cauca with a complementary set of qualitative and quantitative techniques for data collection and analysis. A reduction in planning, control and regulation of TBC activities by state agencies was observed. New administrative structures and new funding sources did not produce the expected positive effects on tuberculosis control. Instead, the quantity and quality of tuberculosis control activity were reduced as a consequence of the health sector reform. In conclusion, GSSSH implementation affected negatively tuberculosis control activity.Downloads
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How to Cite
1.
Carvajal R, Cabrera GA, Mateus JC. Effects of the health sector reform upon tuberculosis control interventions in Valle del Cauca, Colombia. biomedica [Internet]. 2004 Jun. 1 [cited 2024 May 18];24(Sup1):138-48. Available from: https://revistabiomedica.org/index.php/biomedica/article/view/1313
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Published
2004-06-01
Section
Original articles
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