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| Format: | Artículo científico |
| Language: | en |
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Universidade de São Paulo
2005
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| Online Access: | https://www.redalyc.org/articulo.oa?id=67240147013 |
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Table of Contents:
- Determinants of vaccination after the Colombian health system reform Naydú Acosta-Ramírez Luis G Durán-Arenas Julia I Eslava-Rincón Julio C Campuzano-Rincón Salud Colombia Vaccination Health sector reform Immunization programs Health services accessibility ObjectiveTo assess the effects of individual, household and healthcare system factors on poorchildren’s use of vaccination after the reform of the Colombian health system.MethodsA household survey was carried out in a random sample of insured poor populationin Bogota, in 1999. The conceptual and analytical framework was based on theAndersen’s Behavioral Model of Health Services Utilization. It considers two units ofanalysis for studying vaccination use and its determinants: the insured poor population,including the children and their families characteristics; and the health care system.Statistical analysis were carried out by chi-square test with 95% confidence intervals,multivariate regression models and Cronbach’s alpha coefficient.ResultsThe logistic regression analysis showed that vaccination use was related not only topopulation characteristics such as family size (OR=4.3), living area (OR=1.7), child’sage (OR=0.7) and head-of-household’s years of schooling (OR=0.5), but also stronglyrelated to health care system features, such as having a regular health provider (OR=6.0)and information on providers’ schedules and requirements for obtaining care services(OR=2.1).ConclusionsThe low vaccination use and the relevant relationships to health care delivery systemscharacteristics show that there are barriers in the healthcare system, which should beassessed and eliminated. Non-availability of regular healthcare and deficient informationto the population are factors that can limit service utilization. 2005 artículo científico 0034-8910 https://www.redalyc.org/articulo.oa?id=67240147013 en http://www.redalyc.org/revista.oa?id=672 Revista de Saúde Pública application/pdf Universidade de São Paulo Revista de Saúde Pública (Brasil) Num.3 Vol.39