Barriers to Healthcare Access: Narratives of Women with Breast Cancer in Colombia

Authors

  • Guillermo Sánchez V. University Foundation of Health Sciences
  • Celmira Laza V. University Foundation of Health Sciences
  • Carolina Estupiñán G. SIMMON Foundation
  • Laura Estupiñán G. SIMMON Foundation

DOI:

https://doi.org/10.17533/udea.rfnsp.16798

Keywords:

breast neoplasms, accessibility to healthcare services, health systems, delivery of healthcare, healthcare services research, public health policies

Abstract

Objective: to explore the existence of barriers to healthcare access in the narratives of women with breast cancer who have received the support of six Colombian NGOs. Methodology: a descriptive qualitative interpretive study was carried out in five Colombian cities: Bogotá, Medellín, Cali, Santa Marta and Valledupar. Data was collected through focus groups and interviews with 44 women supported by six NGOs. Results: in the process, four categories emerged: barriers linked to structural determinants, barriers arising from intermediate determinants, tools to address barriers and a category referring to the opportunity for diagnosis and breast cancer treatment. From these categories, a model of barriers preventing access to breast cancer-related healthcare is proposed from the perspective of social determinants. Discussion: despite the Country's efforts to improve the opportunity for prevention, diagnosis and treatment of cancer -including the enactment of Act 1384 of 2010 (Sandra Ceballos Act)- women with breast cancer face barriers to healthcare access which are socially determined and against which the system shows some degree of inability.
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Author Biographies

Guillermo Sánchez V., University Foundation of Health Sciences

Doctor, Master in Clinical Epidemiology, PhD in Public Health, University Foundation of Health Sciences, Bogotá, Colombia.

Celmira Laza V., University Foundation of Health Sciences

Nurse, Master in Nursing, University Foundation of Health Sciences, Bogotá, Colombia.

Carolina Estupiñán G., SIMMON Foundation

Nurse, Epidemiology Specialist, SIMMON Foundation, Bogotá, Colombia.

Laura Estupiñán G., SIMMON Foundation

Psychologist, Specialist in Social Psychology, cooperation and community management, SIMMON Foundation, Bogotá, Colombia.

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Published

2014-09-10

How to Cite

1.
Sánchez V. G, Laza V. C, Estupiñán G. C, Estupiñán G. L. Barriers to Healthcare Access: Narratives of Women with Breast Cancer in Colombia. Rev. Fac. Nac. Salud Pública [Internet]. 2014 Sep. 10 [cited 2025 Dec. 6];32(3):305-13. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/16798

Issue

Vol. 32 No. 3 (2014)

Section

Research

Categories

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