Tuberculosis mortality and hospital discharge tendencies beforeand during the health sector reform, Antioquia, 1985-1999

Authors

  • Angela Maria Segura C
  • Juan José Rey S
  • Maria Patricia Arbeláez M

DOI:

https://doi.org/10.17533/udea.rfnsp.510

Keywords:

Tuberculosis, mortality, patient discharge, health sector reform, Antioquia (Colombia)

Abstract

Objective: to describe the changes in tuberculosis mortality and hospital discharge tendencies during the implementation of the Colombian health sector reform for Antioquia department between 1985 and 1999.
Materials and methods: a time serial analysis was performed on the mortality rates and discharge incidence proportions, for which the series were segmented depending on the inflection point. Results: mortality series for all causes presented a random, decreasing trend until 1992 when it is observed a slight increase and later stabilization of the rates until 1997 when it decreased again. Hospital discharge series presented a random, decreasing trend interrupted in 1994 and 1996. Conclusions: Antioquia tuberculosis hospital discharge and mortality tendencies underwent changes in 1992, moment at which mortality changed its tendency to a lower level, whereas hospital discharge conserved its rate despite a considerable increase in 1994. Those changes presented between 1992 and 1997 agreed with the time of implementation of the health reform in Antioquia, reform intended to decentralize public health programs and to disarticulate institutions in charge of the disease control.
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Author Biography

Angela Maria Segura C

Professor National Faculty of Public Health

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Published

2009-02-03

How to Cite

1.
Segura C AM, Rey S JJ, Arbeláez M MP. Tuberculosis mortality and hospital discharge tendencies beforeand during the health sector reform, Antioquia, 1985-1999. Rev. Fac. Nac. Salud Pública [Internet]. 2009 Feb. 3 [cited 2025 Feb. 23];23(2). Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/510

Issue

Vol. 23 No. 2 (2005)

Section

Research

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Copyright (c) 2023 Angela Maria Segura C, Juan José Rey S, Maria Patricia Arbeláez M

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