Oral health services coverage in Medellín, 2015
DOI:
https://doi.org/10.17533/udea.rfo.v32n2a1Keywords:
Oral health, Dental health services, Health services coverage, State health care coverageAbstract
Introduction: despite the advances in coverage in social security in health, the Colombian population still faces access barriers. In oral health, although the benefit plan is broad, the coverage of services provided by Health Maintenance Organizations (HMOs)* is low. Objective: analyze dental services coverage among users in Medellín in the year 2015. Methods: mix study with a quantitative approach to estimate expected coverage, according to normative need and expressed need, and real coverage based on service provision records referring to Medellín users who accessed dental services in the HMO network in 2015. A qualitative approach was also conducted via interviews with oral health referents in six HMOs. Results: in order to meet the needs of the affiliated population, 9,6 million specific protection and early detection activities were required in the year, following the normative guidelines, and 6,8 million activities to assist caries and periodontitis patients. Real coverage would have hardly been 10.6% of the city’s population, and in the studied HMOs this value would have been 16% to 23%. Conclusion: the gap between the necessary services and those provided exceeds 70%, which is mainly due to social and cultural factors and low induced demand. In addition to greater resources, this must be taken into account to improve coverage and achieve a greater impact on oral health.
Downloads
References
Organización Mundial de la Salud. Cobertura universal de salud. OMS/OPS (Internet). 2014; Available in: https://www.paho.org/hq/index.php?option=com_content&view=article&id=9392:universal-healthcoverageItemid=40690&lang=es
Programa de Naciones Unidas para el Desarrollo. objetivos de desarrollo sostenible. UNDP (Internet). 2015; Available in: https://www.undp.org/content/undp/es/home/sustainable-development-goals.html
Horton R, Das P. Universal health coverage: not why, what, or when—but how? Lancet. 2014; 385(9974): 1156-7. DOI: https://doi.org/10.1016/S0140-6736(14)61742-6
FDI World Dental Federation. El desafío de las enfermedades bucodentales: una llamada a la acción global. Atlas de la salud bucodental: 2nd ed. Brighton, RU; 2015.
Taller de salud oral para las Américas: memorias. México; 23 al 25 de abril 2009. México: Secretaría de Salud; 2009.
Colombia. Ministerio de Salud y Protección Social. Informe al Congreso de la República 2018-2019. Colombia; 2019. Available in: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/PES/informe-congreso-minsalud-20018-2019.pdf
Universidad de Antioquia. Centro de Investigaciones y Consultorías (CIC). Grupo de Economía de la Salud (GES). Transición en el sistema de salud colombiano. Observatorio de la Seguridad Social. 2015; 15(30): 1-24.
Colombia. Ministerio de Salud y Protección Social. Informe nacional de la atención en salud 2015. Colombia; 2015. Available in: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/informe-nal-calidad-atencion-salud-2015.pdf
Otálvaro Castro GJ, Zuluaga Salazar SM, Jaramillo Delgado G, Ternera Pulido JH, Sandoval S. Políticas de salud bucal en Colombia en el marco del sistema general de seguridad social en salud: una aproximación panorámica. En: Observatorio Iberoamericano de políticas públicas en salud bucal: construyendo un bloque por más salud bucal. 2nd ed. Sao Paulo; 2018. p. 2-12.
Cortes Franco AM, Ramírez Puerta S, Escobar Paucar G, Isaac Millán M, Londoño Marín P. Barreras de acceso a los servicios odontológicos de niños y niñas menores de 6 años pertenecientes a familias desplazadas. Rev CES Odont. 2010; 23(2)41-48.
Colombia. Ministerio de Salud. La reforma de la seguridad social en salud: antecedentes y resultados. EC editor. Santafé de Bogotá; 1994.
Ternera JH. Financiamiento de la salud oral en el marco del sistema general de seguridad social en salud. Secretaría Distrital de Salud. Bogotá 2010.
Comité Interinstitucional odontológico de Antioquia. Promover salud bucal como componente de la salud general. Periódico El pulso. Agosto del 2011.
Restrepo JH, Castro P, Casas L, Betancur E, Martínez E, López M, Rangel V, Moreno C. Informe de investigación: cobertura y costos de los servicios de salud bucal en el plan de beneficios; Proyecto: análisis de la suficiencia de la UPC para servicios de salud bucal. Medellín; 2018. Available in: https://www.medellin.gov.co/irj/go/km/docs/pccdesign/medellin/Temas/Salud_0/Programas/Shared%20Content/Salud%20Bucal/Informe%20final%20salud%20bucal.pdf
Medellín. Secretaria de Salud. La boca Convoca: política pública de salud bucal, 2013-2022: balance del primer semestre de 2018. Medellín; 2018. Available in: https://www.medellin.gov.co/irj/go/km/docs/pccdesign/medellin/Temas/Salud_0/Programas/Shared%20Content/Salud%20Bucal/01%20Bolet%C3%ADn%20PP.pdf
Moreno Bedoya JP, González Penagos C, Calle Henao N, Berruecos Orozco C, Cano Gómez M. Experiencia de caries dental en aprendices del programa técnico en salud oral del Sena, Medellín, 2014. Rev Nac Odontol. 2015; 11(21): 65-73. DOI: http://dx.doi.org/10.16925/od.v11i21.944
Colombia. Ministerio de Salud y Protección Social. IV Estudio Nacional de Salud Bucal (ENSAB IV): Situación en la Salud Bucal. Colombia; 2014. Available in: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENSAB-IV-Situacion-Bucal-Actual.pdf
Organización Panamericana de la Salud (OPS). 138a Sesión del Comité Ejecutivo: informe final. Washington D.C.; 2006. Available in: https://iris.paho.org/bitstream/handle/10665.2/5676/ce138-fr-s.pdf?sequence=2&isAllowed=y
Colombia. Ministerio de Salud y Protección Social. Lineamientos estrategia incremental de cuidado bucal y protección específica en salud bucal para la primera infancia, infancia y adolescencia: estrategia “Soy generación más sonriente”. Bogotá; 2016. Available in: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENT/lineam-soy-genrsn-mas-sonrnt-2017.pdf
Hinton E, Paradise J. Access to dental care in medicaid: spotlight on nonelderly adults. The Kaisser commission on Medicaid an the uninsurance. 17 de Marzo de 2016.
Obeidat SR, Alsa’di AG, Taani DS. Factors influencing dental care access in Jordanian adults. BMC Oral Health. 2014; 14: 127. DOI: https://doi.org/10.1186/1472-6831-14-127
Higuera L, Prada SI. Barrier to access or cost share? coinsurance and dental-care utilization in Colombia. Appl Health Econ Health Policy. 2016; 14(5): 569-78. DOI: https://doi.org/10.1007/s40258-016-0251-4
Listl S, Moeller J, Manski R. A multi-country comparison of reasons for dental non-attendance. Eur J Oral Sci. 2014; 122(1): 62-9. DOI: https://dx.doi.org/10.1111%2Feos.12096
Restrepo, JH. Introducción a la Economía de la Salud en Colombia. Medellín: Centro de Investigaciones Económicas, Universidad de Antioquia; 2008.
Additional Files
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2020 Revista Facultad de Odontología Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright Notice
Copyright comprises moral and patrimonial rights.
1. Moral rights: are born at the moment of the creation of the work, without the need to register it. They belong to the author in a personal and unrelinquishable manner; also, they are imprescriptible, unalienable and non negotiable. Moral rights are the right to paternity of the work, the right to integrity of the work, the right to maintain the work unedited or to publish it under a pseudonym or anonymously, the right to modify the work, the right to repent and, the right to be mentioned, in accordance with the definitions established in article 40 of Intellectual property bylaws of the Universidad (RECTORAL RESOLUTION 21231 of 2005).
2. Patrimonial rights: they consist of the capacity of financially dispose and benefit from the work trough any mean. Also, the patrimonial rights are relinquishable, attachable, prescriptive, temporary and transmissible, and they are caused with the publication or divulgation of the work. To the effect of publication of articles in the journal Revista de la Facultad de Odontología, it is understood that Universidad de Antioquia is the owner of the patrimonial rights of the contents of the publication.
The content of the publications is the exclusive responsibility of the authors. Neither the printing press, nor the editors, nor the Editorial Board will be responsible for the use of the information contained in the articles.
I, we, the author(s), and through me (us), the Entity for which I, am (are) working, hereby transfer in a total and definitive manner and without any limitation, to the Revista Facultad de Odontología Universidad de Antioquia, the patrimonial rights corresponding to the article presented for physical and digital publication. I also declare that neither this article, nor part of it has been published in another journal.
Open Access Policy
The articles published in our Journal are fully open access, as we consider that providing the public with free access to research contributes to a greater global exchange of knowledge.
Creative Commons License
The Journal offers its content to third parties without any kind of economic compensation or embargo on the articles. Articles are published under the terms of a Creative Commons license, known as Attribution – NonCommercial – Share Alike (BY-NC-SA), which permits use, distribution and reproduction in any medium, provided that the original work is properly cited and that the new productions are licensed under the same conditions.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
