Details

Autor(en) / Beteiligte

• Maldonado, Norman
• Camacho, Sandra
• Prada, Sergio I
• Hormaza-Jaramillo, Andrés
• Soto, Victoria
• García, William
• Paredes, Nelcy
• Cardona, Fabián

Titel

Scarcity in abundance? Spatial inequalities in Rheumatoid Arthritis in a health system with financial equity

Ist Teil von

• BMC rheumatology, 2023-07, Vol.7 (1), p.19-19, Article 19

Ort / Verlag

England: BioMed Central

Erscheinungsjahr

2023

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• This paper estimates spatial inequalities of Rheumatoid Arthritis (RA) in Colombia and explores correlates of those disparities from a health system perspective. We apply descriptive epidemiology to healthcare administrative records for estimation of crude and age-standardized prevalences, and health systems thinking for identification of barriers to effective access in RA diagnosis. The crude and age-standardized RA prevalence for Colombia in 2018 is estimated at 0.43% and 0.36%, respectively. In the contributory regime, the binding constraint is effective access to rheumatologists in rural and sparsely populated areas; this constraint in workforce affects service delivery, and ultimately comes from the lack of a differentiated model for effective provision of healthcare in those areas (governance). There are opportunities for implementation of public health policies and health system interventions that would lead to a better identification of RA patients and the subsequent more precise estimation of RA prevalence, and most importantly, to reduce exposition to risk factors and accurate diagnosis and treatment of RA patients.