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  6. [caring For People Living With Hiv In The Colombian Health System: Patients, Caregivers And Health Workers Perspectives]

[Caring for people living with HIV in the Colombian Health System: patients, caregivers and health workers perspectives]

Ingrid Yolercy Troche Gutierrez1

  • 1Facultad de Ciencias de la Salud; Universidad Surcolombiana. Neiva. Colombia.

Revista Espanola De Salud Publica
|March 13, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

The Colombian health system creates barriers to HIV care, particularly for those in the Subsidized Regime. This leads to discrimination and unequal access, worsening health disparities for vulnerable populations.

Area of Science:

  • Public Health
  • Health Policy Analysis
  • Sociology of Health

Context:

  • Neoliberal economic policies influence healthcare systems globally.
  • The Colombian Subsidized Regime faces challenges in delivering equitable HIV care.
  • Neiva, Colombia, serves as the specific setting for this study.

Purpose:

  • To analyze the impact of the Colombian health system on HIV patient care.
  • To investigate barriers faced by individuals with HIV in the Subsidized Regime.
  • To understand the role of Benefit Plan Administrating Entities in HIV treatment access.

Summary:

  • Qualitative study using Critical Discourse Analysis with 19 participants (HIV patients, caregivers, health workers).
  • Identified interpersonal relationships and health system functioning as key factors affecting care.
Keywords:
AIDS-Related opportunistic infectionsBarriers to Access of health servicesHIVHealth services accessibility

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  • Revealed failures in information dissemination, diagnosis, and significant stigmatization and discrimination.
  • Impact:

    • Healthcare delivery often overlooks socioeconomic vulnerabilities, exacerbating poverty-related health inequalities.
    • Patients face improper treatment, delayed care, and abuse of power, with limited recourse.
    • Discrimination by healthcare personnel affects over half of diagnosed individuals, highlighting systemic failures.
    Health status disparities
    Health systems
    Physician-patient relations
    Spain
    Treatment adherence and compliance