Principles and essential elements of the fundamental right to health in Colombia: an integrative review of structural determinants and systemic challenges
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Edwin Mauricio Millan-Hernandez1, Yamileth Ortiz-Gomez2, James Frank Trujillo-Perdomo3
1Facultad de Educación a Distancia y Virtual, Grupo de Investigación GISAP, Institución Universitaria Antonio José Camacho, Cali, Colombia.
Objective:
This study aims to describe the implementation of the principles and essential elements of the fundamental right to health (FRH) in Colombia.
Methods:
An integrative review was conducted between February 23 and March 6, 2021, using six databases. A total of 63 studies addressing the principles and elements of the FRH in Colombia were included.
Results:
Four higher-order analytical categories were identified: (1) barriers to access and responsiveness to health needs; (2) ethics, humanization of care, respect, and confidentiality; (3) insurance affiliation within the General System of Social Security in Health (SGSSS); and (4) availability, networks, and integration of healthcare services. These categories reflect structural, institutional, and relational dimensions shaping the realization of the FRH.
Conclusions:
The realization of the FRH in Colombia remains constrained by structural determinants, governance weaknesses, and systemic fragmentation, particularly affecting vulnerable populations. These findings highlight the need for integrated policy and governance reforms.
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