Oral health services coverage in Medellín, 2015

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 servi...

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Autores principales:	Jairo Humberto Restrepo-Zea, Paula Andrea Castro-García, Lina Patricia Casas-Bustamante, John Edison Betancur-Romero, Mayra Alejandra López-Hernández, Carolina Moreno-López, Vanessa Rangel-Valencia
Formato:	article
Lenguaje:	EN
Publicado:	Universidad de Antioquia 2020
Materias:	oral health dental health services health services coverage state health care coverage Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/1e9f861c18a24f1aa7505537a5a02214
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spelling	oai:doaj.org-article:1e9f861c18a24f1aa7505537a5a022142021-11-27T16:27:35ZOral health services coverage in Medellín, 20152145-767010.17533/udea.rfo.v32n2a1https://doaj.org/article/1e9f861c18a24f1aa7505537a5a022142020-08-01T00:00:00Zhttps://revistas.udea.edu.co/index.php/odont/article/view/337090https://doaj.org/toc/2145-7670Introduction: 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.Jairo Humberto Restrepo-ZeaPaula Andrea Castro-GarcíaLina Patricia Casas-BustamanteJohn Edison Betancur-RomeroMayra Alejandra López-HernándezCarolina Moreno-LópezVanessa Rangel-ValenciaUniversidad de Antioquiaarticleoral healthdental health serviceshealth services coveragestate health care coverageDentistryRK1-715ENRevista Facultad de Odontología Universidad de Antioquia, Vol 32, Iss 2, Pp 6-17 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	oral health dental health services health services coverage state health care coverage Dentistry RK1-715
spellingShingle	oral health dental health services health services coverage state health care coverage Dentistry RK1-715 Jairo Humberto Restrepo-Zea Paula Andrea Castro-García Lina Patricia Casas-Bustamante John Edison Betancur-Romero Mayra Alejandra López-Hernández Carolina Moreno-López Vanessa Rangel-Valencia Oral health services coverage in Medellín, 2015
description	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.
format	article
author	Jairo Humberto Restrepo-Zea Paula Andrea Castro-García Lina Patricia Casas-Bustamante John Edison Betancur-Romero Mayra Alejandra López-Hernández Carolina Moreno-López Vanessa Rangel-Valencia
author_facet	Jairo Humberto Restrepo-Zea Paula Andrea Castro-García Lina Patricia Casas-Bustamante John Edison Betancur-Romero Mayra Alejandra López-Hernández Carolina Moreno-López Vanessa Rangel-Valencia
author_sort	Jairo Humberto Restrepo-Zea
title	Oral health services coverage in Medellín, 2015
title_short	Oral health services coverage in Medellín, 2015
title_full	Oral health services coverage in Medellín, 2015
title_fullStr	Oral health services coverage in Medellín, 2015
title_full_unstemmed	Oral health services coverage in Medellín, 2015
title_sort	oral health services coverage in medellín, 2015
publisher	Universidad de Antioquia
publishDate	2020
url	https://doaj.org/article/1e9f861c18a24f1aa7505537a5a02214
work_keys_str_mv	AT jairohumbertorestrepozea oralhealthservicescoverageinmedellin2015 AT paulaandreacastrogarcia oralhealthservicescoverageinmedellin2015 AT linapatriciacasasbustamante oralhealthservicescoverageinmedellin2015 AT johnedisonbetancurromero oralhealthservicescoverageinmedellin2015 AT mayraalejandralopezhernandez oralhealthservicescoverageinmedellin2015 AT carolinamorenolopez oralhealthservicescoverageinmedellin2015 AT vanessarangelvalencia oralhealthservicescoverageinmedellin2015
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Oral health services coverage in Medellín, 2015

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