Abstract

MOLINA-ACHURY, Nancy Jeanet et al. Dominant Logics at the Policy Making and Services Organization that Affect the Access to Comprehensive Rehabilitation. Rev. Gerenc. Polit. Salud [online]. 2016, vol.15, n.30, pp.94-106. ISSN 1657-7027.  https://doi.org/10.11144/Javeriana.rgyps15-30.ldfp.

Introduction: The health sector reform in Colombia, generated inequities in access to services, including rehabilitation; poor identification of population needs and low sectorial response to their problems. Metodology: An exploratory, descriptive-interpretative qualitative study was carried out. Individual semi-structured interviews and focus group were conducted to policy makers, providers, rehabilitation professionals, professors, social organizations, persons with disabilities and caregivers. Results: The absence of a rights approach, targeting and the model of health insurance, as dominant logics policy stands. There is a reductionist view of rehabilitation and services organization models with low response to the needs of people with disabilities. Conclusion: The need to reconceptualize access to services arises; rehabilitation is claimed as a right that demands redesign of services and organization models.

Keywords : health services accessibility; rehabilitation; public policy; disability; Colombia.

        · abstract in Spanish | Portuguese     · text in Spanish     · Spanish ( pdf )