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Accesibilidad geográfica al cuidado obstétrico y neonatal y su efecto en la mortalidad neonatal temprana en Colombia 2012-2014

dc.contributor.authorRojas Gualdrón, Diego Fernandospa
dc.contributor.authorCaicedo Velásquez, Beatrizspa
dc.date.accessioned2020-10-27T14:19:39Z
dc.date.available2020-10-27T14:19:39Z
dc.date.issued2017-04-01
dc.identifier.issn2382-4603
dc.identifier.issn0123-7047
dc.identifier.urihttp://hdl.handle.net/20.500.12749/10014
dc.description.abstractLa distribución de los recursos de salud influencia la mortalidad neonatal temprana, garantizar el acceso atención obstétrica es un problema de salud pública. Sin embargo, la dimensión geográfica de esta influencia no ha sido estudiada en Colombia. Objetivo: Describir la accesibilidad geográfica a camas obstétricas y neonatales y su asociación con la mortalidad neonatal temprana en Colombia por municipios. Método: Se realizó un estudio ecológico a nivel municipal. Se recurrió a regresión por mínimos cuadrados ya regresión geográficamente ponderada para explorar las asociaciones estadísticas y espaciales. Resultados: Municipios con mayores tasas de mortalidad tienden a mostrar menor accesibilidad geográfica a camas obstétricas y neonatales, después de controlar las características municipales, económicas y de fecundidad. Esta asociación solo es significativa en municipios de la costa oeste. La fuerza de la asociación disminuyen municipios del interior. Discusión: Centralizar las camas obstétricas y neonatales en ciudades principales de la región central deja desatendidos a los municipios con mayor mortalidad. La descentralización de recursos de cuidado obstétrico y neonatal es un asunto obligatorio para reducir desigualdades geográficas en mortalidad, aumentarla supervivencia neonatal y lograr un inicio de vida saludable. [Rojas-Gualdrón DF, Caicedo-Velásquez B. Accesibilidad geográfica al cuidado obstétrico y neonatal y su efecto en la mortalidad neonatal temprana en Colombia.spa
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dc.format.mimetypeApplication/pdfspa
dc.language.isospaspa
dc.publisherUniversidad Autónoma de Bucaramanga UNAB
dc.relationhttps://revistas.unab.edu.co/index.php/medunab/article/view/2670/2336
dc.relationHttps://revistas.unab.edu.co/index.php/medunab/article/view/2670/2746
dc.relationHttps://revistas.unab.edu.co/index.php/medunab/article/view/2670/2747
dc.relation.urihttps://revistas.unab.edu.co/index.php/medunab/article/view/2670
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.sourceMedUNAB; Vol. 20 Núm. 1 (2017): Abril - Julio de 2017: Mortalidad Neonatal, Carga de Cuidado, Infección Hospitalaria; 7-18
dc.subjectMedically Underserved Area
dc.subjectHealthcare disparities
dc.subjectHealth Services Accessibility
dc.subjectMaternal-Child Health Services
dc.subjectEarly neonatal mortality
dc.subjectSpatial Analysis
dc.titleAccesibilidad geográfica al cuidado obstétrico y neonatal y su efecto en la mortalidad neonatal temprana en Colombia 2012-2014
dc.title.translatedGeographical accessibility to obstetric and neonatal care and its effect on early neonatal mortality in Colombia, 2012-2014
dc.title.translatedAcessibilidade geográfica aos cuidados obstétricos e neonatos e o seu efeito sobre a mortalidade neonatal inicial na Colômbia 2012-2014
dc.publisher.facultyFacultad Ciencias de la Salud
dc.publisher.programPregrado Medicina
dc.type.driverinfo:eu-repo/semantics/article
dc.type.localArtículospa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga UNABspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
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dc.contributor.cvlacRojas Gualdrón, Diego Fernando [0000778400]
dc.contributor.cvlacCaicedo Velásquez, Beatriz [0000474240]
dc.contributor.googlescholarRojas Gualdrón, Diego Fernando [wXTOFfEAAAAJ&hl=es&oi=ao]
dc.contributor.orcidRojas Gualdrón, Diego Fernando [000-0002-2293-0431]
dc.subject.lembCiencias médicas
dc.subject.lembSistema médico
dc.identifier.repourlrepourl:https://repository.unab.edu.co
dc.description.abstractenglishThe distribution of health resources influences early neonatal mortality, guaranteeing access to obstetric care is a public health problem. However, the geographical dimension of this influence has not been studied in Colombia. Objective: To describe the geographic accessibility to obstetric and neonatal beds and its association with early neonatal mortality in Colombia by municipalities. Method: An ecological study was carried out at the municipal level. Least squares regression and geographically weighted regression were used to explore statistical and spatial associations. Results: Municipalities with higher mortality rates tend to show less geographic accessibility to obstetric and neonatal beds, after controlling for municipal, economic and fertility characteristics. This association is only significant in municipalities on the west coast. The strength of the association diminish municipalities of the interior. Discussion: Centralizing obstetric and neonatal beds in the main cities of the central region leaves the municipalities with higher mortality unattended. The decentralization of obstetric and neonatal care resources is a mandatory matter to reduce geographic inequalities in mortality, increase neonatal survival and achieve a healthy start to life. [Rojas-Gualdrón DF, Caicedo-Velásquez B. Geographic accessibility to obstetric and neonatal care and its effect on early neonatal mortality in Colombia.eng
dc.description.abstractenglishA distribuição dos recursos de saúde influencia a mortalidade neonatal precoce, garantindo o acesso à assistência obstétrica é um problema de saúde pública. No entanto, a dimensão geográfica dessa influência não foi estudada na Colômbia. Objetivo: Descrever a acessibilidade geográfica aos leitos obstétricos e neonatais e sua associação com a mortalidade neonatal precoce na Colômbia por municípios. Método: Foi realizado um estudo ecológico em nível municipal. A regressão de mínimos quadrados e a regressão geograficamente ponderada foram usadas para explorar associações estatísticas e espaciais. Resultados: Municípios com maiores taxas de mortalidade tendem a apresentar menor acessibilidade geográfica aos leitos obstétricos e neonatais, controlados pelas características municipais, econômicas e de fertilidade. Essa associação é significativa apenas em municípios da costa oeste. A força da associação diminui os municípios do interior. Discussão: A centralização dos leitos obstétricos e neonatais nas principais cidades da região central deixa os municípios com maior mortalidade sem atendimento. A descentralização dos recursos de assistência obstétrica e neonatal é uma questão obrigatória para reduzir as desigualdades geográficas na mortalidade, aumentar a sobrevida neonatal e alcançar um início de vida saudável. [Rojas-Gualdrón DF, Caicedo-Velásquez B. Acessibilidade geográfica à atenção obstétrica e neonatal e seu efeito na mortalidade neonatal precoce na Colômbia.port
dc.subject.proposalÁrea sin atención médica
dc.subject.proposalDisparidades en atención de salud
dc.subject.proposalAccesibilidad a los servicios de salud
dc.subject.proposalServicios de salud materno-infantil
dc.subject.proposalMortalidad neonatal precoz
dc.subject.proposalAnálisis espacial
dc.identifier.doi10.29375/01237047.2670
dc.type.redcolhttp://purl.org/redcol/resource_type/ART
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*


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