TY - JOUR
T1 - Barriers to access for interstitial lung diseases care in Colombia
AU - Galindo, Javier Leonardo
AU - Morales, Olga Milena García
AU - Sánchez, Diana Rey
AU - Celis-Preciado, Carlos
AU - Arboleda, Alejandra Cañas
N1 - Publisher Copyright:
© 2019, UNIV SAOPAULO. All rights reserved.
PY - 2019/10/1
Y1 - 2019/10/1
N2 - There is a growing amount of information regarding the management of interstitial lung diseases in the world. However, barriers in access to health systems affect adherence to treatment standards for these patients. This article aims to explore the perspectives of pulmonologists about the barriers in the diagnosis and treatment of patients with interstitial lung diseases in Colombia. For this purpose, we conducted a qualitative study whose methodological approach was phenomenological. Focus groups were formed with pulmonologists to explore the barriers in access to health services. The data were analyzed using an inductive thematic analysis. The participants expressed the existence of barriers derived from the lack of training in primary care, the lack of integrated services and the scarcity of multidisciplinary discussion groups. Inequality of care is related to structural problems of the Colombian social security system. We concluded that the characteristics of the health system establish most of the barriers to patient care. Greater awareness among medical professionals could avoid delays in access to specialized care.
AB - There is a growing amount of information regarding the management of interstitial lung diseases in the world. However, barriers in access to health systems affect adherence to treatment standards for these patients. This article aims to explore the perspectives of pulmonologists about the barriers in the diagnosis and treatment of patients with interstitial lung diseases in Colombia. For this purpose, we conducted a qualitative study whose methodological approach was phenomenological. Focus groups were formed with pulmonologists to explore the barriers in access to health services. The data were analyzed using an inductive thematic analysis. The participants expressed the existence of barriers derived from the lack of training in primary care, the lack of integrated services and the scarcity of multidisciplinary discussion groups. Inequality of care is related to structural problems of the Colombian social security system. We concluded that the characteristics of the health system establish most of the barriers to patient care. Greater awareness among medical professionals could avoid delays in access to specialized care.
KW - Developing Countries
KW - Health Services Accessibility
KW - Interstitial
KW - Lung Diseases
UR - http://www.scopus.com/inward/record.url?scp=85076457307&partnerID=8YFLogxK
U2 - 10.1590/s0104-12902019190144
DO - 10.1590/s0104-12902019190144
M3 - Artículo
AN - SCOPUS:85076457307
SN - 0104-1290
VL - 28
SP - 102
EP - 112
JO - Saude e Sociedade
JF - Saude e Sociedade
IS - 4
ER -