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Acceso de las personas con VIH al sistema de salud colombiano y sus costos relacionados desde una perspectiva individual y familiar, Bogotá, 20I0

Keywords: health systems, htv infection, access to health services, cost of illness, out-of-pocket expenses, private expenses in health, basic care assistance plan, equity in health, social security system, ruinous or catastrophic diseases.

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to determine the access to healthcare for hiv patients and the associated costs in bogotá, we developed a protocol using a mixed design. the quantitative phase comprised a cross-sectional study with a convenience sample of 540 adults with hiv. for the qualitative phase, a phenomenological study with 20 individuals was undertaken. 95% of participants had health insurance, but we found many structural, operative and human failures that imposed barriers to comprehensive treatment, as well as a complicated process to guarantee the rights for health. the direct cost assumed by individuals with htv or their families was $65,000 cop monthly, representing 11-16% of their income. indirect costs were 2.2 times higher. access to healthcare influenced their medical condition as well as the burden of illness in terms of direct and indirect costs.


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