República de Colombia. POPULATION : 46. 044.611 7.6% over 60 years 51.4 % females 48.6 % males.
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Transcript of República de Colombia. POPULATION : 46. 044.611 7.6% over 60 years 51.4 % females 48.6 % males.
PRIVATEPRE-PAID
CONTRIBUTIVEWorkersEmployees 12.5% salary 38.77%
SUBSIDIZE
Unable to pay for healthSubsidy by Goverment and
contributive 50.59%
COLOMBIAN HEALTH CARE SYSTEM
http://www.paho.orghttp://www.asivamosensalud.org
Before 1990 Health coverage 30.4%Law 100 / 1993 : Achive universal access to social security
DISEASE ESTIMATED NUMBER OF PATIENTS AFFECTED WITH THE DISEASE
PATIENTS IN NEED OF PALLIATIVE CARE
COPD 3.308.082 992.424
Congestive heart failure 206.564 61.969
Neurologic development disorders
597.629 179.288
Cerebrovascular 290.705 87.211
Dementia 191.368 57.410
Epilepsy 150.465 45.139
Peripheral neuropathy 124.170 37.251
Parkinson Disease 68.658 20.597
Craneoencephalic trauma sequelae
211.717 63.515
HIV/AIDS 217.681 65.304
Cancer 460.446 138.133
Chronic kidney disease 15.819 4.745
TOTAL 1.752.986
ESTIMATED OF PATIENTS IN NEED OF PALLIATIVE CARE
PREPOCOL Stud. Chest 2008; 133(2): 343-349. Rev Colomb Cardiol 2009; 16(6):249-255Rev Panam Salud Pública 2003;14(2):104-111.
http://www.unicef.org/spanish/infobycountry/colombia_statistics.html#76 . http://www.cancer.gov.co/documentos/Incidencia/Tabla%202.pdf.
PALLIATIVE CARE EDUCATION
• 3 Postgraduate Programs: – For Anesthesiologist, Family Practice, Oncologist,
Rehab ( 1 year)– For MD,Nurses, psycologist ( 3 years)
• 1Undergraduate Program:-For last year medical students as an obligatory course
PALLIATIVE CARE PROGRAMS
•
CALI
MEDELLIN
BOGOTA
BARRANQUILLA
BUCARAMANGA
VILLAVICENCIO
CARTAGENA
PEREIRA
PASTO
(9 de 32): 28%
Qualitative analysisStrong points:
1. Education
2. Medications
3. Cancer Law
Weak points: 1. No reliable data2. No economical studies3. No Palliative Care Plan4. Not enough people trained5. Not enough PC services