Diseño de un sistema unificado de gestión al usuario para mejorar el acceso a los servicios de salud en zonas de alta ruralidad de la provincia de márquez del departamento de boyacá (colombia)

Abstract

This work is deployed from the identification of problems regarding access to health services, evidenced in some municipalities in high rural areas of the Province of Márquez of the Department of Boyacá, a situation that occurs given the health needs that are not met, which allows determining the existence of an unsatisfied demand of the service with the user population that is in charge of the entities responsible for health insurance in the region. From this premise, the general objective was focused on proposing the design of a unified user management system focused on guaranteeing communication channels and effective access to health services in areas of high rurality for the Province. For this purpose, a quantitative correlational research was developed to determine the quality and relevance of access to health services in the region selected for the study, following up from the Empresa Social del Estado Hospital San Vicente de Ramiriquí. Thus, through the application of research instruments, significant limitations were identified in terms of effective access to the channels provided by the EPSs to carry out administrative procedures, manage requests and guide the population's needs, which indicates not only the persistence of barriers but also their link with socioeconomic and geographic accessibility conditioning factors. The results found allow concluding that there is a need of the user population for the Entities Responsible for Health Insurance to take care of guaranteeing the integral risk management of their affiliates, which requires a transformation in the systems in place to achieve improvements in terms of efficiency, effectiveness, access, timeliness and comprehensiveness.