Oncology services in Colombia
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Objective: Characterize the current situation of the supply of oncological services in Colombia.
Methods: A descriptive analysis of the oncology services for cancer care in adult and child population, which met the requirements for its operation according to the Special Registry of Health Service Providers. The ratio of cases per provider was calculated from the estimated cancer incidence Colombia by the National Cancer Institute.
Results: A total of 1,780 oncology health services authorized in the country related to specialties for the care of cancer patients. About 50% of the supply is concentrated in Bogota, Antioquia and Valle del Cauca. The departments of Putumayo and Amazonas group, with the exception of Vaupés did not recorded cancer services. 87.8% oncology health services were offered by health institutions and 12.2% were provided by independent professionals. 66.7% of oncology health services were clinical consult services, 17.4% were related to support for diagnosis and therapeutic supplementation and 15.9% related to surgical services. 87.9% of the supply of oncological services in Colombia is in the private sector.
Conclusions: The relationship between the groups of services is asymmetric, with few providers that jointly supply the basic services of oncological treatment, which reflects the fragmentation in the provision. It is necessary to redefine the concept of oncological service under the comprehensive care approach and the importance of enabling functional units, comprehensive treatment centers and other forms of care.
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