Access to care [9,10]. However, it hasbeen a long, complicated MSX-122 site method, plus the final results are controversial [11,12]. In spite in the significant increase in public well being expenditure from 3 to 6.6 of GDP, more than the 1993 to 2007 period [13], about 15.3 to 19.three with the population remains uninsured [14,15]; and 38.7 are insured under the subsidized regime [15] that covers a variety of solutions (POS-S) significantly inferior to that offered by the contributory one [16,17]. About 17 of overall health expenditure is devoted to administrative expenses [18], of which greater than 50 is spent on supporting every day operations (financial, personnel, and details management) and enrollment processes [19]. Moreover, various studies look to indicate a reduce in realized access to services [20,21], and point to considerable barriers related to characteristics of population, such PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/20433742 as insurance coverage enrolment [22-28], earnings [22,25,26,28], education [22-27,29] and, qualities of services, such as geographic accessibility and good quality of care [26,30]. In 2005, the maternal mortality price, an indicator that’s sensitive towards the all round healthcare technique, was 130/100.000 in Colombia, in comparison with 30/ 100.000 in Costa Rica, although per capita 2004 wellness expenditure had been equivalent (USD 549 and USD 598, respectively) but a GNP per capita lower in the former (USD 6130 and USD 9220) [31].Vargas et al. BMC Well being Solutions Research 2010, 10:297 http://www.biomedcentral.com/1472-6963/10/Page 3 ofIn addition, obtainable proof points to failures within the situation sine qua non for the successful implementation of managed competition, in line with its supporters [1]: the existence of an effective regulatory method. These research [32-35] reveal deficiencies in regulation authorities in their capability to manage an incredible quantity of institutions related to insufficient monetary resources, lack of control mechanisms and excessive, and often contradictory, regulation norms. Most research of your determinants of use of care in Colombia focus on private variables and initial get in touch with with solutions, and ignore contextual variables well being policy and qualities of healthcare services. Insurance coverage coverage, measured only by enrolment rate, is generally viewed as an independent variable, though in managed competitors models, insurers straight influence the provider networks and situations of access to healthcare [36]. Also, tiny research has evaluated access from the point of view on the social actors [26,37-39], in spite of the restricted capacity of quantitative models in explaining determinants of use of care, as a consequence of methodological issues in such as contextual variables [40,41]. The objective of this short article should be to contribute towards the improvement of our understanding with the factors influencing access to the continuum of healthcare services within the Colombian managed competitors model, in the viewpoint of social actors.Approaches There were two Locations of Study: a single urban (Ciudad Bol ar, Bogot? D.C.) and one particular rural (La Cumbre, Department of Valle del Cauca) with 628.672 [42] and 11.122 inhabitants [43] respectively. Within the former, a wide array of insurers are present, when within the latter only a single subsidized insurance enterprise, using the majority of the contributory insurance enrollees getting affiliated in two insurance providers. In each locations the majority of the population reside in poverty [42]. Within the urban region, the coverage in the subsidized regime is slightly much less than inside the rural a.