Access to care [9,10]. Even so, it hasbeen a long, complex procedure, along with the results are controversial [11,12]. In spite of your important boost in public health expenditure from three to 6.6 of GDP, more than the 1993 to 2007 period [13], about 15.3 to 19.3 of the population remains uninsured [14,15]; and 38.7 are insured under the subsidized regime [15] that covers a variety of solutions (POS-S) greatly inferior to that supplied by the contributory one particular [16,17]. Around 17 of health expenditure is devoted to administrative expenses [18], of which greater than 50 is spent on supporting everyday operations (monetary, personnel, and info management) and enrollment processes [19]. In addition, many research appear to indicate a lower in realized access to solutions [20,21], and point to important barriers related to traits of population, such PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/20433742 as insurance enrolment [22-28], revenue [22,25,26,28], education [22-27,29] and, qualities of services, for example geographic accessibility and high quality of care [26,30]. In 2005, the maternal mortality price, an indicator that is sensitive for the all round healthcare system, was 130/100.000 in Colombia, in comparison to 30/ 100.000 in Costa Rica, when per capita 2004 wellness expenditure had been equivalent (USD 549 and USD 598, respectively) but a GNP per capita reduced within the former (USD 6130 and USD 9220) [31].Vargas et al. BMC Well being Services Research 2010, ten:297 http://www.biomedcentral.com/1472-6963/10/Page 3 ofIn addition, offered proof points to failures inside the situation sine qua non for the successful implementation of managed competitors, according to its supporters [1]: the existence of an efficient regulatory technique. These research [32-35] reveal deficiencies in regulation authorities in their potential to handle a terrific variety of institutions related to insufficient economic sources, lack of manage mechanisms and excessive, and occasionally contradictory, regulation norms. Most research of the determinants of use of care in Colombia concentrate on individual variables and initial get in touch with with solutions, and ignore contextual variables well being policy and traits of healthcare solutions. Insurance coverage coverage, measured only by enrolment price, is typically viewed as an independent variable, while in managed competitors models, insurers directly influence the provider networks and situations of access to healthcare [36]. In addition, little research has evaluated access from the point of view on the social actors [26,37-39], in spite of the limited capacity of quantitative models in explaining determinants of use of care, because of methodological issues in which includes contextual variables [40,41]. The objective of this short article is to contribute towards the improvement of our MedChemExpress CGP 25454A understanding with the factors influencing access towards the continuum of healthcare services in the Colombian managed competitors model, in the point of view of social actors.Solutions There were two Places of Study: a single urban (Ciudad Bol ar, Bogot? D.C.) and a single 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, even though inside the latter only one particular subsidized insurance coverage enterprise, using the majority on the contributory insurance enrollees being affiliated in two insurance coverage providers. In both regions the majority of the population live in poverty [42]. Within the urban location, the coverage of the subsidized regime is slightly significantly less than within the rural a.