Access to care [9,10]. Nonetheless, it hasbeen a extended, complicated method, and the final results are controversial [11,12]. In spite of the considerable increase in public health expenditure from 3 to 6.6 of GDP, more than the 1993 to 2007 period [13], around 15.3 to 19.three on the population remains uninsured [14,15]; and 38.7 are insured beneath the subsidized regime [15] that covers a range of services (POS-S) tremendously inferior to that supplied by the contributory a single [16,17]. Approximately 17 of health expenditure is devoted to administrative fees [18], of which greater than 50 is spent on supporting every day operations (monetary, personnel, and facts management) and enrollment processes [19]. Additionally, various studies seem to indicate a decrease in realized access to services [20,21], and point to substantial barriers related to characteristics of population, such PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/20433742 as insurance enrolment [22-28], earnings [22,25,26,28], education [22-27,29] and, characteristics of services, including geographic accessibility and high quality of care [26,30]. In 2005, the maternal mortality rate, an indicator that is sensitive towards the overall healthcare technique, was 130/100.000 in Colombia, in comparison with 30/ 100.000 in Costa Rica, while per capita 2004 wellness expenditure had been similar (USD 549 and USD 598, respectively) but a GNP per capita reduce within the former (USD 6130 and USD 9220) [31].Vargas et al. BMC Well being Services Research 2010, 10:297 http://www.biomedcentral.com/1472-6963/10/Page three ofIn addition, readily available proof points to failures within the situation sine qua non for the profitable implementation of managed competitors, based on its supporters [1]: the existence of an efficient regulatory method. These studies [32-35] reveal deficiencies in regulation authorities in their ability to manage a fantastic variety of institutions associated to insufficient economic sources, lack of handle mechanisms and excessive, and sometimes contradictory, regulation norms. Most studies in the determinants of use of care in Colombia focus on private variables and initial contact with services, and ignore contextual variables health policy and qualities of healthcare solutions. Insurance coverage coverage, measured only by enrolment price, is often viewed as an independent variable, even though in managed competition models, insurers straight influence the provider networks and circumstances of access to healthcare [36]. Furthermore, small analysis has evaluated access from the point of view from the social actors [26,37-39], regardless of the restricted capacity of quantitative models in explaining determinants of use of care, as a result of methodological difficulties in such as contextual variables [40,41]. The objective of this short article is Lasmiditan (hydrochloride) usually to contribute towards the improvement of our understanding of your aspects influencing access to the continuum of healthcare solutions inside the Colombian managed competition model, in the point of view of social actors.Strategies There have been two Regions 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. In the former, a wide array of insurers are present, even though in the latter only 1 subsidized insurance coverage business, with all the majority from the contributory insurance enrollees getting affiliated in two insurance coverage firms. In both regions the majority of the population live in poverty [42]. Within the urban area, the coverage from the subsidized regime is slightly less than within the rural a.