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Colombia

Population (2018): 49.07 M

Income per Capita (2018): 6301.59 US

Percentage of GDP on Healthcare (2015): 6.19%

Training

Year of family medicine established: 1984 (Arya et al., 2017)

Type of Training: Residency Program (Arya et al., 2017)

Length of Training: Training consists of 6 years of Medical School (Arya et al., 2017) followed by a 3-year Residency Program (Arya et al., 2017)

Number of institutions that offer family medicine: 6 (Arya et al., 2017)

Number of family medicine residents graduating each year: ~200 family medicine residents graduating each year(Arya, 2017)

practice

Number of family doctors: There are 63,000 doctors in Colombia; made up by 43,000 “general doctors” and 20,000 specialists (Hernán, et al., 2017) 

Physician to population ratio: On average, the ratio of family physicians to patients is 182.1 per 100,000 people (World Bank).

DALY: 19,142 per 100,000 individuals (Due to all Causes).

Life Expectancy:

  • Females 2017: 78.2 years

  • Males 2017: 71.0 years

Mortality rate 2017:

  • 2017 Males: 187 per 1,000 male adults.

  • 2017 Females: 87 per 1,000 female adults.

Infant Immunization-HepB3: % of 1-year-old children received: 92%

College of Family Physicians (Y or N):

  • NO

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Healthcare system

The health system in Colombia is universal. In 1993, a reform transformed the healthcare system into a publicly funded system (Evans, 2014 & ABHI). Family medicine is recognized by Family Medicine Associations in influential positions, advisor’s health policies and systems. Also, recognized by the Ministry of Health and Social protection, who is responsible for managing, organizing and monitoring the healthy system (Arya et al., 2017 & Hernán, et al., 2017).

TRAINING

Family Medicine was established in 1984 in this country. High schools is needed prior to entering medical school which is a 6 year program that entails both basic science studies and clinical studies. Residency consists of 3 years and there are 200 family medicine graduates each year from the various family medicine programs around the country.

PRACTICE

In addition to physicians, there are also nurses in Colombia (ABHI). Family physicians in Colombia work using a community and family model of health delivery, working in basic teams (Arya et al., 2017). Primary care became the gatekeeper of the health system, specifically in Bogota, Colombia (Macinko et al., 2016). In Colombia, they focus on prevention, treatment and management of illness, and preservation of mental and physical well-being, where they use an interactive model of primary care (Hernán et al., 2017).

References

1.     Arya, N., Gibson, C., Ponka, D., Haq, C., Hansel, S., Dahlman, B., and Rouleau, K. 2017. “Family Medicine around the World: Overview by Region: The Besrour Papers: A Series on the State of Family Medicine in the World.” Canadian Family Physician Medecin de Famille Canadien 63 (6): 436–41.

2.  British Embassy, UKTI Sector. 2009. “General Summary of the Healthcare Market in Columbia.” Retrieved from http://www.abhi.org.uk/multimedia/e-newswire/issue72/colombiahealthcare_market_in_colombia.doc  

3. “Current Health Expenditure (% of GDP) | Data.” n.d. Accessed December 16, 2018. https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS

4.     Evans, M. “Health Care in Colombia: Top Quality and Affordable.” 2014. Accessed January 11, 2019. https://internationalliving.com/health-care-in-colombia-top-quality-and-affordable/

5.     Hernán, J., Rodríguez, M., Julieta, L., and Martinez, V. 2017. “Case Study from Colombia PRIMARY HEALTH CARE SYSTEMS (PRIMASYS).” http://apps.who.int/bookorders.

6.     Macinko, J., Guanais, F.C., Mullachery, P., and Jimenez, G. 2016. “Gaps In Primary Care And Health System Performance In Six Latin American And Caribbean Countries.” Accessed January 11, 2019. https://doi.org/10.1377/hlthaff.2015.1366.

7.     “Population, Total | Data.” n.d. Accessed December 16, 2018. https://data.worldbank.org/indicator/SP.POP.TOTL.

8.     “TRADING ECONOMICS | 20 Million INDICATORS FROM 196 COUNTRIES.” n.d. Accessed December 16, 2018. https://tradingeconomics.com/.