Health insurance as a strategy for access : Streamlined facts of the Colombian Health Care Reform

La reforma colombiana al sistema de salud (Ley 100 de 1993) estableció, como estrategia para facilitar el acceso, la universalidad de un seguro de salud que se adquiere mediante la cotización en el régimen contributivo o mediante la afiliación gratuita al régimen subsidiado, con la meta de cubrir a toda la población con un plan de beneficios único que comprende servicios de todos los niveles de atención. En el documento se analizan los principales hechos estilizados de la reforma en cuanto a cobertura del seguro y acceso y, mediante modelos logit, se estiman los determinantes de la afiliación y del acceso, con datos de las encuestas de calidad de vida de 1997 y 2003. Se destaca que la cobertura pasó del 20% de la población en 1993 al 60% en 2004, aunque parece imposible alcanzar la universalidad; la estructura y evolución de la cobertura muestran que los dos regímenes son complementarios, de modo que mientras el contributivo tiene mayor presencia en las ciudades y entre la población con empleo formal, el subsidiado tiene mayor peso entre la población rural y con bajos niveles de ingresos; por otra parte, el seguro tiene ventajas para la población subsidiada, con una mayor probabilidad de utilización de servicios, aunque el plan es inferior al del contributivo y existen barreras para el acceso.

The determinants of the health status in a developing country: results from the Colombian case

El artículo busca encontrar evidencia empírica de los determinantes de la salud, como una medición de capital salud en un país en desarrollo después de una profunda reforma en el sector salud. Siguiendo el modelo de Grossman (1972) y tomando factores institucionales, además de las variables individuales y socioeconómicas. Se usaron las encuestas de 1997 y 2000 donde se responde subjetivamente sobre el estado de salud y tipo de afiliación al sistema de salud. El proceso de estimación usado es un probit ordenado. Los resultados muestran una importante conexión entre las variables individuales, institucionales y socioeconómicas con el estado de salud. El efecto de tipo de acceso al sistema de salud presiona las inequidades en salud.

Behavioral differences in violence: the case of intra-group differences of paramilitaries and guerrillas in Colombia

In most studies on civil wars, determinants of conflict have been hitherto explored assuming that actors involved were either unitary or stable. However, if this intra-group homogeneity assumption does not hold, empirical econometric estimates may be biased. We use Fixed Effects Finite Mixture Model (FE-FMM) approach to address this issue that provides a representation of heterogeneity when data originate from different latent classes and the affiliation is unknown. It allows to identify sub-populations within a population as well as the determinants of their behaviors. By combining various data sources for the period 2000-2005, we apply this methodology to the Colombian conflict. Our results highlight a behavioral heterogeneity in guerrilla’s armed groups and their distinct economic correlates. By contrast paramilitaries behave as a rather homogenous group.

Una aproximación a la salud en Colombia a partir de las encuestas de calidad de vida

En este documento se esbozan los principales avances en cuanto a cobertura en salud, demanda de servicios médicos y percepción del estado de salud en Colombia, por medio de las encuestas de Calidad de Vida de 1997 y 2003. Se encuentra un aumento en la cobertura en salud de la población donde el régimen subsidiado fue el que presentó mayor incremento en cobertura; Aun así, existe una gran proporción que no cuenta con aseguramiento. También se evidencia un aumento en la consulta por prevención para 2003 y una disminución en las consultas médicas por falta de dinero. De igual manera, la tasa de hospitalización junto con el gasto que hacen los hogares en este rubro disminuyó. El análisis también muestra un pequeño mejoramiento en el estado de salud autorreportado. En general, el tipo de afiliación, la demanda de servicios y el estado de salud autorreportado difieren entre regiones, formalidad del trabajo y quintiles de ingreso.

Les fondements de la loi et comment elle se construit chez l’individu

RESUMÉ: Le Droit, en tant que système de constructions institutionnelles de l'humanité, est une échelle symbolique indispensable dans la construction de la subjectivité, puisqu'elle sauvegarde les interdictions fondamentales relatives à l'inceste et aux crimes d'homicide, de parricide, de matricide et d'infanticide, lesquelles constituent des limites nécessaires au langage en tant que phénomène psychosomatique humain. Le système du Droit a la fonction de médiation dans l'économie psychique de la Référence symbolique et fonctionne comme un Tiers dans la logique triadique du langage puisque, en établissant des catégories de filiation et des niveaux de hiérarchie dans la séquence des générations, il rehausse l'importance de la généalogie patriarcale dans l'espèce parlante. Le Droit «institue la vie en instituant la subjectivité» dans l'art de l'interprétation des interdits construits dans les sociétés. C'est le représentant logique transcendantal divin, paternel ou étatique qui soutient chez le sujet l'acceptation de l'interdiction œdipienne et de ses nuances, engendrant alors sa «capacité de jugement singulier». ABSTRACT: The Law, as a system of institutional constructions for mankind, is an essential symbolic scale for the construction of subjectivity, since it saves fundamental injunctions about incest, and crimes like homicide, parricide, matricide and infanticide, all of them constituting the necessary boundaries to language as a human psychosomatic phenomenon. The Law system as the function of mediation for the symbolic Reference in the psyche economy and works as a Third party on the triadic logic of language, because as it establishes affiliation categories and hierarchic levels in the sequence of the generations, it highlights the importance of the patriarchal genealogy in the «speaker species». The Law «institutes life instituting subjectivity» in the art of injunctions interpretation built in societies. It’s the logical transcendental divine representative, fatherly or status apparatus that sustains for the subject the oedipal acceptance and its nuances, creating then its «singular judgment capacity».

Stress e estratégias de coping em Enfermeiros : estudo comparativo entre Portugal e Espanha

O presente estudo, tem como objetivo efetuar uma comparação entre os enfermeiros portugueses e espanhóis de modo a identificar os principais fatores que desencadeiam o stress bem como as estratégias de coping utilizadas. A amostra é constituída por 50 enfermeiros espanhóis e 50 enfermeiros portugueses. Dos resultados obtidos, verificam-se que em Portugal as situações indutoras de stress variam de acordo com o sexo, a idade, os anos de serviço, enquanto que em Espanha, apenas se verifica a influência do ambiente relacional nas situações que mais causam stress. Relativamente às estratégias de coping, em Portugal, o sexo, a idade, e o vínculo com a instituição influenciam na determinação das estratégias de coping, enquanto que na amostra espanhola, apenas se verifica a influência do sexo na determinação das mesmas.

Formas de pertenencia religiosa y procesos de construcción del espacio en la migración latinoamericana: entre vínculos colonizados y redenciones creativas (Estudios)

La religión es un tema que se ha ligado a los temas de migración debido al interés en las transacciones e interconexiones que se presentan entre los migrantes y sus familias residentes en los países de origen, así como a la importancia que tienen las prácticas religiosas para los migrantes en sus países de destino. Al examinar casos concretos de migración y al comparar diferentes grupos religiosos –tanto católicos como quienes no están vinculados a una institución religiosa– se observa la continuidad y los cambios de las formas de pertenencia, cuyas raíces provienen de la historia colonial. Analizando los procesos de construcción del espacio religioso se investiga si el traslado de concepciones e imágenes religiosas está provocando nuevos esencialismos o culturas híbridas, en las cuales se articulan bricolajes de ideologías y cosmovisiones. Los casos comparados evidencian que las religiones y sus aparatos tienen una importante influencia en las concepciones y percepciones del espacio, los cuales determinan las prácticas y pertenencias sociales.

Facebook faith - social networking in a faith based community

This paper views the increasing social networking as an efficient emerging ministry to the moveable generation. Through social network such as Facebook, ministry from a pastoral perspective can become more authentic and meaningful. Ministry is relational. Social Networking sites provide a strong platform to being part in other people’s life. Social networking and living online builds community beyond geographical boarders. Young adults and youths digital identity often reflects their faith, this is supported by research which suggests a practice of more openness to share and expose private issues online. Spiritual and religious views are freely shared, creating sacred spaces in the midst of life practising a holistic faith identity in a secular community. Providing a strong platform for information flow, Social Network is attractive in a postmodern society where inviting people to join in events are perceived as non threatening, making church community events transparent and available to people who do not attend church, inviting spiritual friendships and relationships. Social Networking strengthens relationship in a non hierarchical manner and invites the minister into lives where there previously would have been barriers, engaging in prayer and bible study as well as pastoral care through social networking, thus relationships deepens via social networking making people real. It has been observed that, although community building happens on the net, church affiliation loyalty remains to the local community. Therefore presence ministry though social networks emerges as a core form of ministry, where relations to youth who move from local church to university campuses are kept alive. The asynchronous nature of communication within social networking eases the minister in her work. The minister is able to engage with many individuals at the same time. Before the minister could visit one person at a time, now she visits 5-6 individuals at any given time. Therefore social networking not only increases the quality of the work, but also empowers the minister to be more efficient.

The relative importance sector and regional factors in Italy

The benefits of sector and regional diversification have been well documented in the literature but have not previously been investigated in Italy. In addition, previous studies have used geographically defined regions, rather than economically functional areas, when performing the analysis even though most would argue that it is the economic structure of the area that will lead to differences in demand and hence property performance. This study therefore uses economically defined regions of Italy to test the relative benefits of regional diversification versus sector diversification within the Italian real estate portfolio. To examine this issue we use constrained cross-section regressions the on the sector and regional affiliation of 14 cities in Italy to extract the “pure” return effects of the different factors using annual data over the period 1989 to 2003. In contrast, to previous studies we find that regional factors effects in Italy have a much greater influence on property returns than sector-specific effects, which is probably a direct result of using the extremely diverse economic regions of Italy rather than arbitrary geographically locations. Be that as it may, the results strongly suggest that that diversification across the regions of Italy used here is likely to offer larger risk reduction benefits than a sector diversification strategy within a region. In other words, fund managers in Italy must monitor the regional composition of their portfolios more closely than its sector allocation. Additionally, the results supports that contemporary position that ‘regional areas’ based on economic function, provide greater diversification benefits rather than areas defined by geographical location.

Architectural enthusiasm: visiting buildings with The Twentieth Century Society

In this paper we put forward the concept of architectural enthusiasm—a collective passion and shared emotional affiliation for buildings and architecture. Through this concept and empirical material based on participation in the architectural tours of The Twentieth Century Society (a UK-based architectural conservation group), we contribute to recent work on the built environment and geographies of architecture in three ways: first, we reinforce the importance of emotion to people’s engagements with buildings, emphasising the shared and practised nature of these engagements; second, we highlight the role of architectural enthusiasts as agents with the potential to shape and transform the built environment; and third, we make connections between (seemingly) disparate engagements with buildings through a continuum of practice incorporating urbex, local history, architectural practice and training, and mass architectural tourism. Unveiling these continuities has important implications for future research into the built environment, highlighting the need to take emotion seriously in all sorts of professional as well as enthusiastic encounters with buildings, and unsettling the categories of amateur and expert within architectural practices.

Emotional geographies of enthusiasm: belonging to the Telecommunications Heritage Group

Enthusiasm has long been associated with notions of impassioned mood, intensity of feeling and passionate dedication. Despite this burgeoning field of ‘enthusiastic geographies’, the conceptualisation of enthusiasm has until now remained largely untouched by geographers. This article develops recent work on emotional geographies in order to shed light on the emergence, experience and spatial implications of enthusiasm in group settings. It draws upon interview material with members of the UK’s Telecommunications Heritage Group in order to examine enthusiasm as an emotional affiliation. It is argued in this article that enthusiasm influences passions, performances and actions in space, revealing the mutual ‘closeness’, exclusivity of knowledgeability and sociability among participants.

Knowledge dissemination in the global service marketing community

Purpose– The evolution of the service marketing field was marked by the emergence of a global, vigorous and tolerant community of service marketing researchers. This paper seeks to examine the history of the service marketing community and argues that it may be an archetype for building the emergent global service research community. Design/methodology/approach– The study combines qualitative and quantitative approaches. The authors interviewed four pioneering service scholars and also collected descriptive data (e.g. Authorship, Affiliation, Title, Keywords) of all service related articles published in 13 top peer‐reviewed marketing and service journals over the last 30 years (5,432 articles; 6,450 authors). In a dynamic analysis the authors mapped global collaboration between countries over time and detected clusters of international collaboration. Findings– Findings suggest a growing international collaboration for the USA and the UK, while for other countries like Israel the global collaboration started from a high level and decreases now. Further, the service marketing community never became polarized and there were always contributions from researchers all over the world. Research limitations/implications– As the global service research community is developing, service marketing becomes a research neighborhood within the broader service research community. Simultaneously, other research neighborhoods are emerging within this new community (e.g. service arts, service management, service engineering, service science). Originality/value– Anchored on the social evolution and biological evolution metaphors, this study explains the evolution of the service marketing field from both qualitative and quantitative perspectives. Furthermore, it explains the development of the service marketing community as an archetype for building the global service research community.

Self-construals, Symbolic and Hedonic Preferences, and Actual Purchase Behavior

The study explores the influence of the independent and interdependent self-construals on actual purchase behavior and the mediating role of consumer preferences for symbolic and hedonic meanings. Data were collected through a survey of about 1,000 respondents. Results indicate that independent consumers draw on the self/hedonic- and status-symbolic resources of clothing in the construction and expression of their identities. Regarding the interdependent consumers, they show no interest in clothing affiliation and status symbolism. The degree of preference for status-symbolic meaning mediates all effects of the independent and interdependent self-construals on actual purchase behavior; self-expressive/hedonic preferences mediate two of the three effects of the independent self on actual purchase behavior when accounting for suppression effects, whereas the expected mediation of preference for affiliation meaning is not supported.

Performing knowledge requirements analysis for public organisations in a Virtual Learning Environment: a social network analysis approach

This paper describes an application of Social Network Analysis methods for identification of knowledge demands in public organisations. Affiliation networks established in a postgraduate programme were analysed. The course was executed in a distance education mode and its students worked on public agencies. Relations established among course participants were mediated through a virtual learning environment using Moodle. Data available in Moodle may be extracted using knowledge discovery in databases techniques. Potential degrees of closeness existing among different organisations and among researched subjects were assessed. This suggests how organisations could cooperate for knowledge management and also how to identify their common interests. The study points out that closeness among organisations and research topics may be assessed through affiliation networks. This opens up opportunities for applying knowledge management between organisations and creating communities of practice. Concepts of knowledge management and social network analysis provide the theoretical and methodological basis.

A Lateglacial archaeological site in the far north-west of Europe at Rubha Port an t-Seilich, Isle of Islay, western Scotland: Ahrensburgian-style artefacts, absolute dating and geoarchaeology

The exact pattern, process and timing of the human re-colonization of northern Europe after the end of the last Ice Age remain controversial. Recent research has provided increasingly early dates for at least pioneer explorations of latitudes above 54°N in many regions, yet the far north-west of the European landmass, Scotland, has remained an unexplained exception to this pattern. Although the recently described Hamburgian artefacts from Howburn and an assemblage belonging to the arch-backed point complex from Kilmelfort Cave have established at least a sporadic human presence during earlier stages of the Lateglacial Interstadial, we currently lack evidence for Younger Dryas/Greenland Stadial 1 (GS-1) activity other than rare stray finds that have been claimed to be of Ahrensburgian affiliation but are difficult to interpret in isolation. We here report the discovery of chipped stone artefacts with technological and typological characteristics similar to those of the continental Ahrensburgian at a locality in western Scotland. A preliminary analysis of associated tephra, pollen and phytoliths, along with microstratigraphic analysis, suggest the artefacts represent one or more episodes of human activity that fall within the second half of GS-1 and the Preboreal period