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Abstract
O
bjetivo: analizar el acceso a los servicios para maternas en Medellín, en el contexto del Sistema
General de Seguridad Social en Salud.
Metodología: se optó por un estudio cualitativo, se
realizaron 23 entrevistas en profundidad a médicos y enfermeras, vinculados directamente a la
atención materna y/o a la toma de decisiones gerenciales, y tres grupos focales con maternas.
Las entrevistas se analizaron mediante el proceso de codificación y categorización propuesto en
la Teoría Fundada.
Hallazgos: a pesar de que la atención materno-infantil es una prioridad, las
maternas experimentan dificultades con los servicios, dada la problemática del aseguramiento,
la fragmentación de servicios en la contratación —ligada a la competencia por bajos precios—,
y la posición dominante de las aseguradoras.
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