Access to care [9,10]. However, it hasbeen a lengthy, complex approach, along with the benefits are controversial [11,12]. In spite on the significant boost in public well being expenditure from three to six.six of GDP, over the 1993 to 2007 period [13], about 15.three to 19.three from the population remains uninsured [14,15]; and 38.7 are insured below the subsidized regime [15] that covers a variety of solutions (POS-S) significantly inferior to that offered by the contributory 1 [16,17]. Roughly 17 of overall health expenditure is devoted to administrative expenses [18], of which greater than 50 is spent on supporting everyday operations (monetary, personnel, and information management) and enrollment processes [19]. In addition, various research seem to indicate a lower in realized access to services [20,21], and point to important barriers related to characteristics of population, such PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/20433742 as insurance enrolment [22-28], income [22,25,26,28], education [22-27,29] and, traits of solutions, including geographic accessibility and quality of care [26,30]. In 2005, the maternal mortality rate, an indicator that is definitely sensitive towards the overall healthcare system, was 130/100.000 in Colombia, when compared with 30/ 100.000 in Costa Rica, although per capita 2004 wellness expenditure were related (USD 549 and USD 598, respectively) but a GNP per capita lower in the former (USD 6130 and USD 9220) [31].Vargas et al. BMC Health Services Analysis 2010, ten:297 http://www.biomedcentral.com/1472-6963/10/Page three ofIn addition, obtainable proof points to failures inside the condition sine qua non for the successful implementation of managed competition, as outlined by its supporters [1]: the existence of an effective regulatory technique. These research [32-35] reveal deficiencies in regulation authorities in their capability to handle a great quantity of institutions connected to insufficient financial resources, lack of control mechanisms and excessive, and in some cases contradictory, regulation norms. Most studies on the determinants of use of care in Colombia focus on personal variables and initial get in touch with with solutions, and ignore contextual variables health policy and traits of healthcare services. Insurance coverage coverage, measured only by enrolment price, is usually viewed as an independent variable, while in managed competition models, insurers directly influence the provider networks and circumstances of access to healthcare [36]. In addition, small research has evaluated access from the point of view in the social actors [26,37-39], regardless of the restricted capacity of quantitative models in explaining determinants of use of care, as a consequence of methodological difficulties in such as contextual variables [40,41]. The objective of this article is usually to contribute to the improvement of our understanding of your variables influencing access towards the continuum of healthcare services in the Colombian managed buy ML264 competitors model, in the viewpoint of social actors.Techniques There were two Areas of Study: one urban (Ciudad Bol ar, Bogot? D.C.) and one rural (La Cumbre, Division of Valle del Cauca) with 628.672 [42] and 11.122 inhabitants [43] respectively. In the former, a wide array of insurers are present, whilst within the latter only one subsidized insurance business, with the majority from the contributory insurance enrollees becoming affiliated in two insurance firms. In each locations most of the population live in poverty [42]. In the urban area, the coverage in the subsidized regime is slightly much less than in the rural a.