Access to care [9,10]. Having said that, it hasbeen a extended, difficult course of action, as well as the final results are controversial [11,12]. In spite with the substantial boost in public well being 5,15-Diacetyl-3-benzoyllathyrol site expenditure from three to six.six of GDP, more than the 1993 to 2007 period [13], around 15.three to 19.3 of the population remains uninsured [14,15]; and 38.7 are insured beneath the subsidized regime [15] that covers a variety of services (POS-S) drastically inferior to that offered by the contributory one [16,17]. Approximately 17 of wellness expenditure is devoted to administrative charges [18], of which more than 50 is spent on supporting everyday operations (economic, personnel, and information management) and enrollment processes [19]. Moreover, quite a few studies look to indicate a reduce in realized access to solutions [20,21], and point to significant barriers connected to qualities of population, such PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/20433742 as insurance coverage enrolment [22-28], income [22,25,26,28], education [22-27,29] and, qualities of services, which include geographic accessibility and quality of care [26,30]. In 2005, the maternal mortality rate, an indicator that’s sensitive towards the all round healthcare system, was 130/100.000 in Colombia, compared to 30/ 100.000 in Costa Rica, although per capita 2004 overall health expenditure have been comparable (USD 549 and USD 598, respectively) but a GNP per capita reduce inside the former (USD 6130 and USD 9220) [31].Vargas et al. BMC Health Services Analysis 2010, 10:297 http://www.biomedcentral.com/1472-6963/10/Page 3 ofIn addition, out there proof points to failures inside the condition sine qua non for the prosperous implementation of managed competitors, as outlined by its supporters [1]: the existence of an effective regulatory technique. These research [32-35] reveal deficiencies in regulation authorities in their ability to handle an awesome variety of institutions related to insufficient economic resources, lack of manage mechanisms and excessive, and sometimes contradictory, regulation norms. Most research from the determinants of use of care in Colombia concentrate on private variables and initial contact with services, and ignore contextual variables health policy and characteristics of healthcare solutions. Insurance coverage coverage, measured only by enrolment rate, is usually viewed as an independent variable, despite the fact that in managed competition models, insurers straight influence the provider networks and conditions of access to healthcare [36]. Moreover, little research has evaluated access from the point of view of your social actors [26,37-39], in spite of the limited capacity of quantitative models in explaining determinants of use of care, due to methodological issues in such as contextual variables [40,41]. The objective of this article is usually to contribute towards the improvement of our understanding with the factors influencing access to the continuum of healthcare solutions within the Colombian managed competitors model, from the point of view of social actors.Strategies There have been two Locations of Study: 1 urban (Ciudad Bol ar, Bogot? D.C.) and one particular rural (La Cumbre, Division of Valle del Cauca) with 628.672 [42] and 11.122 inhabitants [43] respectively. Inside the former, a wide array of insurers are present, although in the latter only 1 subsidized insurance business, with the majority of your contributory insurance enrollees becoming affiliated in two insurance providers. In both areas most of the population live in poverty [42]. Within the urban area, the coverage with the subsidized regime is slightly much less than within the rural a.