Individual and management factors in public health associated with failures and complications in patients with hemophilia in Colombia

Abstract

The management of public health in Colombia reflects inequities in health and a great lag in the development of capacities at the national level. The stewardship of the health system presents serious difficulties associated with the decentralization process, as well as institutional weaknesses in the territorial entities as determining factors in the proper functioning of the system. To date, comprehensive health care models with a territorial approach, enshrined in current regulations, have not been implemented to guarantee quality health care for patients with hemophilia and other coagulopathies in Colombia. Orphan diseases such as hemophilia and other coagulopathies, although they have a low prevalence, are chronically debilitating, serious and highly complex to manage, so they require comprehensive approaches that guarantee access, quality, timeliness and efficiency in the management of institutions responsible. In addition, HCV and HIV coinfection is a relevant health problem in these patients.