Centro Internacional de Entrenamiento e Investigaciones Médicas - (CIDEIM), Av. La Maria, #19-225, Cali, Colombia.
Universidad Icesi, Cl., 18 #122-135, Cali, Colombia.
Int J Equity Health. 2022 Feb 14;21(1):23. doi: 10.1186/s12939-022-01619-2.
Despite efforts to extend Universal Health Coverage in Colombia, rural and remote populations still face significant challenges in accessing equitable health services. Social innovation has been growing in Colombia as a creative response to the country's social problems including access to healthcare. This paper presents the findings of a social innovation case study, which was implemented in the rural area of Sumapaz in Colombia, with the purpose of holistically addressing the health needs of the local population and enhancing health service access.
A case study methodology was used to investigate and understand the process by which the Model of Integral Health Care for Rural Areas was developed and how the various strategies were defined and implemented. Qualitative methods were used in the data collection and all data was analysed using Farmer et al. staged framework on grassroots social innovation which includes growing the idea; implementing the idea; sustainability and diffusion.
The social innovation model was designed as a co-learning process based on community participation. The model was implemented adopting a holistic health approach and considerate of the conditions of a rural context. As a result of this process, access to quality health services were enhanced for the vulnerable rural community. The model has also provided outcomes that transcend health and contribute to individual and community development in different areas eg. agriculture.
The Model of Integral Health Care for Rural Areas is a social innovation in health that demonstrates how Universal Health Coverage can be achieved for vulnerable populations through a series of creative strategies which fill systemic voids in access and co-ordination of care, as well as in addresings upstream environmental factors responsible for ill-health.
尽管哥伦比亚努力扩大全民医保覆盖范围，但农村和偏远地区的人口在获得公平的医疗服务方面仍面临重大挑战。社会创新在哥伦比亚日益兴起，是应对该国包括获得医疗保健在内的社会问题的一种创造性回应。本文介绍了一项社会创新案例研究的结果，该研究在哥伦比亚苏马帕斯的农村地区实施，旨在全面满足当地人口的健康需求并增强获得卫生服务的机会。
采用案例研究方法来调查和了解农村综合卫生保健模式的发展过程，以及如何确定和实施各种策略。在数据收集过程中使用了定性方法，并且使用 Farmer 等人的基层社会创新分阶段框架对所有数据进行了分析，该框架包括：想法的产生；想法的实施；可持续性和扩散。
社会创新模式是基于社区参与的共同学习过程设计的。该模式采用整体健康方法实施，并考虑到农村环境的条件。由于这一过程，弱势群体农村社区获得了更好的优质医疗服务。该模式还提供了超越健康的成果，为不同领域的个人和社区发展做出了贡献，例如农业。
农村综合卫生保健模式是一种卫生领域的社会创新，它展示了如何通过一系列创造性策略为弱势群体实现全民医保，这些策略填补了获得和协调护理方面的制度空白，并解决了导致健康不良的上游环境因素。
