[Evaluation of effects of the health subsidy focalization policy on the population lacking payment capacity from our localities in Bogota, D.C., Colombia, 2001].
OBJECTIVE
To analyze the problems of the focalization policy and the characteristics of decision-making to assign health subsidies for the population of Sisben levels 3 and 4 of 4 localities in Bogotá, in order to propose criteria for transforming the processes of policy formulation and correct its defects on marginalization and exclusion.


METHODS
A critical, participative and pluralist methodological approach, which combined multiple research methods and techniques from a systemic and post-estructuralist perspective, was undertaken. For sub-projects were carried out. The subsidy-focalization policy in Colombia was analyzed based upon the arguments of the main socio-political actors who participated in its formulation. In order to establish how the focalization policy of health spending is perceived by the excluded population, the public providers and the local authorities, a qualitative study was done based upon focal groups and in-depth interviews. A follow-up of the accessibility to and use of health services was also carried out from the definition of a tracing condition. Finally, collective recommendations of policies were formulated from the per
Vega Romero
Román
R
Facultad de Ciencias Económicas y Administrativas, Pontificia Universidad Javeriana, Calle 40 # 6-23, Edificio Gabriel Giraldo, piso 8. roman.vega@javeriana.edu.co
Hernández Bello
Amparo
A
Barajas Sandoval
Cristina
C
Conversa
Luigi
L
Cantor Molina
Beatriz
B
D003105:Colombia; D018672:Community Health Planning / Q000458:organization & administration*; D003659:Decision Making, Organizational; D006297:Health Services Accessibility; D006801:Humans; D017057:Medically Uninsured; D019037:Urban Health Services / Q000191:economics*