摘要：A cross-sectional study aimed to identify the existence of geographic barriers to health care and to conduct an inventory of health care institutions in Nariño with information from the sixty-four municipalities in the state. Methods: A measurement system was developed to identify the travel time from a municipality to Pasto in different means of transportation. A travel time of more than 4 hours or a distance longer than 25 km were considered access barriers. Results: Nariño has 305 providers in public sector, 1062 in private sector; 670 oral health providers was identify. Nariño has primary health care providers in the entire state, second level in four and third level only in Pasto. From the 64 municipalities analyzed, 3 did not have access barriers in terms of travel time or distance. Conclusions: The travel time and the means of transportation generate access barriers to health care services in Nariño, accentuated in pacific area
关键词：architectural accessibility;health services accessibility;travel;geography medical;geographic mapping;transportation of patients;estructuras de acceso;accesibilidad a los servicios de salud;tiempo de viaje;ubicaciones geográficas;transporte de pacientes;disparidades en atención de salud;estruturas de acesso;acessibilidade aos serviços de saúde;tempo de viagem;localizações geográficas;o transporte do paciente;disparidades nos cuidados de saúde
