Access barriers to occupational risk coverage in service provision contracts in the public health sector in Bogota/Barreras de acceso a la cobertura de riesgos laborales en contratos de prestación de servicios en el sector público de salud en Bogotá

Objective To identify access barriers to the General System for Occupational Risks (SGRL in Spanish) in a group of independent professionals (contracted with service provision contraction) in the public health sector in Bogota. Methodology Qualitative research (narrative) through interviews of four independent professionals of the Secretaria Distrital de Salud (District Health Secretariat), 4 independent professionals of Tunjuelito Hospital and 3 experts in the field of occupational risks. The content analysis paradigm was used for information analysis. Results The two institutions of the public health sector in Bogota consulted have implemented strategies that facilitate the access to the SGRL for independent professionals. However, the interviewed workers and experts identified some access barriers membership for independent workers in this occupational risk system; among these barriers are the lack of a culture of occupation risk prevention, lack of knowledge about laws and the utility of the system as well as the non-conception of the SGRL as a fundamental part of the social security system of the country. Conclusion It is necessary for the SGRL to be recognized as an integral and fundamental part of the country's social security. This depends on a cultural construction of the importance of an occupational risk system among the state organizations, employers and employees. Key Words: Health, public health, occupational health, work (source: MeSH, NLM). Objetivo Identificar barreras de acceso al Sistema General de Riesgos Laborales (SGRL) de Colombia en un grupo de profesionales independientes (contratados por prestacion de servicios) del sector publico de salud en Bogota. Metodologia Investigacion cualitativa (narrativa) mediante entrevistas a 4 profesionales independientes de la Secretaria Distrital de Salud, 4 profesionales independientes del Hospital de Tunjuelito y 3 expertos en riesgos profesionales. Para el manejo de la informacion se utilizo el analisis de contenido. Resultados En las dos instituciones consultadas del sector publico de salud en Bogota se han adelantado estrategias que facilitan el acceso a la seguridad social en riesgos laborales de los trabajadores independientes. Sin embargo, los trabajadores y los expertos entrevistados identifican una serie de barreras de acceso que se presentan para la afiliacion de los trabajadores independientes al Sistema General de Riesgos Laborales, entre estas barreras de acceso estan la falta de cult