Reforma colombiana en salud: propuesta de ajuste en el esquema de aseguramiento y financiación / Colombian healthcare reform: a proposal for adjusting healthcare-related insurance and financing
Rev. salud pública
; 14(5): 878-890, Sept.-Oct. 2012. ilus
Article
in Spanish
| LILACS
| ID: lil-703403
Responsible library:
CO332
RESUMEN
La reforma al sistema de salud colombiano, incorporada hace más de quince años, ha sido objeto de múltiples análisis y en la actualidad parece estar afrontando una de sus más graves crisis, lo que ha llevado a que desde diferentes espacios sociales, profesionales y académicos se sugieran múltiples cambios, que van desde ajustes muy variados hasta la eliminación total del modelo. A partir de múltiples resultados de investigación, obtenidos en los últimos diez años, se presenta un balance de lo que puede haber sido central en la problemática actual y se propone que aunque el ajuste debe realizarse a partir de un gran consenso nacional, es razonable continuar con un modelo de aseguramiento siempre y cuando se recojan los aprendizajes alcanzados, con el fin de tomar las precauciones y medidas de control necesarias para impedir una nueva frustración en el propósito de alcanzar una salud más equitativa para todos.
ABSTRACT
Colombian healthcare system reform (incorporated over fifteen years ago) has been the frequent object of analysis and the system currently seems to be facing one of its most serious crises. This has led to large-scale change being suggested from many social, professional and academic spaces, ranging from varied adjustments to the healthcare-related insurance model's total elimination. Research over the last ten years has suggested a balance of what may have been central to the current problem and has suggested that, although adjustment must be made from a wide national consensus, it is reasonable to maintain a healthcare-related insurance model as long as this reflects the learning achieved to date. Precautions and the necessary control measures must be taken to impede a fresh wave of frustration regarding the aim of ensuring a healthcare system which would be more equitable for all.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.8 Achieve universal access to health
/
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
Health problem:
Delivery Arrangements
/
Financial Arrangements
/
Goal 1 Equitable access to health services
/
Goal 11: Inequalities and inequities in health
/
Goal 4: Health financing
/
Goal 2 Stewardship and governance for health
/
Target 3.8 Achieve universal access to health
Database:
LILACS
Main subject:
Health Care Reform
/
Universal Health Insurance
/
Delivery of Health Care
/
Insurance, Health
Type of study:
Health economic evaluation
Aspects:
Social determinants of health
/
Equity and inequality
Limits:
Humans
Country/Region as subject:
South America
/
Colombia
Language:
Spanish
Journal:
Rev. salud pública
Journal subject:
Public Health
Year:
2012
Document type:
Article
Affiliation country:
Colombia
Institution/Affiliation country:
Universidad Nacional de Colombia/CO