Sistema de salud en Colombia: 20 años de logros y problemas

作者: Carlos Alberto Agudelo Calderón , Jaime Cardona Botero , Jesús Ortega Bolaños , Rocio Robledo Martínez

DOI: 10.1590/S1413-81232011000600020

关键词: SubsidyMEDLINEOrder (exchange)Quality (business)Equity (economics)Economic growthPublic healthInequalityPopulationMedicine

摘要: An overview of some the key processes and results Colombia's National Health System is presented. A systematic review literature evaluating quality evidence published in indexed journals not was made. system financial resources have seen a sustained increase while spending on health has remained at around 8% GNP. Coverage, measured by affiliation to contributory subsidized regimes, order 92% total population. The Mandatory Plan, defining benefits which one access, been broadly maintained but hampered mechanisms for making legal complaints, thereby leading deficits. contributed towards improving poorest sector's income, inequalities persist due lack universal coverage, differences plans system's expenditure according population's income. Advances made positive universality achieved this stagnated matters regarding access services equality.

参考文章(13)
Patricia Martínez, Carlos A. Agudelo, Equidad en la Política de Reforma del Sistema de Salud Revista de Salud Pública. ,vol. 3, pp. 13- 39 ,(2001)
Celia Almeida, Claudia Travassos, Iván Jaramillo, Edgar Garzón, Janeth Angarita, Rafael Martínez, Fernando Basto, Ramón A. Castaño, Jairo Reynales, Juan Eduardo Céspedes, Sonia Olaya, Camilo Uribe, Efectos de la reforma de la seguridad social en salud en Colombia sobre la equidad en el acceso y la utilización de servicios de salud Revista de Salud Pública. ,vol. 2, pp. 145- 164 ,(2000)
Milton I. Roemer, National Health Systems as Market Interventions Journal of Public Health Policy. ,vol. 10, pp. 62- 77 ,(1989) , 10.2307/3342944
Antonio J. Trujillo, Jorge E. Portillo, John A. Vernon, The impact of subsidized health insurance for the poor: evaluating the Colombian experience using propensity score matching. International Journal of Health Care Finance & Economics. ,vol. 5, pp. 211- 239 ,(2005) , 10.1007/S10754-005-1792-5
David D. Rutstein, William Berenberg, Thomas C. Chalmers, Charles G. Child, Alfred P. Fishman, Edward B. Perrin, Jacob J. Feldman, Paul E. Leaverton, J. Michael Lane, David J. Sencer, Carleton C. Evans, Measuring the quality of medical care. A clinical method. The New England Journal of Medicine. ,vol. 294, pp. 582- 588 ,(1976) , 10.1056/NEJM197603112941104
Lucie Rychetnik, Michael Frommer, Penelope Hawe, Alan Shiell, Criteria for evaluating evidence on public health interventions Journal of Epidemiology & Community Health. ,vol. 56, pp. 119- 127 ,(2002) , 10.1136/JECH.56.2.119
Gilberto Barón-Leguizamón, Gasto Nacional en Salud de Colombia 1993-2003: Composición y Tendencias Revista de salud publica (Bogota, Colombia). ,vol. 9, pp. 167- 179 ,(2007) , 10.1590/S0124-00642007000200002
Andrés Zambrano, Manuel Ramírez, Francisco José Yepes, José Alberto Guerra, David Rivera, Qué muestran las Encuestas de Calidad de Vida sobre el sistema de salud en Colombia Cadernos De Saude Publica. ,vol. 24, pp. 122- 130 ,(2008) , 10.1590/S0102-311X2008000100012
Nuria Homedes, Antonio Ugalde, Las reformas de salud neoliberales en América Latina: una visión crítica a través de dos estudios de caso Revista Panamericana De Salud Publica-pan American Journal of Public Health. ,vol. 17, pp. 210- 220 ,(2005) , 10.1590/S1020-49892005000300012