[The latest reform of the Colombian healthcare-related social security system]. / La última reforma del sistema general de seguridad social en salud Colombiano.
Rev Salud Publica (Bogota)
; 14(5): 865-77, 2012 Oct.
Article
em Es
| MEDLINE
| ID: mdl-24652365
OBJECTIVE: This essay was aimed at exploring and analysing the challenges and opportunities arising from reforming Colombian law 1438/2011 dealing with the healthcare-related social security system. METHODS: Some outstanding issues from the reform introduced by Law 100/1993 were reviewed and then compared to the 2011 regulations; they were also contrasted (in market model conditions) with some public health strategies which were inoperative during the reform stage. RESULTS: This second reform phase was discussed in relation to the scope of the right to health, access and overall equity. Progress regarding important issues such as benefit package equalisation, primary healthcare attention, integrated healthcare service networks was recognised; however, its failure to change core aspects of the system was discussed, i.e. financial sustainability and the economic rationale imposed on the aforementioned strategies which curtailed its responsiveness to keep the model introduced by law 100/1993 intact. CONCLUSION: The crucial points necessary for major structural reform of the Colombian healthcare system based on the right to health and equity were then outlined.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Previdência Social
/
Reforma dos Serviços de Saúde
Tipo de estudo:
Evaluation_studies
/
Prognostic_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Limite:
Humans
País/Região como assunto:
America do sul
/
Colombia
Idioma:
Es
Revista:
Rev Salud Publica (Bogota)
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Colômbia
País de publicação:
Colômbia