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Ajustes a la arquitectura del sistema general de salud de Colombia: una propuesta

Author

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  • Sergio I. Prada
  • Dov Chernichovsky

Abstract

El modelo de competencia regulada establecido por la Ley 100 de 1993 para el funcionamiento del sistema de salud en Colombia presenta fallas de mercado y fallas de gobierno. A la luz del modelo conceptual del «Paradigma Emergente», este artículo presenta una propuesta de adaptación de la arquitectura del sistema de salud de Colombia a la arquitectura de sistemas internacionales considerados exitosos, identificando instituciones, roles y competencias. Dado lo anterior, las recomendaciones más importantes son: impulsar el sistema dual de competencia regulada en zonas densamente pobladas y monopolios en zonas sin densidad geográfica y regionalizar el sistema. También se sugiere la adopción de instrumentos de regulación de la oferta como el certificado de necesidad.

Suggested Citation

  • Sergio I. Prada & Dov Chernichovsky, 2015. "Ajustes a la arquitectura del sistema general de salud de Colombia: una propuesta," Estudios Gerenciales, Universidad Icesi, April.
  • Handle: RePEc:col:000129:012771
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    File URL: http://www.icesi.edu.co/revistas/index.php/estudios_gerenciales/article/view/1995
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    More about this item

    Keywords

    Colombia; Sistema de salud; Reforma; Arquitectura; Estructura;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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