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El SISBEN como mecanismo de focalización individual del régimen subsidiado en salud en Colombia: ventajas y limitaciones

Author

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  • Martha Bottia

    ()

  • Lina Cardona-Sosa

    ()

  • Carlos Medina

    ()

Abstract

ResumenEste documento analiza el desempeño del SISBEN como instrumento de focalización del Régimen Subsidiado en Salud, RS, desde su introduccion en 2003. La evidencia sugiere que la focalización del RS para 1997 y 2003, hecha con base en el Viejo SISBEN, fue aceptable y que, la introducción del Nuevo SISBEN (con información de 2007) como instrumento focalizador corrigió varias de las limitaciones de su antecesor, mejorando la focalización del RS. Adicionalmente, se analiza la presencia de información distorsionada (o respuesta estratégica") a los encuestadores del SISBEN por parte de los hogares, encontrándose que aquellos en condiciones relativamente mejores se benefician mas de dicha estrategia, convirtiendo el instrumento en una herramienta regresiva que lleva a que una quinta parte de los beneficiarios del RS logren ser incluidos en el programa sin ser elegibles.AbstractSISBEN as a grouping mechanism within subsidized health system in ColombiaThis document assesses the performance of SISBEN as instrument for targeting health insurance for the poor, RS, since it was created after Law 100 of 1993. Evidence suggests that targeting of health insurance based on Viejo SISBEN for years 1997 and 2003 was acceptable. In addition, preliminary evidence available for 2007 shows that the introduction of Nuevo SISBEN corrected several of the limitations of Viejo SISBEN, improving the targeting of RS. On the other hand, we analyze the effects of households´ strategic response to SISBEN surveyors and find that the better off households benefit more of it, making of strategic response a regressive tool that allows close to one fifth of RS beneficiaries to manage to get included even though they are not actually eligible."

Suggested Citation

  • Martha Bottia & Lina Cardona-Sosa & Carlos Medina, 2012. "El SISBEN como mecanismo de focalización individual del régimen subsidiado en salud en Colombia: ventajas y limitaciones," REVISTA DE ECONOMÍA DEL ROSARIO, UNIVERSIDAD DEL ROSARIO, December.
  • Handle: RePEc:col:000151:010728
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    File URL: http://revistas.urosario.edu.co/index.php/economia/article/view/2820/2311
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    References listed on IDEAS

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    1. César Martinelli & Susan Wendy Parker, 2009. "Deception and Misreporting in a Social Program," Journal of the European Economic Association, MIT Press, pages 886-908.
    2. Jairo Restrepo & Andrés Zambrano & Mauricio Velez & Manuel Ramirez, 2007. "Health insurance as a strategy for access: streamlined facts of the colombian health care reform," DOCUMENTOS DE TRABAJO 002783, UNIVERSIDAD DEL ROSARIO.
    3. Jack, William, 2000. "Health insurance reform in four Latin American countries : theory and practice," Policy Research Working Paper Series 2492, The World Bank.
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    Citations

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    Cited by:

    1. Andrés Camilo Santos Ospina & Mario García Molina & Liliana Chicaíza Becerra, 2016. "¿Crisis financiera o de gestión? Evolución del sector salud desde la perspectiva de los entes territoriales," REVISTA APUNTES DEL CENES, UNIVERSIDAD PEDAGOGICA Y TECNOLOGICA DE COLOMBIA, vol. 35(61), pages 177-206, January.
    2. Luis Eduardo Arango & Lina Cardona-Sosa, 2015. "Determinants of consumer credit within a debt constrained framework. Evidence from microdata," Borradores de Economia 912, Banco de la Republica de Colombia.
    3. Lina Cardona-Sosa & Luz Adriana Flórez & Leonardo Morales Zurita, 2016. "Intra-household labour supply after an unemployment event: The added worker effect," Borradores de Economia 944, Banco de la Republica de Colombia.
    4. Orazio Attanasio & Arlen Guarín & Carlos Medina & Costas Meghir, 2015. "Long Term Impacts of Vouchers for Vocational Training: Experimental Evidence for Colombia," BORRADORES DE ECONOMIA 013326, BANCO DE LA REPÚBLICA.
    5. repec:hal:wpaper:halshs-01305961 is not listed on IDEAS

    More about this item

    Keywords

    Focalización de subsidios; aseguramiento en salud para los pobres.Proxy means tests; Targeting of subsidies; Health insurance for the poor.;

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H2 - Public Economics - - Taxation, Subsidies, and Revenue

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