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¿Crisis financiera o de gestión? Evolución del sector salud desde la perspectiva de los entes territoriales

Author

Listed:
  • Andrés Camilo Santos Ospina
  • Mario García Molina
  • Liliana Chicaíza Becerra

Abstract

Tradicionalmente, los problemas asociados al sector salud en los entes territoriales se han enmarcado principalmente en un plano financiero. En esa línea los problemas de eficiencia se han venido tratando con medidas fiscales o financieras. El artículo presenta la situación financiera del sector salud desde los entes territoriales, para ello estudia la normatividad y la evolución de las principales cifras entre 2010 y 2014. El superávit de los últimos anos de los fondos departamentales de salud sugiere que la política pública debería trascender de lo financiero y concentrarse en el fortalecimiento de herramientas institucionales y de gestión que permitan mejorar los resultados en salud.

Suggested Citation

  • 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," Apuntes del Cenes, Universidad Pedagógica y Tecnológica de Colombia, vol. 35(61), pages 177-206, January.
    • Handle: RePEc:col:000152:014425
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    References listed on IDEAS

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    1. Nupia Oscar Andrés & Fabio Sánchez, 2001. "Eficiencia de los hospitales públicos de Bogotá," Revista Desarrollo y Sociedad, Universidad de los Andes,Facultad de Economía, CEDE, September.
    2. Raúl Alberto Chamorro Narváez & Andrés Felipe Urrea Bermúdez, 2016. "Incidencia de las reglas fiscales en la sostenibilidad de la deuda pública territorial en Colombia," Revista Cuadernos de Economia, Universidad Nacional de Colombia, FCE, CID, vol. 35(Especial ), pages 207-251, January.
    3. Antonio José Orozco-Gallo, 2017. "Un análisis del gasto público en salud de los entes territoriales colombianos," Chapters, in: Jaime Bonet & Karelys Guzmán-Finol & Lucas Wilfried Hahn-De-Castro (ed.), La salud en Colombia: una perspectiva regional, chapter 10, pages 315-364, Banco de la Republica de Colombia.
    4. Jairo Núñez Méndez & Juan Gonzalo Zapata & Carlos Castaneda & Sandra Milena Fonseca & Ramírez, Jaime, 2012. "La sostenibilidad financiera del Sistema de Salud Colombiano - Dinámica del gasto y principales retos de cara al futuro," INFORMES DE INVESTIGACIÓN 009899, FEDESARROLLO.
    5. 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.
    6. Londono, Juan-Luis & Frenk, Julio, 1997. "Structured pluralism: towards an innovative model for health system reform in Latin America," Health Policy, Elsevier, vol. 41(1), pages 1-36, July.
    7. Ligia Alba Melo B. & Jorge Enrique Ramos F,, 2010. "Algunos aspectos fiscales y financieros del sistema de salud en Colombia," Borradores de Economia 7620, Banco de la Republica.
    8. Jairo Núnez Méndez & Juan Gonzalo Zapata & Carlos Castaneda & Sandra Milena Fonseca & Ramírez, Jaime, 2012. "La sostenibilidad financiera del Sistema de Salud Colombiano - Dinámica del gasto y principales retos de cara al futuro," Libros Fedesarrollo 9899, Fedesarrollo.
    9. Bertranou, Fabio M., 1999. "Are market-oriented health insurance reforms possible in Latin America?: The cases of Argentina, Chile and Colombia," Health Policy, Elsevier, vol. 47(1), pages 19-36, April.
    10. Mariana De Santis & Ignacio Villagra Torcomian, 2014. "Condiciones económicas y capital social como determinantes de la salud y el bienestar subjetivo. El caso de Argentina durante 1995 y 2006," Revista Cuadernos de Economia, Universidad Nacional de Colombia, FCE, CID, August.
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    More about this item

    Keywords

    salud; entidades territoriales; crisis; gestión.;
    All these keywords.

    JEL classification:

    • H41 - Public Economics - - Publicly Provided Goods - - - Public Goods
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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