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Un análisis del gasto público en salud de los entes territoriales colombianos

In: La salud en Colombia: una perspectiva regional

Author

Listed:
  • Antonio José Orozco-Gallo

Abstract

Este documento analiza el gasto público en salud de los entes territoriales colombianos entre 2007 y 2013. Para ello se utilizó la información de ejecuciones presupuestales de los departamentos y municipios. Los resultados indican que los municipios con menor densidad poblacional y mayor siniestralidad registraron el gasto per cápita más alto. Además, no se encontraron indicios de desigualdad en su distribución entre las regiones. El gasto tuvo como principal destino financiar la afiliación en el régimen subsidiado, donde la mayor cobertura, especialmente de la población más pobre, y la igualación de los planes de beneficios significaron un importante logro en materia de equidad. En cambio, se enfocó en menor medida en apoyar las acciones de promoción y prevención y la inversión en la red pública hospitalaria, con escasos resultados dentro de sus propósitos. Finalmente, los recursos del Fosyga y del SGP fueron esenciales en la financiación del gasto. ****** This paper analyses the public expenditure on health from local and regional governments in Colombia between 2007 and 2013. For this purpose, we use data from budget executions of departments and municipalities. Our findings indicate that municipalities with the highest per capita expenditure are those with less population density and more accident rate. Moreover, there is no evidence of unequal distribution of the spending among the regions. The expenditure was mainly focused on health coverage of the poor and makes equal the benefit health plan for all citizens, which represents a major achievement in equity. In contrast, it had a small share on supporting promotion and prevention, and investment in public hospitals, with ineffective results. Finally, Fosyga and GSP resources were essential in financing the spending.

Suggested Citation

  • 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.
  • Handle: RePEc:bdr:bdrcap:2017a-12-315-364
    DOI: 10.32468/Ebook.664-357-3
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    Keywords

    Gasto público; Sistema de salud; Cobertura; Salud pública; Public expenditure; Health system; Health care coverage; Public health;
    All these keywords.

    JEL classification:

    • 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
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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