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Financiamiento del Sistema de Salud en Colombia: Fuentes y usos

Author

Listed:
  • Clark Granger
  • Jorge Enrique Ramos-Forero
  • Ligia Alba Melo-Becerra
  • Giselle Tatiana Silva-Samudio

Abstract

Este estudio evalúa los mecanismos de financiación del sistema de salud, diferenciado los recursos de origen fiscal, parafiscal y otras fuentes utilizadas para atender prioritariamente los costos de los regímenes contributivo y subsidiado de salud. Durante los últimos años, el sector ha enfrentado problemas financieros y administrativos que han aumentado la necesidad de recursos fiscales para su financiación y que pueden afectar su sostenibilidad. En cuanto a la composición del flujo de egresos cabe destacar el costo del aseguramiento del régimen contributivo y subsidiado, que en promedio explica el 80% del total de los gastos del sistema durante el periodo 2011-2022. Además, se explican las presiones fiscales derivadas del gasto No UPC, la pandemia por Covid19, la migración venezolana y los gastos derivados de la Ley de Punto Final. **** ABSTRACT: This study evaluates the financing mechanisms of the healthcare system, differentiating faced financial and administrative problems that have increased the need for fiscal resources for its financing and that could affect its sustainability. Regarding the composition of the outflow, it is worth noting the cost of ensuring the contributory and subsidized regime, which on average explains 80% of the total system expenses during the period 2011-2022. Additionally, pressures derived from non-UPC spending, the Covid-19 pandemic, Venezuelan migration, and expenses derived from the Point Final Law are also explained.

Suggested Citation

  • Clark Granger & Jorge Enrique Ramos-Forero & Ligia Alba Melo-Becerra & Giselle Tatiana Silva-Samudio, 2023. "Financiamiento del Sistema de Salud en Colombia: Fuentes y usos," Borradores de Economia 1233, Banco de la Republica de Colombia.
    • Handle: RePEc:bdr:borrec:1233
    DOI: 10.32468/be.1233
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    References listed on IDEAS

    as
    1. Ana María Iregui-Bohórquez & Ligia Alba Melo-Becerra & Diana Estefanía Pinilla-Alarcón & María Teresa Ramírez-Giraldo, 2023. "Evolución y carga financiera de las Enfermedades Crónicas no Transmisibles en Colombia: 2010-2021," Borradores de Economia 1234, Banco de la Republica de Colombia.
    2. 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.
    3. Luis E. Arango & Jesús Alonso Botero-García & Daniela Gallo & Ligia Alba Melo-Becerra, 2023. "Efectos fiscales y macroeconómicos de diferentes riesgos del sistema de salud," Borradores de Economia 1258, Banco de la Republica de Colombia.
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    More about this item

    Keywords

    Financiamiento salud; gasto público; régimen contributivo; régimen subsidiado; Covid-19; Colombia; Health financing; public spending; contributory scheme; subsidised scheme;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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