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Evolución y carga financiera de las Enfermedades Crónicas no Transmisibles en Colombia: 2010-2021

Author

Listed:
  • Ana María Iregui-Bohórquez
  • Ligia Alba Melo-Becerra
  • Diana Estefanía Pinilla-Alarcón
  • María Teresa Ramírez-Giraldo

Abstract

El objetivo del documento es analizar como la evolución de algunas Enfermedades Crónicas no Transmisibles - ECNT (Cáncer, Diabetes, Enfermedad Cardiovascular, Enfermedad Crónica Respiratoria y Enfermedad Renal Crónica) puede afectar la carga financiera del sector salud en Colombia, debido a que estas enfermedades probablemente aumentarán por el envejecimiento de la población y por factores de riesgo relacionados con hábitos de vida poco saludables. Para el análisis se utilizará información de 2010 a 2021 del Registro Individual de Prestación de Servicios de Salud (RIPS) del Ministerio de Salud para caracterizar las ECNT e información del Manual Tarifario de Salud (Decreto 2423 del 31 de diciembre de 1996) y de la base de suficiencia del Ministerio de Salud para el cálculo de los costos. Los resultados indican que las enfermedades cardiovasculares son las que presentan la mayor tasa de atención por 100.000 habitantes. Además, se encuentra una gran heterogeneidad en las tasas de atención entre regiones y una mayor demanda en la atención por parte de las mujeres. En cuanto a los costos atribuidos a estas enfermedades, se estima que entre 2022 y 2030 éstos aumentarían cerca del 40% en términos reales. **** ABSTRACT: The burden of Non-Communicable Diseases (NCDs) is expected to increase due to the aging of the population and risk factors from unhealthy lifestyle habits. This paper aims to analyze how the evolution of NCDs (e.g., Cancer, Diabetes, Cardiovascular Disease, Chronic Respiratory Disease, and Chronic Kidney Disease) would affect the financial burden of the health sector in Colombia. We characterize NCDs using information from the Individual Registry of Health Services Provision (RIPS) of the Ministry of Health. Also, we calculate the costs of these diseases using data from the Health Tariff Manual (Decree 2423 of December 31, 1996) and the sufficiency base of the Ministry of Health. Results indicate that cardiovascular diseases have the highest medical appointment rate per 100,000 inhabitants. In addition, we find great heterogeneity among regions and that women register the highest appointment rates. As for the costs attributed to these diseases, it is estimated that they will increase about 40% between 2022 and 2030.

Suggested Citation

  • 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.
    • Handle: RePEc:bdr:borrec:1234
    DOI: 10.32468/be.1234
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    References listed on IDEAS

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    1. van den Berg, Gerard J. & Lindeboom, Maarten & Portrait, France, 2011. "Conjugal bereavement effects on health and mortality at advanced ages," Journal of Health Economics, Elsevier, vol. 30(4), pages 774-794, July.
    2. Janke, Katharina & Johnston, David W. & Propper, Carol & Shields, Michael A., 2020. "The causal effect of education on chronic health conditions in the UK," Journal of Health Economics, Elsevier, vol. 70(C).
    3. Sandra Camacho & Norman Maldonado & Juan Bustamante & Blanca Llorente & Enriqueta Cueto & Fabián Cardona & Carlos Arango, 2018. "How much for a broken heart? Costs of cardiovascular disease in Colombia using a person-based approach," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-14, December.
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    Cited by:

    1. 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.

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    More about this item

    Keywords

    Enfermedades crónicas no transmisibles; costo de la enfermedad; carga financiera; Colombia; Noncommunicable diseases; cost-of illness; financial burden;
    All these keywords.

    JEL classification:

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

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