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Bondades y Limitaciones de la Focalización con Proxy Means Tests: El Caso del Sisben en Colombia

  • Martha Bottia


  • Lina Cardona


  • Carlos Medina


Este documento analiza el desempeño del Sisben como instrumento de focalización del Régimen Subsidiado en Salud, RS, desde su introducción luego de la Ley 100 de 1993. La evidencia sugiere que la focalización del Régimen Subsidiado para los años 1997 y 2003, hecha con base en el Viejo Sisben, fue aceptable. Adicionalmente, la evidencia preliminar disponible para 2007, muestra que la introducción del Nuevo Sisben corrigió varias de las limitaciones de su antecesor y arroja mejoras en la focalización del RS. Por otro lado, se analizan los efectos de la respuesta estratégica de los hogares a los encuestadores del Sisben y se encuentra que los hogares en condiciones relativamente mejores se benefician más de la respuesta estratégica, haciendo de esta una herramienta regresiva, que permite que cerca de una quinta parte de los beneficiarios del RS logren ser incluidos cuando en realidad no son elegibles.

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Paper provided by Banco de la Republica de Colombia in its series Borradores de Economia with number 539.

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Handle: RePEc:bdr:borrec:539
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  1. Jack, William, 2000. "Health insurance reform in four Latin American countries : theory and practice," Policy Research Working Paper Series 2492, The World Bank.
  2. Alejandro Gaviria & Carlos Medina & Carolina Mejia, 2006. "Assessing Health Reform in Colombia: From Theory to Practice," JOURNAL OF LACEA ECONOMIA, LACEA - LATIN AMERICAN AND CARIBBEAN ECONOMIC ASSOCIATION.
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