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

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  • 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.

Suggested Citation

  • Antonio José Orozco-Gallo, 2015. "Un análisis del gasto público en salud de los entes territoriales colombianos," Documentos de trabajo sobre Economía Regional y Urbana 220, Banco de la Republica de Colombia.
    • Handle: RePEc:bdr:region:220
    DOI: 10.32468/dtseru.220
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    1. Youngju Kang & Wonhyuk Cho & Kwangho Jung, 2012. "Does Decentralization Matter in Health Outcomes? Evidence from 22 OECD Unbalanced Panel Data for 1995–2005," International Review of Public Administration, Taylor & Francis Journals, vol. 17(1), pages 1-32, April.
    2. Karina Acosta-Ordoñez & Julio E. Romero-Prieto, 2017. "Estimación indirecta de la tasa de mortalidad infantil en Colombia, 1964-2008," Chapters, in: Jaime Bonet & Karelys Guzmán-Finol & Lucas Wilfried Hahn-De-Castro (ed.), La salud en Colombia: una perspectiva regional, chapter 3, pages 39-77, Banco de la Republica de Colombia.
    3. Ramiro Guerrero & Sergio I. Prada & Dov Chernichovsky, 2014. "La doble descentralización en el sector salud: evaluación y alternativas de política pública," Cuadernos de Fedesarrollo 12019, Fedesarrollo.
    4. Karina Acosta-Ordoñez, 2017. "La salud en las regiones colombianas: inequidad y morbilidad," Chapters, in: Jaime Bonet & Karelys Guzmán-Finol & Lucas Wilfried Hahn-De-Castro (ed.), La salud en Colombia: una perspectiva regional, chapter 2, pages 1-37, Banco de la Republica de Colombia.
    5. Ignacio Lozano & Jorge Ramos & Hernán Rincón, 2007. "Implicaciones Fiscales y Sectoriales de la Reforma a las transferencias Territoriales en Colombia," Borradores de Economia 2816, Banco de la Republica.
    6. Joan Costa-Font & Francesco Moscone, 2009. "The impact of decentralization and inter-territorial interactions on Spanish health expenditure," Studies in Empirical Economics, in: Giuseppe Arbia & Badi H. Baltagi (ed.), Spatial Econometrics, pages 167-184, Springer.
    7. Mauricio Reina & Denisse Yanovich, 1998. "Proyecto Agenda Colombia Vol. I: Salud, educación y desempleo diagnóstico y recomendaciones," Cuadernos de Fedesarrollo 12737, Fedesarrollo.
    8. Morales Sánchez, Luis Gonzalo, 1997. "El financiamiento del sistema de seguridad social en salud en Colombia," Financiamiento para el Desarrollo 5263, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    9. 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.
    10. Jorge E. Espitia, 2004. "La descentralización fiscal y el crecimiento económico: evidencia para Colombia," Revista ESPE - Ensayos Sobre Política Económica, Banco de la República, vol. 22(46-1), pages 186-248, December.
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    1. 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.

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    More about this item

    Keywords

    gasto público; sistema de salud; cobertura; salud pública.Note:;
    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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