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Aseguramiento para la población pobre: una herramienta de protección financiera

Listed author(s):
  • Ramón Castaño


  • Andrés Zambrano


La financiación de los sistemas de salud en los países en desarrollo mediante esquemas de aseguramiento, presenta el desafío estructural de la informalidad de los mercados laborales. Ni el esquema de financiamiento comunitario ni el del subsidio a la oferta, parecen ofrecer una garantía de acceso a los grupos más vulnerables. Pero la extensión de esquemas de seguro subsidiado también implica mayores presiones sobre el gasto social. Este artículo es una revisión de la literatura sobre el tema, en el cual se revisan experiencias internacionales de los tipos mencionados, y se analiza su relevancia para Colombia.****************************************************************************************************************Insurance-based schemes for the financing of health care systems in developing countries face the structural challenge of labor-market informality. Neither community financing schemes nor supply-side subsidies seem to guarantee access to health care by the most vulnerable groups. But the expansion of subsidized insurance also implies higher pressures on social expenditure. This article is a review of the literature on this topic. It explores international experiences of the above mentioned types, and analyzes their relevance for Colombia.

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Paper provided by UNIVERSIDAD DEL ROSARIO in its series DOCUMENTOS DE TRABAJO with number 002026.

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Length: 25
Date of creation: 01 Mar 2007
Handle: RePEc:col:000092:002026
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  1. Helen Levy & Thomas DeLeire, 2003. "What Do People Buy When They Don't Buy Health Insurance And What Does that Say about Why They are Uninsured?," NBER Working Papers 9826, National Bureau of Economic Research, Inc.
  2. Jonathan Gruber & James M. Poterba, 1993. "Tax Incentives and the Decision to Purchase Health Insurance: Evidence from the Self-Employed," NBER Working Papers 4435, National Bureau of Economic Research, Inc.
  3. Jowett, M. & Contoyannis, P. & Vinh, N. D., 2003. "The impact of public voluntary health insurance on private health expenditures in Vietnam," Social Science & Medicine, Elsevier, vol. 56(2), pages 333-342, January.
  4. Jonathan Gruber, 2003. "Evaluating Alternative Approaches to Incremental Health-Insurance Expansion," American Economic Review, American Economic Association, vol. 93(2), pages 271-276, May.
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