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Diseno y experiencia de la regulación en salud en Colombia

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  • Jairo Humberto Restrepo Zea
  • Sandra Rodríguez Acosta

Abstract

En Colombia se adoptó un sistema de salud con competencia regulada en el que interactúan varios mercados, entre ellos los de seguros, servicios médicos, hospitalización y medicamentos. El desempeno de estos mercados está influenciado por variables reguladas como la unidad de pago por capitación y el plan obligatorio de salud, al igual que por una serie de normas y requisitos para la participación en ellos. En esta regulación interviene un organismo colegiado, al igual que dos dependencias centrales del ejecutivo. Aunque se destaca un diseno de la regulación en general adecuado, existen vacíos en cuanto a coordinación y vigilancia sobre las normas; además, se encuentran aspectos críticos enmarcados en la falta de planeación estratégica o de largo plazo y algunos elementos inherentes a la estructura y operación del organismo colegiado, lo que pone en duda su autonomía y la búsqueda del bien común en la toma de decisiones.

Suggested Citation

  • Jairo Humberto Restrepo Zea & Sandra Rodríguez Acosta, 2005. "Diseno y experiencia de la regulación en salud en Colombia," Publicaciones 2371, Grupo de Economía de la Salud.
    • Handle: RePEc:col:000110:002371
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    File URL: http://economia.udea.edu.co/ges/documentos/Disenoyexperiencia.pdf
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    References listed on IDEAS

    as
    1. Londoño, Juan Luis & Frenk, Julio, 1997. "Pluralismo estructurado: Hacia un modelo innovador para la reforma de los sistemas de salud en América Latina," IDB Publications (Working Papers) 6127, Inter-American Development Bank.
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    Cited by:

    1. Grupo de Economía de la Salud & Jairo Humberto Restrepo, 2011. "Evolución de la Seguridad Social en Salud en Colombia: avances, limitaciones y retos," Observatorio Seguridad Social 15580, Grupo de Economía de la Salud.

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    More about this item

    Keywords

    regulación;

    JEL classification:

    • D72 - Microeconomics - - Analysis of Collective Decision-Making - - - Political Processes: Rent-seeking, Lobbying, Elections, Legislatures, and Voting Behavior
    • D72 - Microeconomics - - Analysis of Collective Decision-Making - - - Political Processes: Rent-seeking, Lobbying, Elections, Legislatures, and Voting Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • L51 - Industrial Organization - - Regulation and Industrial Policy - - - Economics of Regulation
    • D78 - Microeconomics - - Analysis of Collective Decision-Making - - - Positive Analysis of Policy Formulation and Implementation

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