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La doble descentralización en el sector salud: evaluación y alternativas de política pública

Author

Listed:
  • Ramiro Guerrero

    ()

  • Sergio I. Prada

    ()

  • Dov Chernichovsky

Abstract

Este estudio del Centro de Estudios en Protección Social y Economía de la Salud (PROESA) de la Universidad Icesi describe los problemas, las tensiones y los vacíos que esta doble descentralización genera en el Sistema de Seguridad Social en Salud colombiano. Con base en esta evaluación analítica plantea alternativas de conciliación de los dos modelos buscando una adecuada realineación de incentivos entre los actores, definición de roles y asignación de recursos a necesidades.

Suggested Citation

  • Ramiro Guerrero & Sergio I. Prada & Dov Chernichovsky, 2014. "La doble descentralización en el sector salud: evaluación y alternativas de política pública," Cuadernos de Fedesarrollo 012019, Fedesarrollo.
  • Handle: RePEc:col:000439:012019
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    File URL: http://hdl.handle.net/11445/146
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    References listed on IDEAS

    as
    1. Alberto Alesina & Alberto Carrasquilla & Juan José Echavarría Soto, 2000. "Decentralization in Colombia," Working Papers Series. Documentos de Trabajo 002254, Fedesarrollo.
    2. Antonio Giuffrida & Carmen Elisa Flórez & Úrsula Giedion & Enriqueta Cueto & Juan Gonzalo López & Amanda Glassman & Ramón A. Castaño & Diana M. Pinto & Renata Pardo & Teresa M. Tono & William D. Saved, 2009. "From Few to Many: Ten Years of Health Insurance Expansion in Colombia," IDB Publications (Books), Inter-American Development Bank, number 79464 edited by Antonio Giuffrida & Úrsula Giedion & María Luisa Escobar & Amanda Glassman, February.
    3. Londono, Juan-Luis & Frenk, Julio, 1997. "Structured pluralism: towards an innovative model for health system reform in Latin America," Health Policy, Elsevier, vol. 41(1), pages 1-36, July.
    4. Soto, Victoria Eugenia & Farfan, Maria Isabel & Lorant, Vincent, 2012. "Fiscal decentralisation and infant mortality rate: The Colombian case," Social Science & Medicine, Elsevier, vol. 74(9), pages 1426-1434.
    5. William D. Savedoff & Pablo Gottret, 2008. "Governing Mandatory Health Insurance : Learning from Experience," World Bank Publications, The World Bank, number 6526.
    6. repec:idb:idbbks:426 is not listed on IDEAS
    7. Bossert, Thomas, 1998. "Analyzing the decentralization of health systems in developing countries: decision space, innovation and performance," Social Science & Medicine, Elsevier, vol. 47(10), pages 1513-1527, November.
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    Citations

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    Cited by:

    1. 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.
    2. Jaime Bonet-Morón & Karelys Guzmán-Finol, 2015. "Un análisis regional de la salud en Colombia," Documentos de Trabajo Sobre Economía Regional y Urbana 013416, Banco de la República - Economía Regional.

    More about this item

    Keywords

    Descentralización en salud; Sistema de Seguridad Social en Salud; Descentralización; Salud;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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