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PROESA

URI permanente para esta comunidadhttp://hdl.handle.net/10906/81309

Centro de Estudios en Protección Social y Economia de la Salud - PROESA

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Examinando PROESA por Autor "Castro, Héctor"

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    Ítem
    Case Study: HIV/AIDS in the Context of the Colombian Health Care Reform
    (Centro de Estudios en Protección Social y Economia de la Salud - PROESA, 2012-07-01) Castro, Héctor
    Starting in the early nineties, Colombia, the third most populous country in Latin America, implemented a profound reform of its health system. A universal social health insurance system was created. The new system collects funds centrally, and allows for multiple competing plans that receive risk adjusted capitated payments and are responsible for delivering a basic and legally mandated basket of services. This case reviews how the HIV/AIDS epidemic has been managed in the context of this reform. The inclusion of Antiretroviral (ARV) in the mandated basic basket proved a powerful mechanism for ensuring access to care. Results are less clear, and to some extent disappointing, for prevention activities.
  • Miniatura
    Ítem
    Modelos de contratación, evidencia científica y posibles opciones para Colombia
    (Centro de Estudios en Protección Social y Economia de la Salud - PROESA, 2013-01-01) Castro, Héctor
    This paper summarizes the international evidence on payment modalities for health services and taking into account the specificities of the Colombian context and the regulatory framework of the country (Social Security System in Health-SGSSS) issues some recommendations that can be implemented in the short and medium term by Entidades Promotoras de Salud (Health Promotion Entities). It is found that in Colombia the most popular payment mechanisms are those that have been identified in the literature as worst regarding economic incentives. Given the SGSSS there is ample room to experiment and implement with payment modalities that combine different single mechanisms. This could minimize the risks of each single system and potentiate its advantages.