Ajustes a la arquitectura del sistema general de salud de Colombia: Una propuesta

Dov Chernichovsky; Sergio I. Prada

doi:10.1016/j.estger.2014.10.004

Ajustes a la arquitectura del sistema general de salud de Colombia: Una propuesta

Translated title of the contribution: Fixes to the architecture of the healthcare delivery system in Colombia: A proposal

Dov Chernichovsky, Sergio I. Prada

Department of Health Policy and Management

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

There are both market and government failures in the Colombian managed competition model of delivering healthcare established by Law 100 of 1993. Following the “Emerging Paradigm” this paper suggests how to adapt the architecture of the current health sector system to those already in place and considered successful in other countries, including identifying institutions, roles and responsibilities. The most important recommendations are: promote a dual system in which managed competition is allowed in densely populated areas and monopolies in less dense geographic areas, and promote a regionalization of the system. In addition, the paper suggests adopting supply regulatory mechanisms such as a certificate of need.

Translated title of the contribution	Fixes to the architecture of the healthcare delivery system in Colombia: A proposal
Original language	Spanish
Pages (from-to)	163-170
Number of pages	8
Journal	Estudios Gerenciales
Volume	31
Issue number	135
DOIs	https://doi.org/10.1016/j.estger.2014.10.004
State	Published - 1 Jan 2015

Keywords

Architecture
Colombia
Health systems
Reform
Structure

ASJC Scopus subject areas

Business and International Management
Finance
Economics and Econometrics
Strategy and Management
Marketing
Management of Technology and Innovation

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.estger.2014.10.004

Cite this

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abstract = "There are both market and government failures in the Colombian managed competition model of delivering healthcare established by Law 100 of 1993. Following the “Emerging Paradigm” this paper suggests how to adapt the architecture of the current health sector system to those already in place and considered successful in other countries, including identifying institutions, roles and responsibilities. The most important recommendations are: promote a dual system in which managed competition is allowed in densely populated areas and monopolies in less dense geographic areas, and promote a regionalization of the system. In addition, the paper suggests adopting supply regulatory mechanisms such as a certificate of need.",

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N2 - There are both market and government failures in the Colombian managed competition model of delivering healthcare established by Law 100 of 1993. Following the “Emerging Paradigm” this paper suggests how to adapt the architecture of the current health sector system to those already in place and considered successful in other countries, including identifying institutions, roles and responsibilities. The most important recommendations are: promote a dual system in which managed competition is allowed in densely populated areas and monopolies in less dense geographic areas, and promote a regionalization of the system. In addition, the paper suggests adopting supply regulatory mechanisms such as a certificate of need.

AB - There are both market and government failures in the Colombian managed competition model of delivering healthcare established by Law 100 of 1993. Following the “Emerging Paradigm” this paper suggests how to adapt the architecture of the current health sector system to those already in place and considered successful in other countries, including identifying institutions, roles and responsibilities. The most important recommendations are: promote a dual system in which managed competition is allowed in densely populated areas and monopolies in less dense geographic areas, and promote a regionalization of the system. In addition, the paper suggests adopting supply regulatory mechanisms such as a certificate of need.

KW - Architecture

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KW - Health systems

KW - Reform

KW - Structure

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Ajustes a la arquitectura del sistema general de salud de Colombia: Una propuesta

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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