Costos de los servicios no incluidos en el plan de beneficios en salud en la sostenibilidad financiera del sistema general de seguridad social en salud en Colombia, 2003-2019

Objectives. To determine whether there is a relationship between variations in costs generated by non-PBS services and the financial sustainability of the Colombian SGSSS. Population. Records and reports of the financial income and expenditures of the SGSSS from 2003 to 2019, taken and validated from the several official sources. Main results measures. Relationship between the behavior of non-PBS spending and general spending, in absolute, relative and annual variation terms. Results. No relationship was found between the behavior of general and non-PBS expenditures over time, either in the aggregate or for each affiliation scheme. The percentage of non-PBS spending in relation to income was higher in the Tax System, in all the years studied. A positive relationship was found between the behavior of non-PBS spending and general spending from one year to the next, in six of the seventeen years studied, as well as in the comparison of each year with the general average, but only one of them was consistent (2018). The univariate analysis of this last relationship showed that it was not significant in the years studied. Conclusion. We did not find significant evidence that the behavior of non-PBS spending, during the 17 years studied, had a direct relationship with that of general health spending in the SGSSS. The results were consistent in each of the approaches used and correspond to the results published by some authors in the past.

• Autores: Sanjuanelo Ospino, Kerlin del Carmen; Prada Castellanos, Mónica Patricia
• Fecha de publicación: 2022
• Institución: Corporación Universidad de la Costa
• Repositorio: REDICUC - Repositorio CUC
• Idioma: spa
• OAI Identifier: oai:repositorio.cuc.edu.co:11323/9240
• Acceso en línea: https://hdl.handle.net/11323/9240; https://repositorio.cuc.edu.co/
• Palabra clave: Financial sustainability; Financial equilibrium; Health system; General social; Security health system; Non-PBS expenditure; Sostenibilidad financiera; Equilibrio financiero; Sistema de salud; Sistema general de seguridad social en salud; Gastos no PBS4
• Rights: openAccess
• License: Atribución-NoComercial-CompartirIgual 4.0 Internacional (CC BY-NC-SA 4.0)