La legislación que reglamenta el sistema de salud colombiano: formulación, aplicación e implicaciones sobre sus actores

ABSTRACT: In the Colombian health system, the legislation complies with the role of determining its structure and function in order to guarantee the rights to health and social security included in the 1991 Constitution. Objective: to present the issues in the formulation and implementation of legislation in the current system and the implications of their various agents. Methodology: a study in six Colombian cities using qualitative methodology based on the theory. 174 interviews were conducted with doctors, administrators, nurses and users. Results: the findings reveal problems in the formulation and implementation, including: over-regulation and the difficulties of his apprehension, the influence of special interests and not matching the standards with the needs of the population health. Discussion: these problems cause barriers to accessing health services and failures in the quality of patient care, ethical dilemmas and dissatisfaction with health professionals, as well as instability in the health sector institutions. This emerges as a constraint to guarantee the right to health and requires a rethinking of the law in favor of the constitutional principles and the collective welfare.

• Autores: Higuita Higuita, Yomaira; Sarasti Vanegas, Diego Arturo; Molina Marín, Gloria Del Socorro; Muñoz Echeverri, Iván Felipe; Londoño, Beatriz Elena
• Tipo de recurso: Article of investigation
• Fecha de publicación: 2009
• Institución: Universidad de Antioquia
• Repositorio: Repositorio UdeA
• Idioma: spa
• OAI Identifier: oai:bibliotecadigital.udea.edu.co:10495/8168
• Acceso en línea: http://hdl.handle.net/10495/8168
• Palabra clave: Administración de servicios de salud; Derecho a la salud; Salud - Legislación; Sistemas de salud; Reforma a la seguridad social; Salud pública; Salud; Health services administration; Public health; Health
• Rights: openAccess
• License: Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)