Use of health services and epidemiological profiles as parameters for adjusting the compulsory health plan in colombia

Objective: To evaluate the use of health services and the epidemiological profiles as parameters for adjusting the contents of the Compulsory Health Plan-POS. Methods: An evaluative study of the contents of the Compulsory Health Plan-POS was performed regarding the use of health services and the reg...

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Autores:
Gómez, Luis Alejandro
Tovar, Hilda Constanza
Agudelo Calderón, Carlos Alberto
Tipo de recurso:
Article of journal
Fecha de publicación:
2003
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/31803
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/31803
http://bdigital.unal.edu.co/21883/
Palabra clave:
Sistema de salud
servicios de salud
epidemiología
seguro de salud
Healthcare system
health service
epidemiology
insurance
Rights
openAccess
License
Atribución-NoComercial 4.0 Internacional
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oai_identifier_str oai:repositorio.unal.edu.co:unal/31803
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network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Use of health services and epidemiological profiles as parameters for adjusting the compulsory health plan in colombia
title Use of health services and epidemiological profiles as parameters for adjusting the compulsory health plan in colombia
spellingShingle Use of health services and epidemiological profiles as parameters for adjusting the compulsory health plan in colombia
Sistema de salud
servicios de salud
epidemiología
seguro de salud
Healthcare system
health service
epidemiology
insurance
title_short Use of health services and epidemiological profiles as parameters for adjusting the compulsory health plan in colombia
title_full Use of health services and epidemiological profiles as parameters for adjusting the compulsory health plan in colombia
title_fullStr Use of health services and epidemiological profiles as parameters for adjusting the compulsory health plan in colombia
title_full_unstemmed Use of health services and epidemiological profiles as parameters for adjusting the compulsory health plan in colombia
title_sort Use of health services and epidemiological profiles as parameters for adjusting the compulsory health plan in colombia
dc.creator.fl_str_mv Gómez, Luis Alejandro
Tovar, Hilda Constanza
Agudelo Calderón, Carlos Alberto
dc.contributor.author.spa.fl_str_mv Gómez, Luis Alejandro
Tovar, Hilda Constanza
Agudelo Calderón, Carlos Alberto
dc.subject.proposal.spa.fl_str_mv Sistema de salud
servicios de salud
epidemiología
seguro de salud
Healthcare system
health service
epidemiology
insurance
topic Sistema de salud
servicios de salud
epidemiología
seguro de salud
Healthcare system
health service
epidemiology
insurance
description Objective: To evaluate the use of health services and the epidemiological profiles as parameters for adjusting the contents of the Compulsory Health Plan-POS. Methods: An evaluative study of the contents of the Compulsory Health Plan-POS was performed regarding the use of health services and the regional epidemiological profiles, within the framework of the current problems of the General System of Health Social Security. The 1994 Survey on Equity of the Fiscal Expenditure, the 1997 National Survey on Quality of Life, and the 2000 National Household Survey estimated the use of services. The epidemiological profiles were obtained from the 2000 mortality data of the National Administrative Statistics Department-DANE. Results: Affiliation to the health system has only reached 56 % of the total population. However, health expenditure has increased constantly between 1993 and 2000, from 7,2 % to nearly 10 % of the GNP. Greater use of health services was found among the elderly population, and people with greater levels of spending. Women, articularly those residing in urban areas and on the higher quintile of spending, are the people who most use the health services. The people who use health services the least are men in urban areas in the lower quintile of spending. Conclusions: Organizing the Compulsory Health Plan with a modular structure makes it possible to adjust it according to the parameters of the use of health services and epidemiological profiles, in such a way that it contributes to the opportunity and pertinence of services, as well as to increase the affiliation to the system.
publishDate 2003
dc.date.issued.spa.fl_str_mv 2003
dc.date.accessioned.spa.fl_str_mv 2019-06-26T14:48:04Z
dc.date.available.spa.fl_str_mv 2019-06-26T14:48:04Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.language.iso.spa.fl_str_mv spa
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dc.relation.spa.fl_str_mv http://revistas.unal.edu.co/index.php/revsaludpublica/article/view/18413
dc.relation.ispartof.spa.fl_str_mv Universidad Nacional de Colombia Revistas electrónicas UN Revista de Salud Pública
Revista de Salud Pública
dc.relation.ispartofseries.none.fl_str_mv Journal of Public Health; Vol. 5, núm. 3 (2003); 246-262 Revista de Salud Pública; Vol. 5, núm. 3 (2003); 246-262 0124-0064
dc.relation.references.spa.fl_str_mv Gómez, Luis Alejandro and Tovar, Hilda Constanza and Agudelo Calderón, Carlos Alberto (2003) Use of health services and epidemiological profiles as parameters for adjusting the compulsory health plan in colombia. Journal of Public Health; Vol. 5, núm. 3 (2003); 246-262 Revista de Salud Pública; Vol. 5, núm. 3 (2003); 246-262 0124-0064 .
dc.rights.spa.fl_str_mv Derechos reservados - Universidad Nacional de Colombia
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.license.spa.fl_str_mv Atribución-NoComercial 4.0 Internacional
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dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
Derechos reservados - Universidad Nacional de Colombia
http://creativecommons.org/licenses/by-nc/4.0/
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eu_rights_str_mv openAccess
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dc.publisher.spa.fl_str_mv Revista de Salud Pública
institution Universidad Nacional de Colombia
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spelling Atribución-NoComercial 4.0 InternacionalDerechos reservados - Universidad Nacional de Colombiahttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Gómez, Luis Alejandro32092c2e-a281-4856-8980-7ef58111d085300Tovar, Hilda Constanzad5d2ca2f-056b-4a34-9e5b-42f79ee53add300Agudelo Calderón, Carlos Alberto8d3af0f2-6070-4a76-bb54-5ea86726d8c43002019-06-26T14:48:04Z2019-06-26T14:48:04Z2003https://repositorio.unal.edu.co/handle/unal/31803http://bdigital.unal.edu.co/21883/Objective: To evaluate the use of health services and the epidemiological profiles as parameters for adjusting the contents of the Compulsory Health Plan-POS. Methods: An evaluative study of the contents of the Compulsory Health Plan-POS was performed regarding the use of health services and the regional epidemiological profiles, within the framework of the current problems of the General System of Health Social Security. The 1994 Survey on Equity of the Fiscal Expenditure, the 1997 National Survey on Quality of Life, and the 2000 National Household Survey estimated the use of services. The epidemiological profiles were obtained from the 2000 mortality data of the National Administrative Statistics Department-DANE. Results: Affiliation to the health system has only reached 56 % of the total population. However, health expenditure has increased constantly between 1993 and 2000, from 7,2 % to nearly 10 % of the GNP. Greater use of health services was found among the elderly population, and people with greater levels of spending. Women, articularly those residing in urban areas and on the higher quintile of spending, are the people who most use the health services. The people who use health services the least are men in urban areas in the lower quintile of spending. Conclusions: Organizing the Compulsory Health Plan with a modular structure makes it possible to adjust it according to the parameters of the use of health services and epidemiological profiles, in such a way that it contributes to the opportunity and pertinence of services, as well as to increase the affiliation to the system.Objetivos: Evaluar la utilización de los servicios de salud y los perfiles epidemiológicos, como parámetros de ajuste de los contenidos del Plan Obligatorio de Salud-POS. Metodología: Se realizó un estudio evaluativo de los contenidos del POS con respecto a la utilización de servicios y los perfiles epidemiológicos regionales, en el marco de la problemática actual del Sistema General de Seguridad Social en Salud. La utilización de los servicios se estimó por medio de la Encuesta sobre Equidad en la Gestión Fiscal de 1994, la Encuesta Nacional de Calidad de Vida de 1997 y la Encuesta Nacional de Hogares de 2000. Los perfiles epidemiológicos se obtuvieron de los datos de mortalidad del DANE del año 2000. Resultados: La afiliación al sistema de salud ha logrado llegar sólo a un 56% del total de la población. Sin embargo, el aumento del gasto en salud ha sido constante entre 1993 y el año 2000, pasando de un 7,2 % del PIB a cerca de un 10 %. Al tiempo se observan diferencias en la mortalidad por regiones. Se encontró mayor utilización de servicios a mayor edad y a mayor nivel de gasto de las personas. Las mujeres son las que más utilizan servicios de salud, especialmente las que residen en zonas urbanas y en el quintil de gasto más alto. La menor utilización es la de los hombres residentes en la zona rural, del primer quintil de gasto. Conclusiones: Organizando el POS con una estructura modular es posible ajustarlo por medio de los parámetros de utilización de los servicios y los perfiles epidemiológicos, de tal manera que contribuya a mejorar los problemas de oportunidad y pertinencia de los servicios, así como acrecentar la afiliación al sistema.application/pdfspaRevista de Salud Públicahttp://revistas.unal.edu.co/index.php/revsaludpublica/article/view/18413Universidad Nacional de Colombia Revistas electrónicas UN Revista de Salud PúblicaRevista de Salud PúblicaJournal of Public Health; Vol. 5, núm. 3 (2003); 246-262 Revista de Salud Pública; Vol. 5, núm. 3 (2003); 246-262 0124-0064Gómez, Luis Alejandro and Tovar, Hilda Constanza and Agudelo Calderón, Carlos Alberto (2003) Use of health services and epidemiological profiles as parameters for adjusting the compulsory health plan in colombia. Journal of Public Health; Vol. 5, núm. 3 (2003); 246-262 Revista de Salud Pública; Vol. 5, núm. 3 (2003); 246-262 0124-0064 .Use of health services and epidemiological profiles as parameters for adjusting the compulsory health plan in colombiaArtículo de revistainfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85Texthttp://purl.org/redcol/resource_type/ARTSistema de saludservicios de saludepidemiologíaseguro de saludHealthcare systemhealth serviceepidemiologyinsuranceORIGINAL18413-61672-1-PB.pdfapplication/pdf221199https://repositorio.unal.edu.co/bitstream/unal/31803/1/18413-61672-1-PB.pdfa479628708fcee0bc5e6a575981bdf51MD51THUMBNAIL18413-61672-1-PB.pdf.jpg18413-61672-1-PB.pdf.jpgGenerated Thumbnailimage/jpeg7161https://repositorio.unal.edu.co/bitstream/unal/31803/2/18413-61672-1-PB.pdf.jpgd600f9ada0883744dd3dbff9721b691aMD52unal/31803oai:repositorio.unal.edu.co:unal/318032022-12-03 23:03:07.556Repositorio Institucional Universidad Nacional de Colombiarepositorio_nal@unal.edu.co