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...
- 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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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 |
dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
dc.type.driver.spa.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.version.spa.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_6501 |
dc.type.coarversion.spa.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
dc.type.content.spa.fl_str_mv |
Text |
dc.type.redcol.spa.fl_str_mv |
http://purl.org/redcol/resource_type/ART |
format |
http://purl.org/coar/resource_type/c_6501 |
status_str |
publishedVersion |
dc.identifier.uri.none.fl_str_mv |
https://repositorio.unal.edu.co/handle/unal/31803 |
dc.identifier.eprints.spa.fl_str_mv |
http://bdigital.unal.edu.co/21883/ |
url |
https://repositorio.unal.edu.co/handle/unal/31803 http://bdigital.unal.edu.co/21883/ |
dc.language.iso.spa.fl_str_mv |
spa |
language |
spa |
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 |
dc.rights.uri.spa.fl_str_mv |
http://creativecommons.org/licenses/by-nc/4.0/ |
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/ http://purl.org/coar/access_right/c_abf2 |
eu_rights_str_mv |
openAccess |
dc.format.mimetype.spa.fl_str_mv |
application/pdf |
dc.publisher.spa.fl_str_mv |
Revista de Salud Pública |
institution |
Universidad Nacional de Colombia |
bitstream.url.fl_str_mv |
https://repositorio.unal.edu.co/bitstream/unal/31803/1/18413-61672-1-PB.pdf https://repositorio.unal.edu.co/bitstream/unal/31803/2/18413-61672-1-PB.pdf.jpg |
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Repositorio Institucional Universidad Nacional de Colombia |
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repositorio_nal@unal.edu.co |
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1814090156257312768 |
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 |