La oferta de servicios de prevención de enfermedades cardiovasculares en el sistema de salud en Bogotá

This is an exploratory study about the supply of cardiovascular disease prevention services in Bogotá. Evidence gathered through semi-structured interviews with EPS (Health Maintenance Organizations) leads to suggest a number of working hypotheses. The New Institutional Economics approach provides the tools to understand elements of supply structure and potential sources of market failure. Results show that contract design, appropriate monitoring and coordination among EPS are fundamental challenges to improve service. The health care system has a strong emphasis on high risk strategies, which may require adjustment according to recent public health literature pointing at a more important role of population interventions. Evidence suggests there is more need to understand the magnitude of transaction costs associated with different supply structures. This will inform current reform discussion about vertical integration restrictions, which has disregarded the possible negative consequences on preventive services.

• Autores: Llorente Carreño, Blanca Amalia
• Tipo de recurso: Article of investigation
• Fecha de publicación: 2006
• Institución: Universidad Sergio Arboleda
• Repositorio: Repositorio U. Sergio Arboleda
• Idioma: spa
• OAI Identifier: oai:repository.usergioarboleda.edu.co:11232/323
• Acceso en línea: https://doi.org/10.22518/16578953.744; http://hdl.handle.net/11232/323
• Palabra clave: Enfermedades cardiovasculares - Prevención - Bogotá; Colombia - Estudio de casos; Sistemas nacionales de salud - Colombia; Servicos de salud - Bogotá - Colombia; economía de la salud; prevención de enfermedades crónicas; sistemas de salud
• Rights: openAccess
• License: Atribución-NoComercial-SinDerivadas 2.5 Colombia (CC BY-NC-ND 2.5 CO)