• español
    • English
    • português
  • English 
    • español
    • English
    • português
  • Login
View Item 
  •   Home
  • Productos de Investigación - Creación
  • Artículos de Investigación Indexados
  • Año 2007
  • View Item
  •   Home
  • Productos de Investigación - Creación
  • Artículos de Investigación Indexados
  • Año 2007
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.
JavaScript esta deshabilitado en su navegador. Algunas características de este sitio no podrán funcionar o visualizarse correctamente sin JavaScript.
RecursosRecursos de apoyo¿Cómo publicar?

Browse

All of ExpeditioCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects

My Account

LoginRegister

Statistics

View Usage StatisticsView Google Analytics Statistics
Estadísticas GTMVer Estadísticas GTM

Progressive segmented health insurance: Colombian health reform and access to health services

Thumbnail

Citación

       
Export: <XML METS>
View/Open
Ver documento (215.3Kb)
Fin embargo: 
Date
2007
Author
Ruiz, Fernando
Amaya, Liliana
Venegas, Stella
Metadata
Show full item record
Documentos PDF
Abstract
Equal access for poor populations to health services is a comprehensive objective for any health reform. The Colombian health reform addressed this issue through a segmented progressive social health insurance approach. The strategy was to assure universal coverage expanding the population covered through payroll linked insurance, and implementing a subsidized insurance program for the poorest populations, those not affiliated through formal employment. A prospective study was performed to follow-up health service utilization and out-of-pocket expenses using a cohort design. It was representative of four Colombian cities (Cendex Health Services Use and Expenditure Study, 2001). A four part econometric model was applied. The model related medical service utilization and medication with different socioeconomic, geographic, and risk associated variables. Results showed that subsidized health insurance improves health service utilization and reduces the financial burden for the poorest, as compared to those non-insured. Other social health insurance schemes preserved high utilization with variable out-of-pocket expenditures. Family and age conditions have significant effect on medical service utilization. Geographic variables play a significant role in hospital inpatient service utilization. Both, geographic and income variables also have significant impact on out-of-pocket expenses. Projected utilization rates and a simulation favor a dual policy for two-stage income segmented insurance to progress towards the universal insurance goal. Copyright # 2006 John Wiley & Sons, Ltd.
URI
http://hdl.handle.net/20.500.12010/13072
Link to resource
https://www.researchgate.net/publication/6859784_Progressive_Segmented_Health_Insurance_Colombian_Health_Reform_and_Access_to_Health_Services
Collections
  • Año 2007 [39]
Estadísticas Google Analytics
Comments

Respuesta Comentario Repositorio Expeditio

Gracias por tomarse el tiempo para darnos su opinión.

Related items

Showing items related by title, author, creator and subject.

  • Thumbnail

    An analysis on self-management and treatment-related functionality and characteristics of highly rated anxiety apps 

    Drissi, Nidal; Ouhbi, Sofia; Janati Idrissi, Mohammed Abdou; Ghogho, Mounir (International Journal of Medical Informatics, 2020)
  • Thumbnail

    Colombian health system on its way to improve allocation efficiency—transition from a health sector reform to the settlement of an HTA Agency 

    Vargas-Zea, Nicolás; Castro, Hector; Rodríguez-Páez, Fredy; Télez, Diana; Salazar-Arias, Ricardo (Universidad Jorge Tadeo Lozano, 2012)
  • Thumbnail

    Potential lessons from the Taiwan and New Zealand health responses to the COVID-19 pandemic 

    Summers, Jennifer; Cheng, Hao-Yuan; Lin, Hsien-Ho; Barnard, Lucy Telfar; Kvalsvig, Amanda; Wilson, Professor Nick (The Lancet Regional Health - Western Pacific, 2020)

Carrera 4 # 22-61 Teléfono: (+57 1) 242 7030 - 018000111022 Fax: (+57 1) 561 2107 Bogotá D.C., Colombia

Fundación Universitaria de Bogotá Jorge Tadeo Lozano | Vigilada Mineducación

Institución de educación superior privada, de utilidad común, sin ánimo de lucro y su carácter académico es el de Universidad.

Reconocimiento personería jurídica: Resolución 2613 del 14 de agosto de 1959 Minjusticia.

Institución de Educación Superior sujeta a inspección y vigilancia por el Ministerio de Educación Nacional.

 

Términos y condiciones | Políticas

 

 


Carrera 4 # 22-61 Teléfono: (+57 1) 242 7030 - 018000111022 Fax: (+57 1) 561 2107 Bogotá D.C., Colombia

Fundación Universitaria de Bogotá Jorge Tadeo Lozano | Vigilada Mineducación

Institución de educación superior privada, de utilidad común, sin ánimo de lucro y su carácter académico es el de Universidad.

Reconocimiento personería jurídica: Resolución 2613 del 14 de agosto de 1959 Minjusticia.

Institución de Educación Superior sujeta a inspección y vigilancia por el Ministerio de Educación Nacional.

 

Términos y condiciones | Políticas