Concentración del gasto sanitario en una aseguradora colombiana del régimen subsidiado, 2014

Concentración del gasto sanitario en una aseguradora colombiana del régimen subsidiado, 2014

Objective: to estimate the concentration of health spending depending on pathology groups and types of services in a subsidized insurance company which enrolled low-income people (social economic strata 1 and 2) in the Colombian Healthcare System in 2014. Methodology: Health spending was analyz...

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Bibliographic Details
Main Authors: Carlos Alberto Marrugo-Arnedo, Fernando Gómez-De la Rosa, Deicy Moreno-Ruiz, Álvaro Flórez-Tanus, Carmelo DueñasCastell, Nelson Alvis-Guzmán
Format: Article
Language:Spanish
Published: Universidad de Antioquia 2019-01-01
Series:Revista Facultad Nacional de Salud Pública
Subjects:
set up by pathologies and types of services during 2014. To describe the concentration of health spending
researchers used the Gini coefficient and the Lorenz curve. Results: the health spending of the insurance company was US$418 million. Out of this
81 % was used in service contained in the mandatory Health Plan (in Spanish
Plan Obligatorio de Salud -POS). The pathology groups that concentrated 43.4% of health spending were cardiovascular (14.3%)
cancer (7.8%)
respiratory diseases (7.3%)
urinary diseases (7%) and trauma (6.9%). Diagnostic
healing and rehabilitation services represented 77.8% of health spending. Hospitalization was the service group with the highest impact on costs (47%)
and consultations
the most used. The Lorenz curves showed that 70% of the health spending is concentrated in approximately 20% the Affiliated people
resulting in a 0.58 Gini coefficient. Conclusion: Diagnostic and treatment of chronic non-transmittable diseases concentrate a vast part of health spending
health spending
insurance company
healthcare promoter
subsidized scheme
health system
economy in healthcare
Online Access:http://aprendeenlinea.udea.edu.co/revistas/index.php/fnsp/article/view/326645

Internet

http://aprendeenlinea.udea.edu.co/revistas/index.php/fnsp/article/view/326645

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