Colombia Case Study : The Subsidized Regime of Colombia’s National Health Insurance System

This case study provides an overview of the contribution of Colombia's compulsory health insurance, particularly its Subsidized Regime (SR), to universal health care coverage in the country, and the current challenges the SR faces. The case study is based on discussions with stakeholders from a...

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Bibliographic Details
Main Authors:	Montenegro Torres, Fernando, Bernal Acevedo, Oscar
Format:	Working Paper
Language:	en_US
Published:	World Bank, Washington, DC 2013
Subjects:	access to health care services access to health services access to primary health care access to services administrative costs Adult mortality Adult mortality rate aged aging ambulatory services basic health services birth rate capitation cardiovascular diseases catastrophic expenditure Child Health child mortality chronic conditions cities citizens civil rights Clinics communicable diseases community health community health care competition among providers complications costs of treatment death rate deaths debt decision making Delivery of Health Care delivery of health services demand for health demand for health care Demographic projections Demographic Transition developing countries Development Policy diabetes Disability doctors economic growth elderly elderly people employment equitable access to health care Expenditures families fertility fertility rate fertility rates financial protection Financial Resources financial risks Health Affairs health care health care facilities health care networks Health Care Providers health care reform Health Care Services health care system Health Coverage Health Data Health Economics Health Expenditure Health Expenditures health facilities health insurance coverage health insurance market Health Insurance Schemes Health Insurance System health interventions Health Organization Health Outcome Indicators health outcomes health plan Health Plans health policy health promotion health providers Health Reform health sector health sector reform health services health system health system performance health systems health workers healthcare services HIV/AIDS hospital administrators hospital beds Hospital Revenues hospital services hospitals Household Income Human Development human resources Human resources management Human Rights hypertension ill health immunization income income countries income distribution income households indexes indigenous people induced demand Infant Infant Mortality Infant mortality rate inpatient care insurance arrangements insurance companies insurance plan laws life expectancy Life expectancy at birth live births local authorities local governments malaria maternal mortality Medical Insurance medical staff medicines Millennium Development Goals morbidity Mortality Municipal authorities national government National Health National Health Expenditure National Health Expenditures National Health Insurance national level national priorities national security Number of births Number of deaths Nurses nutritional needs obesity old age older adults outpatient services patient patients Physician physicians Policy Decisions Policy Dialogue policy makers pregnant women prevention interventions primary care primary health care primary health care services private health insurance Private insurance private sector private sectors private spending progress provision of care provision of health care provision of health services provision of services Public Debate Public Health Public Health Care Public Health Insurance public health interventions public health services public hearings Public Hospital Public hospitals public policy public providers public sector Public Services public spending purchasing power purchasing power parity quality control quality services regulatory frameworks Right to Health Care risk adjustment risk factors rural areas Screening security situation Social Health Insurance social insurance Social Security Social Service Social Services Social Studies syphilis Tuberculosis UNFPA universal access urban areas use of health services workers
Online Access:	http://hdl.handle.net/10986/13285

Description
Summary:	This case study provides an overview of the contribution of Colombia's compulsory health insurance, particularly its Subsidized Regime (SR), to universal health care coverage in the country, and the current challenges the SR faces. The case study is based on discussions with stakeholders from academia and the public and private sectors. The report is divided into four sections: (1) country context and health outcomes; (2) the SR within the institutional architecture of the national health insurance system; (3) the subsidized regime: considerations on equity in the context of the public debate on the right to health care in Colombia; and (4) policy decisions and key areas of the agenda for the short and medium term.

Colombia Case Study : The Subsidized Regime of Colombia’s National Health Insurance System

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