Concentración del gasto sanitario en una aseguradora colombiana del régimen subsidiado, 2014
| Autor: | Carlos Alberto Marrugo-Arnedo, Fernando Gómez-De la Rosa, Deicy Moreno-Ruiz, Álvaro Flórez-Tanus, Carmelo DueñasCastell, Nelson Alvis-Guzmán |
|---|---|
| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2019 |
| Předmět: |
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 Public aspects of medicine RA1-1270 |
| Zdroj: | Revista Facultad Nacional de Salud Pública, Vol 37, Iss 1, Pp 44-52 (2019) |
| Druh dokumentu: | article |
| ISSN: | 0120-386X |
| DOI: | 10.17533/udea.rfnsp.v37n1a09 |
| Popis: | 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 analyzed in 1 666 477 members, 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, which produces a competition of resources for preventive services and healthcare promotion. |
| Databáze: | Directory of Open Access Journals |
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