Colombia: what has happened with its health reform?

Authors

  • Rubén Darío Gómez-Arias Facultad Nacional de Salud Pública, Universidad de Antioquia. Medellín, Colombia.
  • Emmanuel Nieto Facultad Nacional de Salud Pública, Universidad de Antioquia. Medellín, Colombia.

DOI:

https://doi.org/10.17843/rpmesp.2014.314.127

Keywords:

Health care reform, Colombia, Modernization of the public sector, Healthcare financing

Abstract

The health reform adopted in Colombia in 1993 was promoted by different agencies as the model to follow in matters of health policy. Following the guidelines of the Washington Consensus and the World Bank, the Government of Colombia, with the support of national political and economic elites, reorganized the management of health services based on market principles, dismantled the state system, increased finances of the sector, assigned the management of the system to the private sector, segmented the provision of services, and promoted interaction of actors in a competitive scheme of low regulation. After 20 years of implementation, the Colombian model shows serious flaws and is an object of controversy. The Government has weakened as the governing entity for health; private groups that manage the resources were established as strong centers of economic and political power; and violations of the right to health increased. Additionally, corruption and service cost overruns have put a strain on the sustainability of the system, and the state network is in danger of closing. Despite its loss of prestige at the internal level, various actors within and outside the country tend to keep the model based on contextual reforms.

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Published

2014-12-02

Issue

Section

Symposium

How to Cite

1.
Gómez-Arias RD, Nieto E. Colombia: what has happened with its health reform?. Rev Peru Med Exp Salud Publica [Internet]. 2014 Dec. 2 [cited 2024 Apr. 14];31(4). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/127

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