TY - JOUR
T1 - La crisis del sistema de salud colombiano
T2 - Una aproximación desde la legitimidad y la regulación
AU - Suárez-Rozo, Luisa Fernanda
AU - Puerto-García, Stephanie
AU - Rodríguez-Moreno, Lina María
AU - Ramírez-Moreno, Jaime
PY - 2017/1/1
Y1 - 2017/1/1
N2 - The objective was to determine the perceptions of different actors of the Colombian health system regarding the problems of the system behind the crisis. A qualitative study was carried out on the basis of semi-structured and in-depth interviews with forty health sector agents in Bogotá, Cali, Ibagué, Espinal, and Calima-Darién. The results showed that corruption, breach of regulations, and conflicts of interests between various actors in the system weaken the legitimacy of the system, shatter the cooperation and cohesion of the actors, and strengthen private interests. Regulatory pollution, a temporary inconsistency of regulations, and incomplete information generate uncertainty, confusion, and disintegration within the system. This, in turn, contributes to the development of a regulatory crisis regarding which it is urgent to recover collective and concerted decision-making spaces to promote dialogue and the overcoming of rentier individualistic interests.
AB - The objective was to determine the perceptions of different actors of the Colombian health system regarding the problems of the system behind the crisis. A qualitative study was carried out on the basis of semi-structured and in-depth interviews with forty health sector agents in Bogotá, Cali, Ibagué, Espinal, and Calima-Darién. The results showed that corruption, breach of regulations, and conflicts of interests between various actors in the system weaken the legitimacy of the system, shatter the cooperation and cohesion of the actors, and strengthen private interests. Regulatory pollution, a temporary inconsistency of regulations, and incomplete information generate uncertainty, confusion, and disintegration within the system. This, in turn, contributes to the development of a regulatory crisis regarding which it is urgent to recover collective and concerted decision-making spaces to promote dialogue and the overcoming of rentier individualistic interests.
KW - Delivery of health care
KW - Health legislation
KW - Health services accessibility
KW - Health systems
KW - Insurance carriers
KW - Right to health
UR - http://www.scopus.com/inward/record.url?scp=85028611097&partnerID=8YFLogxK
U2 - 10.11144/Javeriana.rgps16-32.cssc
DO - 10.11144/Javeriana.rgps16-32.cssc
M3 - Artículo
AN - SCOPUS:85028611097
SN - 1657-7027
VL - 16
SP - 34
EP - 50
JO - Revista Gerencia y Politicas de Salud
JF - Revista Gerencia y Politicas de Salud
IS - 32
ER -