Abstract
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.
| Translated title of the contribution | The crisis of the Colombian health system: An approach from legitimacy and regulation |
|---|---|
| Original language | Spanish |
| Pages (from-to) | 34-50 |
| Number of pages | 17 |
| Journal | Revista Gerencia y Politicas de Salud |
| Volume | 16 |
| Issue number | 32 |
| DOIs | |
| State | Published - 01 Jan 2017 |
| Externally published | Yes |
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
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