Concentración del gasto sanitario en una aseguradora colombiana del régimen subsidiado, 2014
Revista Facultad Nacional de Salud Pública(2019)
摘要
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.
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关键词
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
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