By Inter-American Development Bank
From Few to Many is the 1st accomplished examine Colombia s 1993 well-being procedure reforms. It describes the implementation of common medical health insurance, together with a sponsored method for the terrible, and examines the influence of this and different reforms in the course of a time while Colombia skilled crushing recession and inner clash that displaced part one million humans. sooner than the reforms, 1 / 4 of the Colombian inhabitants had medical insurance. Subsidies did not achieve the terrible, who have been liable to catastrophic monetary outcomes of affliction. but by way of 2008, eighty five percentage of the inhabitants benefited from medical health insurance. The publication describes the demanding situations and advantages of imposing social overall healthiness reforms in a constructing nation, exploring health and wellbeing care financing, institutional reform, the consequences of political will on health and wellbeing care, and extra. The reforms have supplied very important classes not just for persisted reform in Colombia, but additionally for different international locations dealing with related demanding situations.
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Extra resources for From Few to Many
Health insurance reduces the direct costs of access to and utilization of health care services by individuals and families. It therefore reduces the financial risk of illness and improves access to health services. This 49 Copyright © by the Inter-American Development Bank. All rights reserved. org/pub Impact of Subsidized Health Insurance on Health Status, Access, and Use and Savedoff study addresses the hypothesis that the subsidized health insurance regime introduced in Colombia in 1993 has improved the health status of the insured population by making health care more affordable.
Open and competitive contracting for key public health services has shown promise elsewhere in the world (Loevinsohn and Harding, 2005), yet this potentially innovative policy opportunity was lost in many Colombian municipalities and resulted in misuse of funds and limited impact of services. The new requirement to use a portion of public health funds to contract with public hospitals worsens the situation. Poor-quality data and research mean limited policy effectiveness. From the example of the outdated census to the uncertainties around the incidence rate of tuberculosis, it is difficult to design policies and ensure their intended results in the absence of at least minimal data.
Its enshrinement in legislation, financing, and the content of benefits packages has unnecessarily complicated careseeking and interrupted the continuum of care. Although its intention was the opposite, and it was later revoked in Law 1122 of 2007, Law 715 aggravated this situation by removing key prevention and promotion interventions from insurance packages and making municipalities exclusively responsible for their provision. Future efforts should seek to establish benefits packages and associated financing arrangements that facilitate care-seeking and adherence to treatments, no matter Copyright © by the Inter-American Development Bank.
From Few to Many by Inter-American Development Bank