Zambrano Andrés, Ramírez Manuel, Yepes Francisco José, Guerra José Alberto, Rivera David
Facultad de Economía, Universidad del Rosario, Bogotá, Colombia.
Cad Saude Publica. 2008 Jan;24(1):122-30. doi: 10.1590/s0102-311x2008000100012.
This paper analyzes the main advances in health coverage and health services demand in Colombia using the 1997 and 2003 living standards surveys. The study showed an increase in health coverage associated with expansion of the subsidized care system, although a large proportion of the population is still not entitled to health care. The type of entitlement also directly affects the demand for services. There was an increase in preventive medical consultations in 2003 and a decrease in the use medical care for acute illness, due mainly to lack of money. Access to medicines increased from 1997 to 2003, as reflected by a decrease in out-of-pocket expenditure on medicines.
本文利用1997年和2003年的生活水平调查分析了哥伦比亚在医保覆盖范围和医疗服务需求方面取得的主要进展。研究表明，随着补贴医疗系统的扩大，医保覆盖范围有所增加，不过仍有很大一部分人口无权享受医疗保健服务。享有的医保类型也直接影响服务需求。2003年预防性医疗咨询有所增加，而因急性病就医的次数有所减少，主要原因是缺钱。从1997年到2003年，药品可及性有所提高，这体现在药品自付费用的减少上。
