Bernal Oscar, Barbosa Samuel
Maestría en Salud Pública, Escuela de Gobierno, Universidad de los Andes, Bogotá, Colombia.
Escuela de Gobierno, Universidad de los Andes, Bogotá, Colombia.
Salud Publica Mex. 2015 Sep-Oct;57(5):433-40.
Health in Colombia is now a fundamental right that has to be provided and protected by the government. We evaluated the strengths and difficulties of the health system with respect to the statutory law enacted in February 2015, using methodologies for analysis of health systems proposed by the WHO and the World Bank. The challenges include the fragmentation and specialization of services, access barriers and incentives that are not aligned with the quality, weak governance, multiple actors with little coordination and information system that does not measure results. The government needs to find a necessary social agreement, a balance between the particular and the collective benefit.
在哥伦比亚,健康现已成为一项基本权利,必须由政府予以提供和保护。我们参照2015年2月颁布的成文法,运用世界卫生组织和世界银行提出的卫生系统分析方法,评估了卫生系统的优势与困难。挑战包括服务的碎片化和专业化、准入障碍以及与质量不匹配的激励措施、治理薄弱、多个行为主体之间缺乏协调以及无法衡量结果的信息系统。政府需要达成必要的社会共识,在个体利益与集体利益之间找到平衡。