De la Hoz-Restrepo Fernando
Departamento de Salud Pública, Universidad Nacional de Colombia. Bogotá, Colombia..
Salud Publica Mex. 2022 Nov 23;64(6, nov-dic):587-592. doi: 10.21149/13217.
Colombia has a tradition on Public Health education since the mid years of 1950's. The first cohorts of Public Health academics and workers were trained at the National School of Public Health, which was established, with the support of the Rockefeller Foundation, at the Universidad Nacional de Colombia in Bogota, but later moved to the Universidad de Antioquia in Medellin. In the current context, Colombian Public Health academics have rallied against the neoliberal Health Reform implanted in 1993 that has failed to address the country's health priorities. Most of the interactions between Public Health academic leaders with government and other decision makers, revolve around the discussion on whether a new way to conceptualize and operate the national health system should be visualized and implemented. So far, the academic sector have been unable to overthrow the main aspects of the Reform -private insurance companies operating, and profiting, on public money- but they have demonstrated how inequalities in health access have widening under the Health Reform and how it have been unable to improve the health situation of the population.
自20世纪50年代中期以来，哥伦比亚在公共卫生教育方面就有着传统。首批公共卫生学者和工作者在国立公共卫生学院接受培训，该学院在洛克菲勒基金会的支持下，于波哥大的哥伦比亚国立大学成立，后来迁至麦德林的安蒂奥基亚大学。在当前背景下，哥伦比亚公共卫生学者反对1993年实施的新自由主义卫生改革，该改革未能解决该国的卫生优先事项。公共卫生学术领袖与政府及其他决策者之间的大多数互动，都围绕着是否应设想并实施一种新的方式来构思和运营国家卫生系统展开讨论。到目前为止，学术部门未能推翻改革的主要方面——即私营保险公司利用公共资金运营并获利，但他们已经证明了在卫生改革下，获得医疗服务的不平等现象是如何加剧的，以及改革如何未能改善民众的健康状况。
