Arias-Monsalve Natalia, Restrepo-Zea Jairo H
NA: Politóloga. M. Sc. Políticas Públicas. Consultora e Investigadora. Medellín, Colombia.
JR: Econ. M. Sc. Gobierno y Asuntos Públicos. Profesor titular y coordinador del Grupo de Economía de la Salud (GES). Facultad de Ciencias Económicas, Universidad de Antioquia. Medellín, Colombia.
Rev Salud Publica (Bogota). 2023 Sep 1;25(5):111796. doi: 10.15446/rsap.V25n5.111796. eCollection 2023 Oct.
To determine the quality of governance of the Colombian health system and to analyze the lessons brought by the covid-19 pandemic, considering the perception of leaders who are part of the system.
Descriptive and exploratory study based on survey data, whose sample was non-probabilistic for convenience. 107 health system leaders participated. The data were analyzed considering a health systems performance evaluation framework.
Survey participants rated health system governance an average of 2.6/5.0, corresponding to low quality of governance. Despite the poor rating, leaders perceived improvements during the pandemic in the performance of purposes such as strategic vision and system supervision, and regarding they considered improvements in capabilities of risk management and information management.
This study provides an approach to the governance of the system, considering the subfunctions proposed in the evaluation framework, which constitutes an opportunity to know the failures and aspects that must be improved, even more, after going through the pressures of the covid-19. The system must learn from these aspects to be prepared for the next external shock. The research offers an outlook for new studies that can use the same framework and propose governance indicators to evaluate and monitor it.
考虑哥伦比亚卫生系统内领导者的看法，确定该系统的治理质量，并分析新冠疫情带来的经验教训。
基于调查数据开展描述性和探索性研究，样本为方便抽样的非概率样本。107名卫生系统领导者参与了调查。分析数据时考虑了卫生系统绩效评估框架。
调查参与者对卫生系统治理的评分平均为2.6（满分5.0），这表明治理质量较低。尽管评分较低，但领导者们认为在疫情期间，战略愿景和系统监督等目标的执行情况有所改善，他们还认为风险管理和信息管理能力也有所提升。
本研究考虑了评估框架中提出的子功能，为该系统的治理提供了一种方法，这是一个了解失败之处和必须改进方面的契机，尤其是在经历了新冠疫情的压力之后。该系统必须从这些方面吸取教训，为下一次外部冲击做好准备。本研究为新的研究提供了一个前景，这些研究可以使用相同的框架并提出治理指标来评估和监测该系统。
