Need for hospital public policy beyond the restructuring proposal

Necesidad de una política pública hospitalaria más allá de la propuesta de reestructuración

Public hospitals have played and continue to play a leading role within the network of health care providers to ensure access to specialized services to the poorest and most needy of the country population. Some of the assumptions that led to the reform of the National Health System and
led to Law 100 of 1993 that created the General System of Social Security in Health were low social security coverage, poor access to health services for the poorest and most vulnerable people, inequality and unequal distribution of resources allocated to hospital authorities. The following figures taken from the book by Dr. Ivan Jaramillo Pérez, reform social security in health, serve to illustrate the scenario that preceded the reform:
- 19% of the national population not agreed to
health services when they felt sick.
- Health spending of the poorest households
It was higher than that of families with good
financial resources (2.4% vs.
2.0%), which marked a social inequity.
- A high percentage of public resources were
channeled through the subsidy system
supply, to people of strata
medium and high, and there are many people
poor and vulnerable without health care.

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