Journal Article

Concentración del gasto sanitario en una aseguradora colombiana del régimen subsidiado, 2014

Fernando Gómez-De la Rosa, Carmelo DueñasCastell, Carlos Alberto Marrugo-Arnedo, Deicy Moreno-Ruiz, Nelson Alvis-Guzmán, Álvaro Flórez-Tanus

2019

Overview

Objective: to estimate the concentration of health spending depending on pathology groups and types of services in a subsidized insurance company which enrolled low-income people (social economic strata 1 and 2) in the Colombian Healthcare System in 2014. Methodology: Health spending was analyzed in 1 666 477 members, set up by pathologies and types of services during 2014. To describe the concentration of health spending, researchers used the Gini coefficient and the Lorenz curve. Results: the health spending of the insurance company was US418 million. Out of this, 81 % was used in service contained in the mandatory Health Plan (in Spanish, Plan Obligatorio de Salud -POS). The pathology groups that concentrated 43.4% of health spending were cardiovascular (14.3%), cancer (7.8%), respiratory diseases (7.3%), urinary diseases (7%) and trauma (6.9%). Diagnostic, healing and rehabilitation services represented 77.8% of health spending. Hospitalization was the service group with the highest impact on costs (47%), and consultations, the most used. The Lorenz curves showed that 70% of the health spending is concentrated in approximately 20% the Affiliated people, resulting in a 0.58 Gini coefficient. Conclusion: Diagnostic and treatment of chronic non-transmittable diseases concentrate a vast part of health spending, which produces a competition of resources for preventive services and healthcare promotion.

• Publisher: Universidad de Antioquia
• Subject: 81 % was used in service contained in the mandatory Health Plan (in Spanish / and consultations / cancer (7.8%) / economy in healthcare / healing and rehabilitation services represented 77.8% of health spending. Hospitalization was the service group with the highest impact on costs (47%) / health spending / health system / healthcare promoter / insurance company / Plan Obligatorio de Salud -POS). The pathology groups that concentrated 43.4% of health spending were cardiovascular (14.3 / researchers used the Gini coefficient and the Lorenz curve. Results: the health spending of the insurance company was US418 million. Out of this / respiratory diseases (7.3%) / resulting in a 0.58 Gini coefficient. Conclusion: Diagnostic and treatment of chronic non-transmittable diseases concentrate a vast part of health spending / set up by pathologies and types of services during 2014. To describe the concentration of health spending / subsidized scheme / the most used. The Lorenz curves showed that 70% of the health spending is concentrated in approximately 20% the Affiliated people / urinary diseases (7%) and trauma (6.9%). Diagnostic