Legislation regulating the Colombian health system: formulation, implementation and implications on its agents

Authors

  • Iván Felipe Muñoz Echeverri University of Antioquia
  • Beatriz E. Londoño University of Antioquia
  • Yomaira Higuita University of Antioquia
  • Diego A. Sarasti University of Antioquia
  • Gloria Molina Universidad de Antioquia

DOI:

https://doi.org/10.17533/udea.rfnsp.262

Keywords:

legislation in health, right to health, health service accessibility, health staff, Colombian health system

Abstract

In the Colombian health system, the legislation complies with the role of determining its structure and function in order to guarantee the rights to health and social security included in the 1991 Constitution.
Objective: to present the issues in the formulation and implementation of legislation in the current system and the implications of their various agents. Methodology: a study in six Colombian cities using qualitative methodology based on the theory. 174 interviews were conducted with doctors, administrators, nurses and users. Results: the findings reveal problems in the formulation and implementation, including: overegulation and the difficulties of his apprehension, the influence of special interests and not matching the standards with the needs of the population health. Discussion: these problems cause barriers to accessing health
services and failures in the quality of patient care, ethical dilemmas and dissatisfaction with health professionals, as well as instability in the health sector institutions. This emerges as a constraint to guarantee the right to health and requires a rethinking of the law in favor of the constitutional principles and the collective welfare.
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Author Biographies

Iván Felipe Muñoz Echeverri, University of Antioquia

UdeA doctor. Master in Public Health UdeA Professor of the National Faculty of Public Health and Researcher of the Health Management and Policies Group

Beatriz E. Londoño, University of Antioquia

Health Information Systems Manager UdeA

Yomaira Higuita, University of Antioquia

Sanitary Engineer. Specialist in Socio-Economic Evaluation of Projects. Master's student in Occupational Health. Professor Faculty of Medicine

Diego A. Sarasti, University of Antioquia

Medical Master in Public Health UdeA. PhD Student in Public Health. Professor Faculty of Medicine UdeA

Gloria Molina, Universidad de Antioquia

Enfermera, Ph.D. Health Services Management. Docente Facultad Nacional de Salud Pública

References

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Published

2009-09-15

How to Cite

1.
Muñoz Echeverri IF, Londoño BE, Higuita Y, Sarasti DA, Molina G. Legislation regulating the Colombian health system: formulation, implementation and implications on its agents. Rev. Fac. Nac. Salud Pública [Internet]. 2009 Sep. 15 [cited 2025 Feb. 8];27(2):1-11. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/262

Issue

Vol. 27 No. 2 (2009)

Section

Research

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Copyright (c) 2023 Iván Felipe Muñoz Echeverri, Beatriz E. Londoño, Yomaira Higuita, Diego A. Sarasti, Gloria Molina

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