¿ Qué opinan diversos actores del sector salud frente a la reforma de la ley 100 de 1993?

Roberto Gutiérrez P; Francisco José Yepes L

doi:10.17533/udea.rfnsp.725

What do different actorsthink about the healthreform brought about byLaw 100 of 1993?

Authors

Roberto Gutiérrez P Universidad de Antioquia
Francisco José Yepes L señor

DOI:

https://doi.org/10.17533/udea.rfnsp.725

Keywords:

Law 100 of 1993, social security, Colombia, health knowledge, attitudes, practice, health sector reform

Abstract

The health reforms brought about by Law 100 of 1993 led to profound changes throughout the health system and to the participation of a series of new actors. How do they perceive these changes? Which are their

opinions? Objective: to present the findings of the qualitative component of a larger study destined to evaluate the impact of macroeconomic adjustment programs on the Colombian health sector. Methods:

through a qualitative approach the focus was put on the perceptions individuals have about their health and health care. Ten key informants at the regional and municipal levels were interviewed, and six focus groups were conducted with community and health representatives. Results and discussion: the sample of informants for this part of the study was not representative of any given Colombian population. They were chosen in order to maximise the variety of the pool of informants. Our aim was to collect the widest variety of opinions possible. Health perceptions report an important change from charity to right, an increase in resources and new players for the sector, an increase in the degree of institutionalization of the Colombian health system, more work with other sectors and better management. Problems are also perceived: an

increase in administrative costs, and difficulties with the new information and billing systems. Many argue that the system is too complicated. Change results are perceived in very different ways.

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Author Biography

Roberto Gutiérrez P, Universidad de Antioquia

Profesor Facultad Nacional de Salud Pública

References

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(2). Zucker LG. Institutional theories of organizatio-ns. Annu Rev Sociol 1987; 13: 443-464. DOI: https://doi.org/10.1146/annurev.so.13.080187.002303

(3). Yepes FJ, Sánchez LH. La descentralización dela salud en Colombia: estudio de casos y con-troles. Bogotá: Asociación Colombiana de laSalud (Assalud); 1999.

(4). Correa CE. Conocimiento y realidad: dos dimen-siones inconmensurables en el campo de losproblemas humanos. Santafé de Bogotá, 1995.Trabajo de grado (Maestría en Ciencias Políticas). Universidad de los Andes.

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Published

2009-02-13

How to Cite

Gutiérrez P R, Yepes L FJ. What do different actorsthink about the healthreform brought about byLaw 100 of 1993?. Rev. Fac. Nac. Salud Pública [Internet]. 2009 Feb. 13 [cited 2025 Jan. 22];22(1). Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/725

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Issue

Vol. 22 No. 1 (2004)

Section

Opinión

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