Abstract

SUAREZ-ROZO, Luisa Fernanda; PUERTO-GARCIA, Stephanie; RODRIGUEZ-MORENO, Lina María  and  RAMIREZ-MORENO, Jaime. The Crisis of the Colombian Health System: An Approach from Legitimacy and Regulation. Rev. Gerenc. Polit. Salud [online]. 2017, vol.16, n.32, pp.34-50. ISSN 1657-7027.  https://doi.org/10.11144/javeriana.rgps16-32.cssc.

The objective was to determine the perceptions of different actors of the Colombian health system regarding the problems of the system behind the crisis. A qualitative study was carried out on the basis of semi-structured and in-depth interviews with forty health sector agents in Bogotá, Cali, Ibagué, Espinal, and Calima-Darién. The results showed that corruption, breach of regulations, and conflicts of interests between various actors in the system weaken the legitimacy of the system, shatter the cooperation and cohesion of the actors, and strengthen private interests. Regulatory pollution, a temporary inconsistency of regulations, and incomplete information generate uncertainty, confusion, and disintegration within the system. This, in turn, contributes to the development of a regulatory crisis regarding which it is urgent to recover collective and concerted decision-making spaces to promote dialogue and the overcoming of rentier individualistic interests.

Keywords : health systems; insurance carriers; delivery of health care; health services accessibility; right to health; health legislation.

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