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ADRES y Corea del Sur consolidan nueva cooperación técnica en auditoría médica y análisis del gasto en salud
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La Administradora de los Recursos del Sistema General de Seguridad Social en Salud (ADRES) dio un nuevo paso en su proceso de transformación institucional y digital con la formalización de una alianza estratégica con la República de Corea, orientada al fortalecimiento técnico en auditoría médica y análisis del gasto sanitario en Colombia.
El encuentro, celebrado el pasado 30 de abril en las instalaciones del Banco Interamericano de Desarrollo (BID), reunió a delegados de la ADRES, del Ministerio de Salud y Protección Social y del Fondo Coreano para la Superación de la Pobreza. Durante la sesión, se revisaron los avances del país en materia de interoperabilidad de la historia clínica electrónica y se socializaron experiencias de cooperación técnica desarrolladas entre entidades del sector salud colombiano y organismos de salud coreanos.
Entre las instituciones asiáticas participantes se destacaron el Hospital Universitario Nacional de Seúl (SNUBH), el Servicio Nacional del Seguro de Salud (NHIS) y el Servicio de Revisión y Evaluación del Seguro de Salud (HIRA), este último clave en el desarrollo de la nueva etapa de colaboración.
Cooperación técnica para una gestión más eficiente y sostenible
Como resultado del encuentro, se consolidó el inicio de una nueva cooperación técnica entre la ADRES y el HIRA, centrada en el intercambio de conocimiento y mejores prácticas para el fortalecimiento de los procesos de auditoría médica y el análisis del gasto en salud. La iniciativa incluirá:
- El uso de herramientas digitales para mejorar la gestión del reconocimiento de recursos.
- Un programa especializado de entrenamiento para la detección oportuna de anomalías, con el fin de optimizar el control y el uso adecuado de los fondos públicos.
- La incorporación de estándares internacionales que eleven la eficiencia, transparencia y sostenibilidad del sistema colombiano.
Edna Sánchez, asesora de la Dirección General de la ADRES, explicó que estas acciones hacen parte de un proceso más amplio de cooperación bilateral: “Nuestra entidad ha venido estrechando lazos de cooperación con la República de Corea, en aras de fortalecer sus capacidades y adoptar mejores prácticas. Lo anterior, con el objetivo de promover el uso eficiente de los recursos, la equidad del sistema de salud y el aprovechamiento de los datos y la sostenibilidad”.
Interoperabilidad, historia clínica electrónica y analítica de datos
Durante la reunión, también se abordaron los avances técnicos que ha logrado Colombia en la estrategia de interoperabilidad de la historia clínica electrónica, un eje clave para garantizar la trazabilidad del gasto en salud, el seguimiento a tratamientos y la calidad de los servicios. Esta iniciativa cobra aún más relevancia en un contexto donde el país avanza hacia modelos de atención digital y procesos de validación más robustos frente a la asignación de recursos.
La cooperación con Corea del Sur, un referente global en el uso de tecnologías aplicadas a la salud, permite a Colombia acceder a conocimientos acumulados en materia de revisión de prestaciones, análisis predictivo y control de fraude.
Un modelo de fortalecimiento institucional con visión internacional
El vínculo con el HIRA no solo representa un respaldo técnico, sino también una validación del proceso de fortalecimiento institucional que adelanta la ADRES, en el marco de su compromiso con una gestión más eficiente y basada en evidencia del sistema de salud.
La entidad ha enfatizado que esta alianza es coherente con su enfoque estratégico de transformación digital, auditoría avanzada y trazabilidad financiera. En ese sentido, el trabajo conjunto con organismos internacionales especializados se proyecta como una herramienta clave para lograr un sistema más justo, transparente y sostenible.
“La iniciativa marca un nuevo avance en nuestro fortalecimiento institucional y compromiso por promover una gestión más eficiente, transparente y sostenible de los recursos del sistema de salud colombiano”, destacó la ADRES al cierre del encuentro.
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