En el marco de la Semana de la Seguridad Social 2025, la Secretaría Distrital de Salud de Bogotá reportó que el 99,8 % de la población capitalina se encuentra afiliada al sistema de salud (SGSSS),consolidando a la ciudad como una de las entidades territoriales con mayor nivel de cobertura sanitaria del país.
De acuerdo con datos del Departamento Administrativo Nacional de Estadística (DANE), de este universo poblacional afiliado, el 75 % pertenece al régimen contributivo, mientras que el 22,4 % está vinculado al régimen subsidiado, lo que refleja una amplia estructura de aseguramiento y corresponsabilidad tanto individual como estatal.
Sistema de salud – la seguridad social como transformación vital
Bajo el lema “La Seguridad Social es transformación vital”, la Subdirección de Administración del Aseguramiento lidera una agenda institucional de actividades virtuales y presenciales durante esta semana, con el objetivo de fortalecer el conocimiento ciudadano sobre el funcionamiento, alcances y beneficios del sistema de seguridad social en salud.
La programación incluye espacios de orientación y diálogo enfocados en temas como afiliación en salud, riesgos laborales, pensiones y servicios de las cajas de compensación familiar, con el fin de facilitar el acceso a información clara y oportuna que empodere a la ciudadanía en el ejercicio de sus derechos.
“La Seguridad Social no puede entenderse solo como un trámite; es una herramienta vital para garantizar equidad y bienestar. Nuestra labor es acercar el sistema a las personas y facilitar su permanencia en él”, afirmó Luis Alexander Moscoso, subsecretario de Servicios de Salud y Aseguramiento.
Cobertura alta, pero desafíos persistentes en Sisbén IV
A pesar del avance en términos de afiliación, persisten retos importantes relacionados con la actualización de la base poblacional bajo la metodología IV del Sisbén, herramienta indispensable para validar la pertenencia al régimen subsidiado.
A corte de marzo de 2025, solo el 43,59 % de los ciudadanos bogotanos cuenta con encuesta Sisbén IV vigente, y 98.015 personas aún no han sido caracterizadas bajo esta metodología, lo que podría comprometer su permanencia en el sistema, especialmente en el régimen subsidiado.
Este indicador evidencia la necesidad de reforzar estrategias de focalización y actualización de datos, así como de mejorar el acceso y la pedagogía ciudadana sobre los requisitos para continuar recibiendo subsidios del sistema de salud.
Promover la cultura de la Seguridad Social
La Secretaría Distrital de Salud reiteró su compromiso con la consolidación de una Cultura de la Seguridad Social, en línea con las directrices del Ministerio de Salud y Protección Social, entendida como una plataforma clave para garantizar la protección integral y sostenible de la población frente a los riesgos en salud, trabajo y envejecimiento.
“La transformación vital a la que alude esta semana parte del conocimiento y la corresponsabilidad. Es clave que la ciudadanía entienda sus derechos y deberes en salud y se apropie del sistema como un bien colectivo”, concluyó el subsecretario Moscoso.
Desde esta perspectiva, la conmemoración de la Semana de la Seguridad Social 2025 no solo representa una oportunidad de sensibilización, sino también un llamado a fortalecer la interacción entre el sistema, las instituciones y la ciudadanía para construir un modelo más inclusivo, equitativo y resiliente.
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