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Cobertura y calidad sanitaria en Colombia
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La cobertura universal es una condición fundamental para construir sociedades y economías sanas, se debe propender por que las personas reciban los servicios sanitarios que necesitan, sin tener que pasar penurias financieras para pagarlos. Según la OPS para el acceso y cobertura sanitaria universal se requiere que:
- El compromiso de transformar los sistemas de salud de la región, como un esfuerzo concertado para eliminar las barreras de acceso en un 30% como mínimo.
- Requiere además aumentar el gasto público en salud al menos en un 6% del producto interno bruto, e invertir al menos el 30% de estos recursos en el primer nivel de atención.
- Esto catalizará la transformación necesaria para lograr la salud universal y los objetivos de desarrollo del milenio – ODS para el 2030.
También puede leer: Valores máximos de Recobro/Cobro aplicables desde el 1 de enero de 2020
El acceso a la salud va desde la promoción la prevención, el tratamiento, la rehabilitación y los cuidados al final de la vida que deben ser de calidad, seguros, eficaces y asequibles para todos.
De la cobertura en salud en Colombia destacamos:
departamentos con total cobertura
| Departamento | Población Régimen Contributivo | Población Régimen Subsidiado | Cobertura |
| Santander | 1.104.236 | 934.631 | 100% |
| Casanare | 160.904 | 220.894 | 100% |
| Cesar | 319.733 | 832.328 | 100% |
| Magdalena | 372.068 | 930.460 | 100% |
| Norte de Santander | 432.352 | 1.010.103 | 100% |
| Sucre | 156.001 | 764.940 | 100% |
| Guainía | 4.266 | 41.236 | 100% |
Fuente: Minsalud.gov.co
departamentos con la menor cobertura
| Departamento | Población Régimen Contributivo | Población Régimen Subsidiado | Cobertura |
| Guaviare | 17.211 | 58.817 | 66,40% |
| Vaupés | 3.856 | 26.477 | 69,47% |
| San Andres y Providencia | 42.293 | 13.033 | 71,80% |
| Nariño | 268.528 | 1.126.291 | 78% |
| Caquetá | 74.604 | 309.239 | 78,50% |
Fuente: Minsalud.gov.co
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Muestra Comercial – XX Congreso Nacional de SaludDesde: $5.950.000 (IVA incluido) -
XX Congreso Nacional de Salud: Descuento ORO y DIAMANTE$1.666.000 (IVA incluido) -
XX Congreso Nacional de SaludDesde: $1.666.000 (IVA incluido)
DEPARTAMENTOS CON MAYOR POBLACIÓN EN EL RÉGIMEN SUBSIDIADO CON RELACIÓN AL TOTAL DE LA POBLACIÓN
| Departamento | Población Régimen Contributivo | Población Régimen Subsidiado | Porcentaje en Régimen Subsidiado |
| Guainia | 4.266 | 41.236 | 90,6% |
| Vichada | 8.025 | 64.873 | 89,0% |
| Choco | 48.756 | 369.502 | 88,3% |
| Vaupes | 3.856 | 26.477 | 87,3% |
| Putumayo | 44.479 | 255.574 | 85,2% |
| La Guajira | 144.853 | 742.332 | 83,7% |
| Sucre | 156.001 | 764.940 | 83,1% |
| Arauca | 44.547 | 204.058 | 82,1% |
| Cordoba | 304.677 | 1.317.861 | 81,2% |
| Nariño | 268.528 | 1.126.291 | 80,7% |
| Caqueta | 74.604 | 309.239 | 80,6% |
| Guaviare | 17.211 | 58.817 | 77,4% |
| Cauca | 280.325 | 954.831 | 77,3% |
| Amazonas | 16.253 | 54.149 | 76,9% |
| Cesar | 319.733 | 832.328 | 72,2% |
Fuente: Minsalud.gov.co
DEPARTAMENTOS CON MENOR POBLACIÓN EN EL RÉGIMEN SUBSIDIADO CON RELACIÓN AL TOTAL DE LA POBLACIÓN
| Departamento | Población Régimen Contributivo | Población Régimen Subsidiado | Porcentaje en Régimen Subsidiado |
| Bogota D.C. | 6.284.987 | 1.161.125 | 15,6% |
| Antioquia | 3.959.379 | 2.291.903 | 36,7% |
| Cubdinamarca | 1.444.202 | 840.700 | 36,8% |
| Valle del Cauca | 2.506.127 | 1.760.065 | 41,3% |
| Risaralda | 545.476 | 389.118 | 41,6% |
Fuente: Minsalud.gov.co
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Inmersión en el Sistema de Salud Colombiano$297.000 (IVA incluido) -
PAMEC seguridad del paciente$297.500 (IVA incluido) -
Res. 3100 de 2019, Todos los Estándares$557.900 (IVA incluido) -
Res. 3100 de 2019, Estándar de Procesos Prioritarios$280.000 (IVA incluido) -
Res. 3100 de 2019, Estándar de Historia Clínica y Registros$52.000 (IVA incluido) -
Res. 3100 de 2019, Estándar de Medicamentos, dispositivos médicos e insumos$98.000 (IVA incluido) -
Res. 3100 de 2019, Estándar de Dotación$52.000 (IVA incluido) -
Res. 3100 de 2019, Estándar de Infraestructura$89.000 (IVA incluido) -
Res. 3100 de 2019, Estándar de Talento Humano$63.000 (IVA incluido)
Avances de Colombia en las coberturas de salud y en la calidad
Colombia avanza positivamente en el aumento de la cobertura en salud por tanto ahora el reto del sistema es el mejoramiento de la calidad de los servicios de salud, es por esto que la calidad es el elemento central en la política pública del país e involucra a todos los actores del sistema EPS, IPS, proveedores y pacientes. La calidad debe estar presente en todo el proceso de atención, así como en las zonas más avanzadas del país que permita reducir la brecha entre los servicios prestados en el área urbana y del área rural, entre instituciones públicas y privadas y por niveles de complejidad.
También puede leer: Presupuesto máximo anual para medicamentos, servicios complementarios y soporte nutricional
Las estrategias que el gobierno viene trabajando para fortalecer la calidad y cerrar brechas son:
- Revisión de la habilitación de los prestadores servicios de salud.
- Fortalecimiento de la telemedicina y telesalud.
- En la alta complejidad la compensación de la UPC atado a los resultados en gestión clínica y no solamente a la prevalencia, y
- Visibilizar el desempeño de las instituciones, como en el programa AI Hospital, para el mejoramiento de los planes de salud territoriales y locales afianzados en el modelo MAITE.
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