The Evolution of Health Benefits Packages in Colombia: Thirty Years of Successes and Failures
Health benefits packages in Colombia—what is covered, by whom, and at what cost—have evolved over the past thirty years. Coverage changed from two explicit health benefits packages (with benefits linked to ability to contribute) to an implicit approach that covers, in theory, everything for everyone...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Health Systems & Reform |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/23288604.2024.2343174 |
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| _version_ | 1846140297044557824 |
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| author | Marcela Brun Vergara Johnattan Garcia Ruiz Javier Guzman |
| author_facet | Marcela Brun Vergara Johnattan Garcia Ruiz Javier Guzman |
| author_sort | Marcela Brun Vergara |
| collection | DOAJ |
| description | Health benefits packages in Colombia—what is covered, by whom, and at what cost—have evolved over the past thirty years. Coverage changed from two explicit health benefits packages (with benefits linked to ability to contribute) to an implicit approach that covers, in theory, everything for everyone, excluding a narrow negative list of services and health technologies. This article explores the evolution of priority setting in Colombia during two periods of major reform. Each period had its own advantages and disadvantages associated with different institutional arrangements, processes, and methodologies. Colombia’s evolution provides several lessons for other low- and middle-income countries interested in institutionalizing evidence-based priority-setting. |
| format | Article |
| id | doaj-art-b8e362845b5d4710b0d6b4dc82c250e3 |
| institution | Kabale University |
| issn | 2328-8604 2328-8620 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Health Systems & Reform |
| spelling | doaj-art-b8e362845b5d4710b0d6b4dc82c250e32024-12-05T14:45:45ZengTaylor & Francis GroupHealth Systems & Reform2328-86042328-86202023-12-019310.1080/23288604.2024.2343174The Evolution of Health Benefits Packages in Colombia: Thirty Years of Successes and FailuresMarcela Brun Vergara0Johnattan Garcia Ruiz1Javier Guzman2Méderi University Hospital, Bogotá, ColombiaDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USAGlobal Health Policy, Center for Global Development, Washington, DC, USAHealth benefits packages in Colombia—what is covered, by whom, and at what cost—have evolved over the past thirty years. Coverage changed from two explicit health benefits packages (with benefits linked to ability to contribute) to an implicit approach that covers, in theory, everything for everyone, excluding a narrow negative list of services and health technologies. This article explores the evolution of priority setting in Colombia during two periods of major reform. Each period had its own advantages and disadvantages associated with different institutional arrangements, processes, and methodologies. Colombia’s evolution provides several lessons for other low- and middle-income countries interested in institutionalizing evidence-based priority-setting.https://www.tandfonline.com/doi/10.1080/23288604.2024.2343174Health benefits packageimplicit rationingpriority settinguniversal health coverage |
| spellingShingle | Marcela Brun Vergara Johnattan Garcia Ruiz Javier Guzman The Evolution of Health Benefits Packages in Colombia: Thirty Years of Successes and Failures Health Systems & Reform Health benefits package implicit rationing priority setting universal health coverage |
| title | The Evolution of Health Benefits Packages in Colombia: Thirty Years of Successes and Failures |
| title_full | The Evolution of Health Benefits Packages in Colombia: Thirty Years of Successes and Failures |
| title_fullStr | The Evolution of Health Benefits Packages in Colombia: Thirty Years of Successes and Failures |
| title_full_unstemmed | The Evolution of Health Benefits Packages in Colombia: Thirty Years of Successes and Failures |
| title_short | The Evolution of Health Benefits Packages in Colombia: Thirty Years of Successes and Failures |
| title_sort | evolution of health benefits packages in colombia thirty years of successes and failures |
| topic | Health benefits package implicit rationing priority setting universal health coverage |
| url | https://www.tandfonline.com/doi/10.1080/23288604.2024.2343174 |
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