Costos de los servicios de salud tutelados y del proceso legal de las tutelas en Medellín, 2009
ABSTRACT: To retrace the legal route of writs for the protection of constitutional rights involving health care services and to determine the cost of such processes and those of the health care services invoked in a sample of such writs taken in Medellín city. Methods: a descriptive study with a qua...
- Autores:
-
Nieto López, Emmanuel
Arango Castrillón, Alejandro
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2011
- Institución:
- Universidad de Antioquia
- Repositorio:
- Repositorio UdeA
- Idioma:
- spa
- OAI Identifier:
- oai:bibliotecadigital.udea.edu.co:10495/5294
- Acceso en línea:
- http://hdl.handle.net/10495/5294
- Palabra clave:
- Tutelas de salud
Derecho a la salud
Costos de la salud
Costos de transacción
Ley 100 de 1993
- Rights
- openAccess
- License
- https://creativecommons.org/licenses/by-nc-sa/4.0/
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Costos de los servicios de salud tutelados y del proceso legal de las tutelas en Medellín, 2009 |
| dc.title.translated.spa.fl_str_mv |
Costs of denied health care services and of the lawsuits filed to obtain them in Medellín, 2009 |
| title |
Costos de los servicios de salud tutelados y del proceso legal de las tutelas en Medellín, 2009 |
| spellingShingle |
Costos de los servicios de salud tutelados y del proceso legal de las tutelas en Medellín, 2009 Tutelas de salud Derecho a la salud Costos de la salud Costos de transacción Ley 100 de 1993 |
| title_short |
Costos de los servicios de salud tutelados y del proceso legal de las tutelas en Medellín, 2009 |
| title_full |
Costos de los servicios de salud tutelados y del proceso legal de las tutelas en Medellín, 2009 |
| title_fullStr |
Costos de los servicios de salud tutelados y del proceso legal de las tutelas en Medellín, 2009 |
| title_full_unstemmed |
Costos de los servicios de salud tutelados y del proceso legal de las tutelas en Medellín, 2009 |
| title_sort |
Costos de los servicios de salud tutelados y del proceso legal de las tutelas en Medellín, 2009 |
| dc.creator.fl_str_mv |
Nieto López, Emmanuel Arango Castrillón, Alejandro |
| dc.contributor.author.none.fl_str_mv |
Nieto López, Emmanuel Arango Castrillón, Alejandro |
| dc.contributor.researchgroup.spa.fl_str_mv |
Salud y Sociedad |
| dc.subject.none.fl_str_mv |
Tutelas de salud Derecho a la salud Costos de la salud Costos de transacción Ley 100 de 1993 |
| topic |
Tutelas de salud Derecho a la salud Costos de la salud Costos de transacción Ley 100 de 1993 |
| description |
ABSTRACT: To retrace the legal route of writs for the protection of constitutional rights involving health care services and to determine the cost of such processes and those of the health care services invoked in a sample of such writs taken in Medellín city. Methods: a descriptive study with a qualitative focus for retracing the legal route of the writs, and a quantitative approach for the purpose of cost estimation. The 2009 SOAT (Mandatory Car Insurance) fees were used for assessing the cost of the health care services. As for the assessment of the legal costs, we used the micro-costing approach together with the activity-based costing methodology. Results: for each $100 corresponding to the cost of the services denied by the health care services provider, the Medellín judicial system spent around $48 on each legal process. In more than half of the cases, the cost of the legal action was higher than the services’ cost. Discussion: the cost of the legal process involving the writs for the protection of constitutional rights regarding health care services that were filed in the country between 1999 and 2009 could represent 2% of the budget circulating throughout the entire health system. This cost is just a part of the transaction costs generated by the health care services providers’ breach of the social contract established by the Colombian Constitution. Furthermore, in most cases there is also a breach of the private contract between these service providers and the health system users. |
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2011 |
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2011 |
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2016-11-10T22:49:14Z |
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2016-11-10T22:49:14Z |
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Artículo de investigación |
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Nieto E, Arango A. Costos de los servicios de salud tutelados y del proceso legal de las tutelas en Medellín, 2009. Rev. Fac. Nac. Salud Pública 2011; 29(3): 223-231. |
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0120-386X |
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http://hdl.handle.net/10495/5294 |
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2256-3334 |
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Nieto E, Arango A. Costos de los servicios de salud tutelados y del proceso legal de las tutelas en Medellín, 2009. Rev. Fac. Nac. Salud Pública 2011; 29(3): 223-231. 0120-386X 2256-3334 |
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spa |
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Rev. Fac. Nac. Salud Pública |
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S132 |
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3 |
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S131 |
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29 |
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Revista Facultad Nacional de Salud Pública |
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Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO) |
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Universidad de Antioquia, Facultad Nacional de Salud Pública |
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Medellín, Colombia |
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Universidad de Antioquia |
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Nieto López, EmmanuelArango Castrillón, AlejandroSalud y Sociedad2016-11-10T22:49:14Z2016-11-10T22:49:14Z2011Nieto E, Arango A. Costos de los servicios de salud tutelados y del proceso legal de las tutelas en Medellín, 2009. Rev. Fac. Nac. Salud Pública 2011; 29(3): 223-231.0120-386Xhttp://hdl.handle.net/10495/52942256-3334ABSTRACT: To retrace the legal route of writs for the protection of constitutional rights involving health care services and to determine the cost of such processes and those of the health care services invoked in a sample of such writs taken in Medellín city. Methods: a descriptive study with a qualitative focus for retracing the legal route of the writs, and a quantitative approach for the purpose of cost estimation. The 2009 SOAT (Mandatory Car Insurance) fees were used for assessing the cost of the health care services. As for the assessment of the legal costs, we used the micro-costing approach together with the activity-based costing methodology. Results: for each $100 corresponding to the cost of the services denied by the health care services provider, the Medellín judicial system spent around $48 on each legal process. In more than half of the cases, the cost of the legal action was higher than the services’ cost. Discussion: the cost of the legal process involving the writs for the protection of constitutional rights regarding health care services that were filed in the country between 1999 and 2009 could represent 2% of the budget circulating throughout the entire health system. This cost is just a part of the transaction costs generated by the health care services providers’ breach of the social contract established by the Colombian Constitution. Furthermore, in most cases there is also a breach of the private contract between these service providers and the health system users.RESUMEN: Reconstruir la ruta jurídica de la tutela en salud y determinar los costos de este proceso y de los servicios de salud invocados en una muestra de tutelas de la ciudad de Medellín. Metodología: estudio descriptivo con enfoque cualitativo para la reconstrucción de la ruta jurídica y una orientación cuantitativa para la estimación de los costos; se utilizaron tarifas de Seguro Obligatorio de Accidentes de Tránsito a precios de 2009 para la valoración de los servicios; para el costeo de los recuros del proceso jurídico se utilizó la perspectiva del micro-costeo incorporada en la metodología de costos Basados en Actividades y su valoración a precios de mercado de 2009. Resultados: por cada $100 correspondiente al costo de los servicios negados por las entidades promotoras de salud, el sistema judicial de Medellín gastó $48 en el trámite de cada tutela. En más del 50% de los casos el costo de la acción jurídica resultó ser superior al costo de los servicios. Discusión: el costo del proceso jurídico de las tutelas en salud presentadas en el país en el período 1999-2009 podría estar representando el 2% de los dineros que circulan en todo el sistema de salud. Este costo constituye sólo parte de los costos de transacción que se derivan del incumplimiento de las eps de un contrato social contemplado en la constitución política y en la mayoría de los casos del incumplimiento del contrato privado que ellas han sucrito con los usuarios afiliados al sistema de salud.COL002745615application/pdfspaUniversidad de Antioquia, Facultad Nacional de Salud PúblicaMedellín, Colombiahttps://creativecommons.org/licenses/by-nc-sa/4.0/https://creativecommons.org/licenses/by-nc-sa/2.5/co/Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Tutelas de saludDerecho a la saludCostos de la saludCostos de transacciónLey 100 de 1993Costos de los servicios de salud tutelados y del proceso legal de las tutelas en Medellín, 2009Costs of denied health care services and of the lawsuits filed to obtain them in Medellín, 2009Artículo de investigaciónhttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARThttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRev. Fac. Nac. 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