Análisis de los factores de la desfinanciación en el sistema de seguridad social en salud en la ESE Hospital San Antonio de Soata.

Abstract

The defunding in the general health social security system of the State Social Enterprise Hospital San Antonio de Soata and its basic care units that comprise it (Boavita, Sativa Norte, San Mateo, Chita and Covarachía) is a reality that is framed in the crisis and the difficult situation that the health sector in Colombia is going through. The objective of this article is to determine the factors that have generated the defunding in the Social Security Health system in the ESE Hospital San Antonio de Soatá and its area of influence; Despite the billions of pesos that are allocated annually for this sector and even so, Health Providing Institutions (IPS) such as the San Antonio de Soatá Hospital have to face events that have them on the verge of financial collapse, limiting them in the purpose of provide more and better medical care services to the inhabitants of the region; The methodology used for this article is a mixed analysis, also called multiple or integrative research, which addresses a methodology that seeks to integrate qualitative and quantitative methods in the same study. The type of research: is Applicational, Research Level: Descriptive – Explanatory, Research Design: Longitudinal, Instrument-based Technique: Document Analysis. This research format aims to offer a greater breadth of possibilities and more depth in the analysis of the results obtained. For the case at hand, quantitative and qualitative data for the periods 2021 and 2022 are collected and analyzed, which when interpreted show adverse economic and financial situations produced by factors such as: Non-timely payment of resources by the Promoting Companies of Health (EPS) for the services provided to its members, the settlements of the different EPS's that owe large amounts of money to the Hospital, among other factors; events that generate consequences when providing the services offered and limit the possibilities of expanding the portfolio of services in an attempt to implement clearly established strategies that provide guidelines, facilitate decision making and the adoption of contingency plans that contain proposals for financial recovery, if the case arises in which continuous financial defunding occurs. As a result, it was established that the ESE Hospital San Antonio de Soatá is in constant economic recovery since the results of its financial statements show positive indicators that guarantee financial stability and tranquility. In conclusion, it was determined that the hospital institution's cutoff date of December 30, 2022 does not reflect any type of definancing since the strategies established by the current administration have allowed the adoption of economic recovery guidelines that keep the institution afloat, but still The risks of definancing persist due to the uncertainty generated by the economic and functional instability of the EAPBs on which the timely payments to the Esa depend. San Antonio de Soata Hospital, for the services offered.