Impactos en la calidad en salud por la implementación de los Programas de Saneamiento Fiscal y Financiero en los Hospitales de Fontibón y La Victoria entre los años 2010 y 2015

Abstract

The Colombian health system faces one of the most critical points since its creation with the Law 100 of 1993, as a result of the deployment of a model of health care without a clear strategic orientation that seek a balance between efficiency in the use of resources and quality in the delivery of health services, in this way, the present paper analyzes the specific case of the implementation of the programs of fiscal consolidation and financial support in the Hospitals of Fontibón and La Victoria as a package of measures that seek to improve the efficiency in these IPS to ensure its financial sustainability, and the impacts in terms of quality achieved by its implementation, therefore, presents the main theoretical referents of health systems, a history of financial sustainability of the IPS and the results in terms of quality achieved between the years 2010 and 2015 with the purpose of establishing the progress that has the Colombian health system in the search of the balance efficiency - quality and structural determinants of this.

Keywords: Quality, financial sustainability, provision of health services and social protection systems.