The current situation of the health system in Colombia continues to generate concerns among the different actors in this sector.. Facts such as the criticized increase in the capitation payment unit (UPC) for this year and the multiple intervention processes to various health promoting entities (EPS) in the country have the sector waiting for what may happen this year.
He president of the National Cancer Table and president of the Antioquia Social Support Network Foundation (Rasa), Gustavo Adolfo Campillois one of the most important names in the country in social health security, medical auditing, medical ethics and pharmacoeconomics.
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In an interview with Yamid Amat for EL TIEMPO, the expert spoke about the risks that the sector currently faces, especially on the issue of provision of basic services and employment.
Gustavo Campillo, president of the Rasa Foundation
“The health network will have to limit the provision of services and will have to do without human talent. Health services will have to be closed and in the end the users, about 52 million, will be affected, especially those populations that already have some pathology and with greater emphasis on chronic pathologies, severe high-cost diseases or orphan diseases that already exist. They have been feeling in some way the suffocation of the health system“, said.
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Faced with this, He did not hide his concern: “In the health system, our concern is that we see, in some way, increased barriers to access to health services with highly vulnerable, very high-risk populations, where the interruption of treatment means the progression of the disease to very complex states or to the death of the patient“.
He also mentioned that, despite the lack of resources for the sector, it cannot be a justification to prevent the service from being provided to the entire population effectively. Therefore, it is the responsibility of the National Government to keep the system funded..
Health
“The installed capacity in the service provision network, the networks of service providers, is at risk, since we will not be able to guarantee contracting with them. And, in addition to that, this limitation of the network will mean that the EPS (health promotion entities) will not have the possibility of contracting the network because it does not exist and that will increase costs and create difficulties in access in terms of opportunity and quality“he added.
Regarding the approaches to the National Government, Campillo stated that the spaces they have had with the Ministry of Health have not been productive and that no greater progress has been made regarding the needs of the sector.
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“Last year we had the opportunity to sit in a space with the minister without reaching any conclusion. They have been spaces without any positive results or any agreement that could allow progress. What we want is to contribute to solving the difficult situations that the health system is facing.“he asserted.
And he added: “I have to say it with all the respect in the world, the Government hears us, but it does not listen to us. That is, they hear the proposals, the recommendations that we have considered should be taken into account. But they don’t listen. In fact, we also had a public hearing at the Constitutional Court“.
PORTFOLIO
*With information from EL TIEMPO – SALUD
