Resumo

LOPERA-MEDINA, Mónica María. La enfermedad renal crónica en Colombia: necesidades en salud y respuesta del Sistema General de Seguridad Social en SaludChronic Kidney Disease in Colombia: Health Needs and Response of the General System of Social Security in Health. Rev. Gerenc. Polit. Salud [online]. 2016, vol.15, n.30, pp.212-233. ISSN 1657-7027.  https://doi.org/10.11144/Javeriana.rgyps15-30.ercc.

Chronic Kidney Disease (CKD) is a high-cost illness, non-transmissible and progressive disease, closely related to others diseases such as cardiovascular ones and diabetes. Incidence, prevalence and mortality are increasing in Colombia, despite the existence of policies tempting to orientate the prevention, and healthcare process. In The General Social Security System, CKD has been treated preferably under a model of individual and biomedical attention that dismisses the importance of prevention of the disease. The health authority seems to be weak to exert an actual surveillance and control of actors involved in the System, and encourage economic compensation to Health Insurance Companies without taking into account an actual assessments of health results. This essay shows both, CKD situation in the country, and the response of the General System of Social Security in Health, with the purpose of encourage the reflection on the need to introduce a new model of healthcare.

Palavras-chave : Renal Insufficiency; Chronic; Health Expenditures; Cost Allocation; Social Security System in Colombia.

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