Abstract

ORTEGA-BOLANOS, Jesús. THE CONCEPTION OF JUSTICE IN THE UNIVERSAL HEALTH COVERAGE, COLOMBIA 1990-2015. Hacia promoc. Salud [online]. 2016, vol.21, n.1, pp.37-51. ISSN 0121-7577.  https://doi.org/10.17151/hpsal.2016.21.1.4.

Objective: To demonstrate the conception of justice that presents the current Colombian health system in its component of insurance and subsequent access to services. The aim of this component is to achieve results and impacts that reach effective universal health coverage as an expression of social justice. Method: An observational descriptive study of the Colombian General Social Security System in Health CGSSSH assurance component was conducted with the purpose, through the Tanahashi model, of determining if the health system has achieved effective universal health coverage. Results: The series presented shows an uneven performance by regime of universal coverage, as well as the persistence of uninsured poor population and little effect of insurance as a mechanism to reach effective universal health coverage. Conclusions: To reach effective universal coverage demands, the requirement of universality posed by the philosopher John Rawls in his perfectionist proposal of justice where impartiality would apply as the central idea for all the Colombian population regardless whether people are affiliated to the CGSSSH or are considered as poor uninsured people, is necessary.

Keywords : Social justice; Social Security; equity in health; universal coverage; health systems.

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