<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-0011</journal-id>
<journal-title><![CDATA[Revista de la Facultad de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[rev.fac.med.]]></abbrev-journal-title>
<issn>0120-0011</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-00112018000400601</article-id>
<article-id pub-id-type="doi">10.15446/revfacmed.v66n4.66418</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Costs of health care in the last-year-of-life in Colombia: Evidence from two contributive regime health plans]]></article-title>
<article-title xml:lang="es"><![CDATA[Gasto en el último año de vida en Colombia: evidencia proveniente de aseguradores del régimen contributivo]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Prada]]></surname>
<given-names><![CDATA[Sergio Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad ICESI  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad ICESI  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>66</volume>
<numero>4</numero>
<fpage>601</fpage>
<lpage>604</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-00112018000400601&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-00112018000400601&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-00112018000400601&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: In USA, each year 5% of Medicare beneficiaries die, accounting for 25% of total Medicare health spending. Currently there are no studies addressing this issue in Latin American countries.  Objective: To estimate how much money do health care plans spend, in comparison with their total health spending, in the provision of health care to people in their last-year-of-life in Colombia.  Materials and methods: Based on claims data from two health plans with approximately 3.7 million people enrolled in the Colombian health system contributory regime, health care costs associated with patients in their last-year-of-life from 2011 to 2013 were estimated by using the decedent-survivor allocation method.  Results: Last-year-of-life health expenditure in people aged 65 and above accounted for 18% of total spending. The decedent-survivor ratio in this group age was 4.7. Last-year-of-life health spending in all age ranges was 6.2% while the decedent-survivor ratio was 15.1.  Conclusions: With the exception of USA, findings reported here suggest that last-year-of-life health care costs in Colombia are higher than those reported in other countries in the case of the elderly. Therefore, policymakers and health plans should work in strategies promoting palliative care programs in order to reduce these costs.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción. En EE. UU., el 5% de los beneficiarios del seguro Medicare mueren cada año y dan cuenta del 25% del gasto del seguro anual. No existen estudios al respecto para países latinoamericanos.  Objetivo. Estimar la proporción de recursos que destina un asegurador, en comparación con sus gastos totales, a personas que están en su último año de vida en Colombia.  Materiales y métodos. Usando los datos de facturación de dos entidades promotoras de salud del régimen contributivo con más de 3.7 millones de afiliados, se estimó el gasto en el último año de vida de sus afiliados con el método de asignación de gastos a fallecidos y sobrevivientes.  Resultados. El gasto en el último año de vida para población &gt;65 años correspondió al 18% con una razón de gasto entre fallecidos y sobrevivientes de 4.7. Para todas las edades el gasto en el último año de vida fue 6.2% y la razón de gasto entre fallecidos y sobrevivientes fue de 15.1.  Conclusiones. En comparación con otros países, a excepción de EE. UU., el gasto en el último año de vida en Colombia para los adultos mayores es superior. Los hacedores de política y los gerentes de aseguradoras deben prestar mayor atención a incentivar programas de cuidado paliativo.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Health Expenditure]]></kwd>
<kwd lng="en"><![CDATA[Health Services for the Aged]]></kwd>
<kwd lng="en"><![CDATA[Colombia (MeSH)]]></kwd>
<kwd lng="es"><![CDATA[Gastos en salud]]></kwd>
<kwd lng="es"><![CDATA[Servicios de salud para ancianos]]></kwd>
<kwd lng="es"><![CDATA[Colombia (DeCS)]]></kwd>
</kwd-group>
</article-meta>
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