La legislación que regulamenta el sistema de salud colombiano: formulación, aplicación e implicaciones sobre sus actores / Lesgilation regulating the Colombian health system: formulation, implementation and implications on its agents
presentar las problemáticas en la formulación e implementación de la legislación del actual sistema, así como las implicaciones sobre sus diferentes actores.
Metodología:
estudio realizado en seis ciudades colombianas usando la metodología cualitativa de la teoría fundada. Se realizaron 174 entrevistas a médicos, administradores, enfermeras y usuarios.
Resultados:
los hallazgos evidencian problemas en la formulación e implementación, entre ellos la sobreproducción y las dificultades para la aprehensión, la influencia de intereses particulares y la no correspondencia de las normas con las necesidades de salud la población.
In the Colombian health system, the legislation complies with the role of determining its structure and function in order to guarantee the rights to health and social security included in the 1991 Constitution.
Objective:
to present the issues in the formulation and implementation of legislation in the implications of their various agents.
Methodology:
a study in six Colombian cities using qualitative methodology based on the theory. 174 interviews were conducted with doctors, administratorsnurses and users.
Results:
the findings reveal problems in the formulation and implementation, including over-regulation and the difficulties of his apprehension, the influence of special interests and not matching the standards with the needs of the accessing health.
Discussion:
these problems cause barriers to accessing health services and failures in the quality of patient care, ethical dilemmas and dissatisfaction with health professionals, as well as instability in the health sector institutions. This emerges as a constraint of the law in favor of the constitutional principles and the collective welfare.