PHP355 - Impact of Decision Making Based on The Matching The Quality of The Early Warning Indicators In Colombia During 2013 – 2014 Between Private And Public Ips and The Quantity of Affiliates By Regimen

Abstract

The objective of the present study was assess the impact of the performance evaluation, in terms of quality of the early warning indicators in Colombia during 2013 – 2014 between private and public IPS and the quantity of affiliates. The quality has been established as a key attribute in the comprehensive health care, which under the General System of Social Security in Health(SGSSS) in the Act100 of 1993 and the reforms of Decree1011 of 2006 and Resolution1446 of the same year, was designed and implemented the policy of the system of warranties of quality in health care, in terms of quality of the early warning indicators(EWI). A GLM and matching analysis comparing the quality in terms of timeliness and accessibility of health(TAH) care in the health institutions by department between 2013-2014 is proposed, taking into account the participation of affiliates in the contributory and subsidized regimen(CR-SR), in order to show that the number of members of the SGSSS at the departmental level is not necessarily determined by the increased presence of IPS or health centers or by the quality results of TAH. The period studied, after running nine models of linear regression intertwined variables mentioned above (n_obs=33), it was shown that members of the SR(SR”n2013=22669543;n2014=22882669”;&;CR”n2013=20150266;n2014=20760123”)had a correlation of 30.63%compared to public regardless of private-IPS , while the worst correlation 7.54 %was manifested in the SRmembers attending Pr-IPS, since a high degree of omitted variables Pu-Pr-IPS manifests48.66%. SR had a notable effect over the quantity of affiliates in the health system. Affiliates of both Regimens prefer to assist to pu-IPS considering that had the highest quality(EWI). This research will open the discussion about the relevance of quality indicators in health and their relation with national budget, and what will happen if Colombia implement a Universal Health System.