CHARACTERIZATION OF THE PRESCRIPTIONS OF HEALTH TECHNOLOGIES NOT COVERED BY THE BENEFIT PLAN IN COLOMBIA: AN ANALYSIS BASED ON THE MIPRES REPORT
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Keywords
Health Technology Prescriptions, MIPRES Report, Colombian Health System, Variability in Demand, Costs and Priority Diseases.
Abstract
The study "Characterization of the prescriptions of health technologies not covered by the Benefit Plan in Colombia: An analysis based on the MIPRES Report" analyzes the prescriptions of technologies not included in the Colombian Health Benefits Plan. The use of the MIPRES Report, which compiles detailed data on these prescriptions, stands out. The goal is to understand these practices to improve decision-making in the health system. The analysis covers the period from 2016 to 2022 and reveals a variable dynamic in the frequency of users of the health system. A steady increase is seen through 2019, followed by a decline in 2020 and 2022, possibly related to the COVID-19 pandemic. The larger EPS, such as NUEVA EPS, SANITAS and EPS SURA, serve the majority of members. The diseases that generate the highest costs are urinary incontinence not otherwise specified, diabetes mellitus, and atrial fibrillation. Possible overutilization of resources under these conditions is suggested. In addition, geographical variations in the demand for health services are identified, with Bogotá, Valle del Cauca and Antioquia being the departments with the highest demand. It is recommended to strengthen emergency response capacity, promote equity in access to health care, improve resource management, and foster competition and transparency in the sector. It also calls for boosting the prevention and management of chronic diseases. This study offers a comprehensive view of the prescriptions of technologies not covered in Colombia, providing valuable information to improve the efficiency and quality of the health system. However, more research is needed to address these challenges effectively.
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León Arango Buelvas
Universidad de Sucre (Colombia)
John Buelvas Parra
Universidad de Sucre (Colombia)
William Niebles Nuñez
Universidad de Sucre (Colombia)