1887

OECD Reviews of Health Systems: Colombia 2016

image of OECD Reviews of Health Systems: Colombia 2016

Colombia’s record in extending health insurance and health services to its population is impressive. In 1990, around 1 in 6 of the population had health insurance. Now, nearly 97% do, with greatest expansion occurring amongst poorer households. Likewise, in 1993 out-of-pocket spending made up 52% of total national expenditure on health. By 2006, this had fallen to less than 15%. Although Colombia has high rates of income inequality (with a Gini coefficient of 53.5 in 2012, compared to the OECD average of 32.2), access to health care services is much more equal. In urban populations, for example, 1.8% of children aged less than two years of age are recorded as having received no routine vaccinations, compared to 1.0% of rural children.  Colombia nevertheless faces important challenges to maintain and improve the performance of its health system. This report looks at Colombia’s health care system in detail and offers recommendations on what Colombia can do to ensure accessibility, quality, efficiency and sustainability.

English

.

Executive summary

Colombia offers a remarkable example of rapid progress toward universal health coverage that deserves to be better known internationally. It has achieved financial protection against excessive health care costs for almost all citizens, as well as an equal basket of services for those in and out of formal employment. Insurance coverage has risen rapidly from 23.5% of the population in 1993 to 96.6% in 2014. Affiliation increased most rapidly in the poorest quintiles (from 4.3% in 1993 to 89.3% in 2013) and in rural areas (from 6.6% in 1993 to 92.6% in 2013). Likewise, in 1993 out-of-pocket spending made up 52% of total national expenditure on health. By 2006, this had fallen to less than 15%, and remains one of the lowest figures in the region.

English

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error