With the national government on the verge of promulgating a health reform bill reaching Congress, more and more details of the changes have become known.
While the contents of the articles are not yet known, the health minister, Carolina Corcho, and several figures who were close to the proposal’s creation process have given new details about what the text will include.
For example, it is already clear that the proposal will seek to eliminate EPS, Since the national government believes that the financial intermediation and administration of resources that are today under the control of these private companies is not efficient enough.
The prospect of this actor disappearing in the health system has raised alarm bells in various sectors, indicating that no state entity has sufficient expertise to handle the functions that EPS performs today.
Minister Corcho, however, He warns that part of the path to change will be made through the decentralization of resources to the Administrator of the Common System of Social Security in Health (ADDRESS), which today manages funds in the health sector.
The idea is to create ADRE headquarters in the regions so that they can receive state resources and then transfer them directly to public hospitals, private clinics and health centers.
Although, This means that, in the words of Minister Corcho, the health model will move from EPS to health provider network. These networks will be made up of private and public institutions. However, the senior official cautioned that the aim of the reform would be to strengthen public hospitals.
“We need hospitals to work 7/24 in the regions, that they have the proper infrastructure, equipment and supplies to care for the population where they live, avoiding transfers that put people’s lives at risk . We need a system designed with a preventive business in mind, one that cares about people, tests and follows up, and manages to detect diseases in a timely manner.”, the Minister of Health indicated in a recent text written for the magazine Alternative.
And where will the appointments take place?
However, today one of the tasks assigned by the state to the EPS is the management of medical appointments. It is common that whenever patients need to be seen by a medical professional, they go through different channels of the EPS they are affiliated with: they are seen by a consultant at a physical point, they make a phone call, or they can also schedule their counseling online.
The question remains in the air as to what patients are going to do to request their medical appointments in the absence of an EPS. Well then, Minister Corcho mentioned this issue in an interview given a few weeks ago on Blue radio station.
At the outset, he warned that there would be no structural changes to the funding of these services, as money for patient care would continue to come out of state pockets.
“You are registered in an integral network for the provision of health services, (for example) in the network of Bogotá. Where are you treated today when you go to the EPS? In a health post, a doctor takes care of him “Explained to the officer in the interview.
warned The citizen will have multiple health centers and will be able to decide in which one he can register to receive care closer to his home.
And he explained that, in turn, these health centers are part of a network of other centers of medium and high complexity that offer the rest of the specialties, if the patient needs to go to them. ,The entire network is available to you, public and private.” Minister Corcho indicated.
“Now, in deep, rural and forgotten Colombia, it has that network, but suddenly it doesn’t have such specialized services, so it has an agreement with another network in Bogotá to provide a service to the citizen,” Corcho explained.
And he warned that these primary care health centers would be available in the regions where the patients live. “Citizens want the best service close to their home,” he concluded.
Along the same lines, Ana Maria Solebe, who was part of the committee to promote structural reform of the health system, told Semana in a recent interview that the model they want to implement will be based on prevention and prediction. .
In other words, they want to see patients quickly, Timely diagnose the conditions that afflict them or even give them the necessary attention to prevent them from getting sick. This would save costs for the health system, although it is not yet clear how this might be implemented.
Medical authorizations may come to an end
At present, authorization is required for patients to access medicines or appointments with doctors of various specialties. However, with the health reform, which is expected to enter Congress next February, that process will come to an end.
While what is taken care of today to generate authorization is the medical criteria and approval of the EPS, what the health ministry will demand is that the decision to prepare drugs and refer patients to specialists rests entirely with the health care professional. depends on the decision. ,
“We want to foster a direct relationship between doctor and patient. Access to services, specialists and medicines without the need for authorization. Medical order will suffice. It seeks to make direct payments to the end service provider, which would save the system $6.5 billion every year”, indicated Minister Corcho in the Alternative magazine.