According to the minister, “Nowhere in the health reform, proposed on February 13, does it indicate that the EPS will be abolished; those requirements may continue until the end of time. In order to territorialize them, it is necessary to establish family groups and groups of people in the primary care center of health.
The project, presented by President Gustavo Petros before the Congress of the Republic, gathers in a document of 152 pages and 18 chapters the main points in which the future General System of Social Security in Health (SGSSS) is projected in the region. in the following years.
Currently, the System moves more than 70 billion pesos a year and, despite the improvements it has had in previous years, people’s needs continue to increase for coverage and appropriate health.
The minister also mentioned that “citizens believe that health care and policies are carried out by the EPS, but none, through clinics or hospitals”. What EPS do is take data, quantify it and present it. Big in this misinformation, it is not known that we will pay 6.6 trillion pesos in public resources to these entities”.
“The administration of said public resources is in charge of the Administrator of the Resources of the Social Security System in Health (ADRES). This fund is responsible for 70% of the money that is now being asked to be the sole treasurer,” the official emphasized.
In this sense, the plan proposes a transition to EPSs having different functions, including hearing, while ADRES is constituted as a single treasurer. The bill states that an assessment of said property is made every two years.
“ADRES has some regional money that will not manage the money, but will be in charge of the system of resources; they will pay directly from Bogotá to the clinic or hospital, and this is in the mind that the procedures are clear and transparent”, said the minister, and emphasized: “The money will not be given to the officers and elders”.
Another program called for at the Forum was Comprehensive Health Risk Management, through which people are asked to access and take appropriate care of health services and avoid risks that could harm them.
“Ours is a system that abandons the primary level of health, still in Colombia in the 19th century, where in rural areas there is no place for childbirth or prenatal tests, which cost us the lives of babies and mothers,” the minister noted. .
Professor Mario Esteban Hernández pointed out that “solving the main issues allows us to enjoy the fundamental right to health, but also progress in equity allows us to respond to the health needs of the most vulnerable people”.
The current health system model prioritizes disease care, and in most cases care is provided through specialized and emergency medicine.
Professor José Fernando Galván, dean of the Faculty of Medicine at UNAL, stated that “the model of health based on these conditions is neither sustainable in the short or medium term nor financially”.
“The management has to be changed to prevention and promotion activities, since the emphasis is on the first concern in the states and borders of the region. It must be a model of health and not only in the exclusive care of the disease”, which the academic emphasized.
In relation to human talent, Edilma Suarez, director of human talent of the Ministry of Health, defined that “51.5% are health assistants, professional technicians and technologists, and we should have a higher percentage of doctors”.
The Forum Professors were also present: Hernando Torres, Dean of the Faculty of Civil Law, Political and Social Sciences; Mabilio Carrillo González, Dean of Nursing; Giovanni Apráez, from this Public Health; Eduardo Guerrero, from the University of Antioquia; and Román Vega, Investigator and Former Secretary of Health of Bogotá. The moderation was supervised by Professor Rafael Malagón, director of the Department of Collective Health of the Faculty of Dentistry of UNAL.
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