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The institutional organization of health in Colombia and its disconnection with the common good and mutuality

In: Providing public goods and commons. Towards coproduction and new forms of governance for a revival of public action

Author

Listed:
  • Juan Fernando ÁLVAREZ

    (Member of the research group UNES of the Institute of Rural Studies of the Pontificia Universidad Javeriana; Member of the Board of Directors of CIRIEC-Colombia, Colombia)

  • Miguel GORDO GRANADOS

    (Expert in health and taxation of the Capital District. Member of CIRIEC-Colombia, Colombia)

  • Hernando ZABALA SALAZAR

    (Member of the ECOSOL group of Luis Ámigo University. President of the Board of Directors of CIRIEC-Colombia, Colombia)

Abstract
This chapter analyzes the provision of health services in Colombia, which are constitutionally recognized even if in reality they are far from being guaranteed in terms of gratuity and universal coverage for most of the population. A situation possibly brought about by the market orientation promoted by the legal framework and the effects it has brought in terms of general interest, in exclusion and in the tendency towards the deterioration in the provision of services. Some of the actors in the system, characterized by a common property, offer a real and effective alternative in getting closer to the right to health for all. In this context, the organizational logic of mutual associations stands out as an instrument to optimize public health policy even if a new institutional dynamic is required, with anew relation between the State and social organizations. A relation in which the concept of common good is an appropriate starting point and finality as a strategy of governing the institutional agreements that improve the relations between the public organisms and the citizens.

Suggested Citation

  • Juan Fernando ÁLVAREZ & Miguel GORDO GRANADOS & Hernando ZABALA SALAZAR, 2018. "The institutional organization of health in Colombia and its disconnection with the common good and mutuality," CIRIEC Studies Series, in: Philippe BANCE & CIRIEC (ed.), Providing public goods and commons. Towards coproduction and new forms of governance for a revival of public action, volume 1, chapter 11, pages 231-248, CIRIEC - Université de Liège.
    • Handle: RePEc:crc:chapte:1-11
    as

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    References listed on IDEAS

    as
    1. Chang, Ha-Joon, 2011. "Institutions and economic development: theory, policy and history," Journal of Institutional Economics, Cambridge University Press, vol. 7(4), pages 473-498, December.
    2. Chang, Ha-Joon, 2011. "Reply to the comments on ‘Institutions and Economic Development: Theory, Policy and History’," Journal of Institutional Economics, Cambridge University Press, vol. 7(4), pages 595-613, December.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Colombian; health system; competition; optimization; common good; mutual;
    All these keywords.

    JEL classification:

    • P13 - Political Economy and Comparative Economic Systems - - Capitalist Economies - - - Cooperative Enterprises
    • P36 - Political Economy and Comparative Economic Systems - - Socialist Institutions and Their Transitions - - - Consumer Economics; Health; Education and Training; Welfare, Income, Wealth, and Poverty
    • P46 - Political Economy and Comparative Economic Systems - - Other Economic Systems - - - Consumer Economics; Health; Education and Training; Welfare, Income, Wealth, and Poverty
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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