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Literature on the Colombian Health System: An Evidence-Based View

The academy takes part in the debate on the Colombian health system with research and reflection articles that can have an effect only if they are based on evidence. What is the academic evaluation of the health system and to what extent is based on the evidence? 

Photo by Natasha Spencer at Unsplash
This article presents a systematic review of the literature, identifies the research methods used by the authors of 103 items found in Scielo, and assesses the level of evidence of published work. The literature recognizes the merit of the system consisting of the extension of coverage, and questions three aspects of the system: the weakness of public health and prevention, the rules that emphasize profitability, and the unfulfilled promise of the perfect competition as a mechanism to control costs and improve service and quality. 

The evidence is weak: there are no articles on the first (strongest) level of evidence, and the majority is concentrated on the sixth (weakest) level. The article concludes that the critique of the system and the reform proposals are based on weak evidence, which explains its rather marginal role in the political debate.

Original Article:

Carlos Andrés Merlano Porras & Iouri Gorbanev (2014) Literature on the Colombian Health System: An Evidence-Based View, Latin American Business Review, 15:1, 1-12



ABOUT THE AUTHOR

Carlos Andrés Merlano Porras. Finance academic and business expert. He has worked for several private and governmental companies in Colombia, occupying various positions as an advisor, Chief Financial Officer – CFO and Chief Strategy Officer - CSO in economic sectors as diverse as transportation, health-care, agriculture and energy. Also, Carlos teaches financial management and economics in several Colombian universities and has published numerous academic papers in peer-reviewed journals. In addition to his broad professional experience, Carlos earned various academic accomplishments including an MSc in Economics, an MBA with a focus in Global Business, and a finance specialization with an emphasis on projects evaluation.



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