Evaluación de la implementación de la política pública de seguridad social en salud relacionada con enfermedades catastróficas o de alto costo 2013-2016

Abstract

The coverage of the Colombian population against ruinous or catastrophic diseases is due to the introduction of article 49 in the Political Constitution of Colombia of 1991 that made Social Security an inalienable and universal right. Law 100 of 1993 accepted the principle of the integrality defended by the unions as an acquired right and that was developed by paragraph 4 of article 162 of said law that required reinsurance for high cost diseases as a guarantee for integral compliance Of the Obligatory Health Plan and as a mechanism that would avoid the adverse selection of costly risks by the EPS and the ARS. In order to respect the fundamental right to health, with special constitutional protection throughout the national territory guaranteeing and protecting this right can be invoked to the action of guardianship. The fundamental right to health, such as the ability of the human being to maintain normal functional, physical and mental, which according to the international commitment assumed by Colombia, must be assumed at the highest level and take measures such as facilitating its Equal and timely access to basic preventive, curative and rehabilitative services. Medical treatment must be terminated until the patient is recovered or stabilized without disruption that endangers his or her fundamental right to life, health, personal integrity and human dignity. The problem limits the patient to the national territory, because: What is the effectiveness of the public policy of the public policy of social security in health related to catastrophic diseases or high cost that require attention outside the national territory with the need for companion, according to normality in force. And as a general goal. To evaluate the implementation of the public policy of social security in health, related to catastrophic diseases or of high cost that requires attention outside the national territory. Specific objectives, analyze the implementation of public policy in the light of jurizprudence. Evaluate the perception of users against the benefits of the Policy under study. Propose strategies for the implementation of policies for the management of users with high cost pathologies, which require treatment and support abroad. The method of the present study was carried out from the evaluative Research approach using the tools of social research. It is concluded that: jurisprudence has indicated that it is the obligation of the State to grant special protection to persons suffering from catastrophic diseases, or of high cost, when they are in a situation of manifest weakness.

Thus, in T-797 of 2008 it was stated: according to a harmonious interpretation of the principles of the Political Charter, constitutional jurisprudence has established the duty of the State to provide special protection to people suffering from catastrophic or ruinous diseases, In accordance with the guarantee of the right to health and the reinforced protection that, in the framework of the Social State of Law, deserve people who, due to their physical or mental disabilities, are in a state of manifest weakness. It is important to take into account the jurisprudence in which it is evident the need for a standard that shelters the patient with high cost pathologies their remission to the outside and their companion in case of requesting it.