Aseguramiento universal en salud en el Perú: una aproximación a 10 años de su implementación

Jumpa-Armas, David

doi:10.25176/rfmh.v19i3.2158

Cited by 5 publications

(4 citation statements)

References 2 publications

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“…5,17 The separation of the SIS from ESSALUD leads to duplication of efforts because of a lack of shared learnings, investments, and resources (less than 1.3% of the SIS budget purchases services from the better-equipped ESSALUD). 18 It also increases the risk of a resource allocation that is not in the national interest, 8,15 especially as both networks are complementary. 16,17,[19][20][21] The lack of well-prepared decentralization is a widely recognized issue affecting the performance of the Peruvian health system.…”

Section: Characterization Of the Peruvian Health Systemmentioning

confidence: 99%

Budget Process and Execution: A Case Study on the Underperformance of the Peruvian Health System, 2000–2021

Hönger,

Montag

2024

Glob Health Sci Pract

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Section: Characterization Of the Peruvian Health Systemmentioning

confidence: 99%

Budget Process and Execution: A Case Study on the Underperformance of the Peruvian Health System, 2000–2021

Hönger,

Montag

2024

Glob Health Sci Pract

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“…Es un hecho que debería realizarse un mayor control en las instituciones públicas y privadas, para ello el Ministerio de salud, como ente rector y el Ministerio de la mujer y poblaciones vulnerables de forma articulada con otros Ministerios, deben plantear estrategias que conlleven a realizar contralorías oportunas y la intervención del estado para asegurar a ciudadanos que realmente se encuentran en zonas desprovistas de todo tipo de ayuda social. (10) Figura 1. Diagrama de flujo de la información a través de las diferente fases de una revisión sistemática.…”

Section: Desarrollounclassified

“Aseguramiento Universal en Salud en El Perú Durante La Pandemia”

Cabrejos¹,

Bernales²,

Mendoza³

et al. 2022

Curae

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Aseguramiento universal en salud en el Perú durante la pandemia. Objetivo: Analizar el aseguramiento universal en salud en el Perú durante la pandemia Covid - 19. Metodología: Artículo científico descriptivo realizada a través de la base de datos de Scielo, Lilacs/ BVS, Sciencedirect, Scopus, contando con siete referencias científicas que contrastan y coadyuvan para mejor discernimiento acerca del aseguramiento en salud durante la pandemia Resultados: El Perú definitivamente se deben establecer políticas de gobierno acorde a la realidad poblacional, con el mérito de unificar o estandarizar criterios para acceder a un aseguramiento universal de salud, el cual pueda satisfacer las necesidades y dar solución a los problemas sanitarios vistos tanto para Perú como para cualquier país alrededor del mundo hay un gran reto, que es el de alcanzar la Cobertura Universal en Salud. Es por ello que la OMS siempre enfatiza la necesidad de reducción de inequidad en salud. Conclusión: Se analiza el aseguramiento universal en salud en el Perú durante la pandemia Covid – 19, el cual acorde a la revisión de artículos ha evaluado la evolución de la CAS desde su creación hasta la actualidad y en el contexto que vivimos, contrastándolo también a nivel internacional. Se encuentra que dichos efectos expresan convicción de la calidad, el cual muestra elementos valiosos acerca de la protección en salud, sirviendo para decisiones futuras en el Perú especialmente en momentos de pandemia.

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“…According to the World Bank, achieving an economically accessible health service and finding an adequate financing model are priorities for a country’s development [ 8 ], since this would eliminate an important barrier of access to health services. In the case of Peru, the strategies applied to improve health insurance began with the Agreement of Political Parties on health in 2005 assisted by USAID [ 9 ], which then led to extending the coverage of Comprehensive Health Insurance (SIS) to the entire population as of 2007 [ 10 ] and implementing the Framework Law on Universal Health Insurance in 2009 [ 11 ], these strategies have, to some extent, improved access to health services for people at the lowest socioeconomic levels. Insurance coverage in the poor Peruvian population rose from 62 to 74% between 2011 and 2015, and also increased from 75 to 81% in the extremely poor population in the same period of time [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of health insurance on the use of oral health services in the Peruvian population 2015–2019

Ruiz,

Pisfil-Benites,

Azañedo

et al. 2024

BMC Oral Health

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Background The high treatment cost of oral diseases is a barrier for accessing oral health services (OHS), particularly in low-income countries. Therefore, this study aimed to evaluate the impact of health insurance on the use of OHS in the Peruvian population from 2015 to 2019. Methods We conducted a prospective, longitudinal study of secondary data using the National Household Survey (ENAHO) 2015–2019 panel databases, which collected information from the same participants during each of the five years. The dependent variable was the use of OHS in the three months prior to the survey (yes/no). The independent variable was health insurance affiliation (four years or less/all five years). Both were measured by survey questions. Generalized estimating equation (GEE) Poisson regression models with robust standard errors were used to estimate the relative risk (RR) associated with use of OHS. Results We included 4064 individuals distributed in 1847 households, who responded to the survey during each of the five years. The adjusted GEE model showed that those who had health insurance during all five years without interruption were more likely to attend OHS than those who had insurance for four years or less (adjusted relative risk [aRR]: 1.30; 95%CI: 1.13–1.50). In addition, we carried out a sensitivity analysis by recategorizing the independent variable into three categories (never/some years/ all five years), which also showed (aRR: 1.45; 95%CI: 1.11–1.89) that participants with health insurance during all five years were more likely to have used OHS than those who never had insurance. Conclusion Therefore, in the Peruvian context, health insurance affiliation was associated with greater use of OHS. The panel data used derives from a subsample of consecutive nationally representative samples, which may have led to a loss of representativeness. Furthermore, the data was collected between 2015 and 2019, prior to the onset of the COVID-19 pandemic, and insurance conditions may have changed.

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Aseguramiento universal en salud en el Perú: una aproximación a 10 años de su implementación

Cited by 5 publications

References 2 publications

Budget Process and Execution: A Case Study on the Underperformance of the Peruvian Health System, 2000–2021

Budget Process and Execution: A Case Study on the Underperformance of the Peruvian Health System, 2000–2021

“Aseguramiento Universal en Salud en El Perú Durante La Pandemia”

Impact of health insurance on the use of oral health services in the Peruvian population 2015–2019

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