Cobertura de aseguramiento en salud: el caso peruano desde la Ley de Aseguramiento Universal

Mezones‐Holguín, Edward; Amaya, Elard; Bellido-Boza, Luciana; Mougenot, Benoît; Murillo, Juan Pablo; Villegas-Ortega, José; Sara, José Carlos Del Carmen

doi:10.17843/rpmesp.2019.362.3998

“…The promulgation of the Universal Health Insurance Act in 2009 and the implementation of health sector reforms in 2013 foster a notorious expanding in health insurance coverage, with a 6.7% average annual increase from 2009 to 2017 [ 21 ]. Besides, based on the National Household Survey (ENAHO, from Spanish Acronym), in the third trimester of 2019, only 75.5% of the population had at least one health insurance, whereas the National Health Authority (SUSALUD from Spanish Acronym) reported in 88.1% in September 2019 [ 33 ].…”

Section: Geographic Economic Social and Cultural Barriersmentioning

confidence: 99%

“…The Peruvian Health System (PHS) is fragmented and segmented, with the public and private sectors involved in financing and healthcare provision [ 18 , 20 ]. Since the Universal Health Insurance Act (AUS) in 2009, population coverage has reached 75% in 2017, slightly more than half in Comprehensive Health Insurance (SIS from its Spanish Acronym, mainly subsidised), and 22% in Social Security (EsSalud, mainly contributory); furthermore, around 70% of the population receives medical attention in MINSA and GORE facilities [ 21 ]. Nevertheless, there are significant problems with access to formal health services [ 22 ] and medication, especially in the public sector [ 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Cancer disease progression and death during the COVID-19 pandemic: a multidisciplinary analysis for the Peruvian setting

Astigueta¹,

Abad-Licham²,

Chávez-Chirinos³

et al. 2020

ecancer

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Since the COVID-19 pandemic began in China in late 2019, infection from the SARS-CoV-2 virus has spread virtually worldwide. This infection has adversely affected several countries; governments have outlined a series of political measures aimed to preserve the health and safety of their populations. In Peru, most actions have prioritised COVID-19 attention, with a subsequent gap in the healthcare facilities needed for other diseases. Cancer, one principal cause of death in the country, is usually diagnosed late. Moreover, in the pandemic context, the prevention and control of cancer have been negatively affected. Therefore, we carried out a multidisciplinary analysis using the Ishikawa diagram to identify the probable factors that contribute to cancer progression and deaths in Peru.

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“…This study makes an important contribution to the existing literature because it is one of few studies addressing factors associated with health insurance coverage in Peru. Prior studies have focused on examining the effects of increasing insurance coverage on access to services (34) and nancial protection (15,16), but they did not examine in detail determinants of insurance coverage. Moreover, with its narrow focus on women, our study expands the very limited literature on health nancing and gender, highlighting coverage gaps speci cally for women (18).…”

Section: Insert Table 4 Discussionmentioning

confidence: 99%

Identifying the determinants of health insurance coverage among Peruvian women of reproductive age: an assessment based on the national Peruvian demographic survey of 2017

Rosas

¹

,

Winkler

²

,

Brenner

³

et al. 2020

Preprint

1

0

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Background: Like many other Latin America- and Caribbean countries, Peru has introduced a tax-financed health insurance scheme called “Sistema Integral de Salud (SIS)” to foster progress towards Universal Health Coverage. The scheme explicitly targets the poorest sections of the population. Our study explores levels of health insurance coverage and their determinants among Peruvian women following the introduction of SIS. We wish to determine the extent to which the introduction of SIS has effectively closed gaps in insurance coverage and for whom. Methods: Relying on the 2017 round of ENDES (Encuesta Nacional Demográfica y de Salud Familiar) survey, we analyzed data for 33168 women aged 15-49. We used multinomial logistic regression to explore the association between health insurance coverage (defined as No Insurance, SIS, Standard Insurance) and women’s socio-demographic and economic characteristics. Results: Out of the 33168 women, 25.3% did not have any insurance coverage, 45.5% were covered by SIS and 29.2% were covered by a Standard Insurance scheme. Women in the SIS group were found to have lower educational levels, live in rural areas and more likely to be poorer. Women in the Standard insurance group were found to be more educated, more likely to be “Spanish”, and to be wealthier. Most uninsured women appeared to belong to a middle class, not poor enough to be eligible for SIS, but also not eligible for standard insurance. Conclusions: Our study confirms that SIS has been effective in increasing coverage among vulnerable women, with coverage rates comparable with those observed among men. Nevertheless, on its own, it has proven to be insufficient to ensure universal coverage among women. Further reforms are needed to ensure that coverage is extended to all population groups.

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“…This study makes an important contribution to the existing literature as one of few studies addressing factors associated with health insurance coverage in Peru. While prior studies have primarily focused on examining effects of different insurance schemes on health coverage and service access (38), as well as nancial protection (19,20), no explicit examination of determinants of insurance coverage in Peru has been reported so far. With its narrow focus on women, our study also contributes to the rather limited literature on gender aspects in health nancing, such as the identi cation of coverage gaps speci cally faced by women (22).…”

Section: Insert Table 4 Discussionmentioning

confidence: 99%

Identifying the determinants of health insurance coverage among Peruvian women of reproductive age: an assessment based on the national Peruvian demographic survey of 2017

Rosas

¹

,

Winkler

²

,

Brenner

³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Background: Like many other Latin America- and Caribbean countries, Peru has introduced a tax-financed health insurance scheme called “Sistema Integral de Salud (SIS)” to foster progress towards Universal Health Coverage. The scheme explicitly targets the poorest sections of the population. Our study explores levels of health insurance coverage and their determinants among Peruvian women following the introduction of SIS. We wish to determine the extent to which the introduction of SIS has effectively closed gaps in insurance coverage and for whom. Methods: Relying on the 2017 round of ENDES (Encuesta Nacional Demográfica y de Salud Familiar) survey, we analyzed data for 33168 women aged 15-49. We used multinomial logistic regression to explore the association between health insurance coverage (defined as No Insurance, SIS, Standard Insurance) and women’s socio-demographic and economic characteristics. Results: Out of the 33168 women, 25.3% did not have any insurance coverage, 45.5% were covered by SIS and 29.2% were covered by a Standard Insurance scheme. Women in the SIS group were found to have lower educational levels, live in rural areas and more likely to be poorer. Women in the Standard insurance group were found to be more educated, more likely to be “Spanish”, and to be wealthier. Most uninsured women appeared to belong to a middle class, not poor enough to be eligible for SIS, but also not eligible for standard insurance. Conclusions: Our study confirms that SIS has been effective in increasing coverage among vulnerable women, with coverage rates comparable with those observed among men. Nevertheless, on its own, it has proven to be insufficient to ensure universal coverage among women. Further reforms are needed to ensure that coverage is extended to all population groups.

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Cobertura de aseguramiento en salud: el caso peruano desde la Ley de Aseguramiento Universal

Cited by 31 publications

References 0 publications

Cancer disease progression and death during the COVID-19 pandemic: a multidisciplinary analysis for the Peruvian setting

Cancer disease progression and death during the COVID-19 pandemic: a multidisciplinary analysis for the Peruvian setting

Identifying the determinants of health insurance coverage among Peruvian women of reproductive age: an assessment based on the national Peruvian demographic survey of 2017

Identifying the determinants of health insurance coverage among Peruvian women of reproductive age: an assessment based on the national Peruvian demographic survey of 2017

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