Whats the Case in Colombia?

BY: SAMANTHA WARGO

 Health care system

Effort for mixed market system

Over 130 public and private systems
2010- government declared 97% of Colombians
covered
2009- spent $16.3 billion on health

(Webster, Health in Columbia: a system in crisis)

 Problems

Unusual for government subsided to go to private

hospital
Inequalities in system
Pharmaceutical costs
Do what they have to & dont go above
Patients- private insurance- better outcome

(Webster, Health in Columbia: a system in crisis)

 Need for Reform

Health cannot be a business and cannot be

approached as a business. Health is a social service,
is a right of the Colombians Jose Manuel Santos
Caldern

(Webster, Health in Columbia: a system in crisis)

 Displaced People

Demand documents they cannot always get

Brother denied care

30% of five million refugees lack access

There is obvious
(Webster, Health in Columbia: discrimination against
displaced people who seek
treating the displaced) health services
- Anajulia Caicedo
 Life Expectancy

Males
Expected: 71

Females
Expected: 78

(WHO, Colombia)
 Top Causes of Premature Death
1990 2015

1. Interpersonal Violence 1. Interpersonal Violence

2. Lower Respiratory 2. Ischemic Heart Disease
Infections 3. Road Injury
3. Ischemic Heart Disease 4. Congenital Defects
4. Preterm Birth 5. Cerebral Vascular
Complications Diseases
5. Diarrheal Diseases
(IHME, Colombia)
(IHME, GBD Profile:
Columbia)
 Risk Factors

High BP
Dietary Risks
High BMI
High fasting glucose index

(IHME, Colombia)
 Outbreak

Guillain-Barr Syndrome
Auto-immune disease

Not contagious

(NIH, Guillain-Barr Syndrome Fact Sheet)

Recorded 86 cases in 5 weeks

Approx. 5 cases per week is average

All 86 cases presented with Zika virus infection symptoms

(WHO, Guillain-Barr Syndrome-Colombia and Venezuela)

 Compared to United States

Mixed Market similar

Spends most on health care
Very expensive
More people than Colombia without approx 15%

(Bernstein, Once again, U.S. has most expensive, least

effective health care system in survey)
 Compared to United States

Life expectancy- 78.8

Leading causes of death Heart disease, cancer,
chronic lower respiratory diseases, accidents, stroke
Heart disease- risk factors very similar

(CDC, Leading Causes of Death)

 Childhood Obesity

Colombia- wealthy children obesity growing

Some parts of Colombia at 30%

10% of population undernourished

30% roughly equal to United States

(Webster, Health in Columbia: the chronic disease

burden)
 Works Cited

Bernstein, Lenny. Once again, U.S. has most expensive, least effective health
care system in survey. The Washington Post, 2014,
https://www.washingtonpost.com/news/to-your-
health/wp/2014/06/16/once-again-u-s-has-most-expensive-least-effective-
health-care-system-in-survey/?utm_term=.82e0a96f1079. Accessed 28
November 2016.

CDC. Leading Causes of Death. Centers for Disease Control and Prevention,
http://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm. Accessed 30
November 2016.

IHME. Colombia. Institute for Health Metrics and Evaluation,

http://www.healthdata.org/colombia. Accessed 4 December 2016.

---. GBD Profile: Columbia. Institutes for Health Metrics and Evaluation,
http://www.healthdata.org/sites/default/files/files/country_profiles/GBD/ih
me_gbd_country_report_colombia.pdf. Accessed 28 November 2016.
 Works Cited

NIH. Guillain-Barr Syndrome Fact Sheet. National Institute of Neurological

Disorders and Stroke, http://www.ninds.nih.gov/disorders/gbs/detail_gbs.htm.
Accessed 3 December 2016

Webster, Paul C. Health in Columbia: the chronic disease burden. CMAJ, vol. 184,
no. 6, 2012, http://www.cmaj.ca/content/184/6/E293. Accessed 25 November 2016.

---. Health in Columbia: a system in crisis. CMAJ, vol. 184, no. 6, 2012,
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3314050/. Accessed 25 November
2016.

---. Health in Columbia: treating the displaced. CMAJ, vol. 184, no. 6, 2012,
http://www.cmaj.ca/content/184/6/E291. Accessed 25 November 2016.

WHO. Colombia. World Health Organization, http://www.who.int/country/col/en.

Accessed 28 November 2016.