The Colombian health system

The SGSSS, EPS and IPS, the contributory and subsidised schemes, SIVIGILA, the PAI and the laws behind them.

23 pages

• ADRES and the capitation payment unit (UPC)ADRES pools and manages the health system's money
• Care models: PAIS, MIAS and MAITESince 2016 Colombia has changed its care model several times: the PAIS policy with MIAS, then…
• Colombia's General System of Social Security in Health (SGSSS)It is Colombia's health insurance system, created by Law 100 of 1993: every resident must be…
• Comprehensive health care pathways (RIAS)The pathways set what care each person should receive according to their stage of life and their…
• EPS and IPS (insurers and providers)The EPS is the insurer that enrols people and guarantees services; the IPS is the hospital…
• Health information systems in Colombia: SISPRO, RIPS, RUAFSISPRO brings the sector's databases together; RIPS record every service delivered and RUAF-ND…
• Health Situation Analysis (ASIS)The ASIS is a territory's health diagnosis: who lives there, what they fall ill and die of, why…
• Intercultural health and ethnic peoples (SISPI)The SISPI is Indigenous peoples' own health system: it joins their ancestral knowledge with the…
• Notifiable events in ColombiaThey are the diseases, deaths and situations every provider must report to SIVIGILA, each with…
• Patient safety and adverse eventsPatient safety aims to cut the harm caused by care itself: recognise failures, report them…
• Pharmacovigilance and technovigilance in ColombiaThese systems detect and analyse harm from medicines and medical devices already on the market…
• Primary health care in ColombiaPHC is the strategy that brings the health system close to people: teams in the territory…
• SIVIGILA: public health surveillance in ColombiaIt is the national system that collects and analyses cases of events of public health interest…
• The Collective Interventions Plan (PIC)The PIC is the set of free public health actions a municipality or department carries out for…
• The contributory schemeIt is the way to enrol for people who can pay: employees, pensioners and self-employed people…
• The health benefits planIt is the set of services and technologies every enrollee is entitled to
• The Mandatory Quality Assurance System (SOGC)The SOGC sets health care quality rules: minimum requirements to offer services, audits to…
• The occupational risk systemColombia's system that prevents and covers work accidents and occupational diseases; ARLs run it…
• The PAI as a public health programmeColombia's Expanded Programme on Immunisation runs free vaccination: purchasing, cold chain…
• The Statutory Health Law (Law 1751 of 2015)It is the law that recognises health as a fundamental right in Colombia and sets its elements…
• The subsidised schemeIt is enrolment for poor and vulnerable people unable to pay: the State pays their insurance…
• The Ten-Year Public Health PlanIt is Colombia's ten-year public health policy: it sets aims, targets and strategies that each…
• Tutela and ways to claim the right to healthIf an EPS refuses or delays a service, the user can complain to the EPS, complain to Supersalud…

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← Epidemiology, biostatistics and public health

Educational content on epidemiological and statistical methods; the examples use made-up numbers to teach the calculation. Not a clinical or legal guide: current Colombian rules are in the official sources.

Representative model, for educational purposes only.