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El SISBEN como mecanismo de focalización individual del régimen subsidiado en salud en Colombia: ventajas y limitaciones

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  • Martha Bottia
  • Lina Cardona-Sosa
  • Carlos Medina

Abstract

ResumenEste documento analiza el desempeno del SISBEN como instrumento de focalización del Régimen Subsidiado en Salud, RS, desde su introduccion en 2003. La evidencia sugiere que la focalización del RS para 1997 y 2003, hecha con base en el Viejo SISBEN, fue aceptable y que, la introducción del Nuevo SISBEN (con información de 2007) como instrumento focalizador corrigió varias de las limitaciones de su antecesor, mejorando la focalización del RS. Adicionalmente, se analiza la presencia de información distorsionada (o respuesta estratégica") a los encuestadores del SISBEN por parte de los hogares, encontrándose que aquellos en condiciones relativamente mejores se benefician mas de dicha estrategia, convirtiendo el instrumento en una herramienta regresiva que lleva a que una quinta parte de los beneficiarios del RS logren ser incluidos en el programa sin ser elegibles.AbstractSISBEN as a grouping mechanism within subsidized health system in ColombiaThis document assesses the performance of SISBEN as instrument for targeting health insurance for the poor, RS, since it was created after Law 100 of 1993. Evidence suggests that targeting of health insurance based on Viejo SISBEN for years 1997 and 2003 was acceptable. In addition, preliminary evidence available for 2007 shows that the introduction of Nuevo SISBEN corrected several of the limitations of Viejo SISBEN, improving the targeting of RS. On the other hand, we analyze the effects of households´ strategic response to SISBEN surveyors and find that the better off households benefit more of it, making of strategic response a regressive tool that allows close to one fifth of RS beneficiaries to manage to get included even though they are not actually eligible."

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  • Martha Bottia & Lina Cardona-Sosa & Carlos Medina, 2012. "El SISBEN como mecanismo de focalización individual del régimen subsidiado en salud en Colombia: ventajas y limitaciones," Revista de Economía del Rosario, Universidad del Rosario, December.
    • Handle: RePEc:col:000151:010728
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    Cited by:

    1. Gaurav Khanna & Carlos Medina & Anant Nyshadham & Christian Posso & Jorge Tamayo, 2021. "Job Loss, Credit, and Crime in Colombia," American Economic Review: Insights, American Economic Association, vol. 3(1), pages 97-114, March.
    2. Orazio Attanasio & Lina Cardona-Sosa & Carlos Medina & Costas Meghir & Christian Posso, 2021. "Long Term Effects of Cash Transfer Programs in Colombia," Borradores de Economia 1170, Banco de la Republica de Colombia.
    3. Van Hemelryck, Tamara & Berner, Heidi, 2021. "Social information systems and registries of recipients of non-contributory social protection in Latin America in response to COVID-19," Documentos de Proyectos 46868, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    4. Lina Cardona-Sosa & Carlos Medina & Jairo Nuñez Méndez, 2017. "Impacto de las Transferencias Condicionadas sobre el Mercado de Crédito El caso de Familias en Acción en Colombia," Borradores de Economia 995, Banco de la Republica de Colombia.
    5. Lina Cardona-Sosa & Luz Adriana Flórez & Leonardo Morales Zurita, 2016. "Intra-household labour supply after an unemployment event: The added worker effect," Borradores de Economia 944, Banco de la Republica de Colombia.
    6. Cardona-Sosa, Lina & Medina, Carlos, 2017. "The effects of in utero programs on birth outcomes: the case of Buen Comienzo," LSE Research Online Documents on Economics 123366, London School of Economics and Political Science, LSE Library.
    7. Luis Eduardo Arango & Lina Cardona-Sosa, 2015. "Determinants of consumer credit within a constrained framework: evidence from Colombian microdata," Borradores de Economia 912, Banco de la Republica de Colombia.
    8. Orazio Attanasio & Arlen Guarín & Carlos Medina & Costas Meghir, 2015. "Long Term Impacts of Vouchers for Vocational Training: Experimental Evidence for Colombia," Borradores de Economia 13326, Banco de la Republica.
    9. Diana Lopez-Avila, 2016. "Child Discipline and Social Programs: Evidence from Colombia," Working Papers halshs-01305961, HAL.
    10. Dulce-Salcedo, Olga Victoria & Maldonado, Darío & Sánchez, Fabio, 2022. "Is the proportion of female STEM teachers in secondary education related to women’s enrollment in tertiary education STEM programs?," International Journal of Educational Development, Elsevier, vol. 91(C).
    11. Andrés Camilo Santos Ospina & Mario García Molina & Liliana Chicaíza Becerra, 2016. "¿Crisis financiera o de gestión? Evolución del sector salud desde la perspectiva de los entes territoriales," Apuntes del Cenes, Universidad Pedagógica y Tecnológica de Colombia, vol. 35(61), pages 177-206, January.
    12. Luis E. Arango & Lina Cardona-Sosa, 2015. "Determinants of consumer credit within a debt constrained framework. Evidence from microdata," Borradores de Economia 13965, Banco de la Republica.
    13. Carolina Arteaga, 2021. "Parental Incarceration and Children's Educational Attainment," Working Papers tecipa-703, University of Toronto, Department of Economics.
    14. Leonardo Fabio Morales & Christian Posso & Luz A. Flórez, 2021. "Heterogeneity in the Returns to Tertiary Education for the Disadvantage Youth: Quality vs. Quantity Analysis," Borradores de Economia 1150, Banco de la Republica de Colombia.
    15. Lina Cardona‐Sosa & Luz Adriana Flórez & Leonardo Fabio Morales & Banco de la República, 2018. "How does the Household Labour Supply Respond to the Unemployment of the Household Head?," LABOUR, CEIS, vol. 32(4), pages 174-212, December.

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    More about this item

    Keywords

    Focalización de subsidios; aseguramiento en salud para los pobres.Proxy means tests; Targeting of subsidies; Health insurance for the poor.;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H2 - Public Economics - - Taxation, Subsidies, and Revenue

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