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Bondades y Limitaciones de la Focalización con Proxy Means Tests: El Caso del Sisben en Colombia

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  • Martha Bottia
  • Lina Cardona
  • Carlos Medina

Abstract

Este documento analiza el desempeño del Sisben como instrumento de focalización del Régimen Subsidiado en Salud, RS, desde su introducción luego de la Ley 100 de 1993. La evidencia sugiere que la focalización del Régimen Subsidiado para los años 1997 y 2003, hecha con base en el Viejo Sisben, fue aceptable. Adicionalmente, la evidencia preliminar disponible para 2007, muestra que la introducción del Nuevo Sisben corrigió varias de las limitaciones de su antecesor y arroja mejoras en la focalización del RS. Por otro lado, se analizan los efectos de la respuesta estratégica de los hogares a los encuestadores del Sisben y se encuentra que los hogares en condiciones relativamente mejores se benefician más de la respuesta estratégica, haciendo de esta una herramienta regresiva, que permite que cerca de una quinta parte de los beneficiarios del RS logren ser incluidos cuando en realidad no son elegibles.

Suggested Citation

  • Martha Bottia & Lina Cardona & Carlos Medina, 2008. "Bondades y Limitaciones de la Focalización con Proxy Means Tests: El Caso del Sisben en Colombia," Borradores de Economia 539, Banco de la Republica de Colombia.
    • Handle: RePEc:bdr:borrec:539
    DOI: 10.32468/be.539
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    References listed on IDEAS

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    1. Fabio Sanchez T. & Jairo Núñez M., 1999. "Descentralización, pobreza y acceso a los servicios sociales. ¿Quién se benefició del Gasto Público Social en los noventa?," Coyuntura Social 13031, Fedesarrollo.
    2. Castaneda, Tarsicio & Lindert, Kathy & de la Briere, Benedicte & Fernandez, Luisa & Hubert, Celia & Larranaya, Oswaldo & Orozco, Monica & Viquez, Roxana, 2005. "Designing and implementing household targeting systems : lessons from Latin American and The United States," Social Protection Discussion Papers and Notes 32756, The World Bank.
    3. Alejandro Gaviria & Carlos Medina & Carolina Mejia, 2006. "Assessing Health Reform in Colombia: From Theory to Practice," Economía Journal, The Latin American and Caribbean Economic Association - LACEA, vol. 0(Fall 2006), pages 29-72, August.
    4. Jack, William, 2000. "Health insurance reform in four Latin American countries : theory and practice," Policy Research Working Paper Series 2492, The World Bank.
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    Cited by:

    1. Tamayo, Jorge Andrés & Núñez, Jairo & Medina, Carlos, 2013. "The Unemployment Subsidy Program in Colombia: An Assessment," IDB Publications (Working Papers) 4622, Inter-American Development Bank.

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    More about this item

    Keywords

    Régimen Subsidiado en Salud; Pruebas de medios de Proxy; Subsidios.;
    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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