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Inequidad en el acceso a los servicios de salud en Uruguay

Author

Listed:
  • Cecilia González

    (Departamento de Economía, Facultad de Ciencias Sociales, Universidad de la República)

  • Patricia Triunfo

    (Departamento de Economía, Facultad de Ciencias Sociales, Universidad de la República)

Abstract

En el año 2007 Uruguay comenzó una reforma del sector salud tendiente a la construcción de un Sistema Nacional Integrado de Salud, basado en un seguro público con provisión privada y pública, con el objetivo, entre otros, de universalizar el acceso a los servicios de salud. A partir de la primera Encuesta Nacional de Salud, realizada en 2014 en Uruguay, analizamos la inequidad horizontal en la utilización y el acceso a servicios médicos de la población de 18 años y más, y para diferentes subgrupos. Los resultados muestran inequidad horizontal a favor de las personas de mayor nivel socioeconómico en la realización de consultas médicas, uso de medicamentos y falta de acceso por motivos de costos. De la descomposición de los Índices de Concentración se destaca que el tipo de cobertura es de las variables que más impacta sobre la desigualdad, encontrando que la cobertura privada tiende a aumentarla y la pública a disminuirla. Finalmente, otro aspecto a destacar es que se encuentra inequidad para algunos estudios preventivos, como la realización del PAP en las mujeres y del examen de próstata en los hombres, estando concentrados este tipo de estudios entre los de mayor nivel socioeconómico.

Suggested Citation

  • Cecilia González & Patricia Triunfo, 2018. "Inequidad en el acceso a los servicios de salud en Uruguay," Documentos de Trabajo (working papers) 0718, Department of Economics - dECON.
    • Handle: RePEc:ude:wpaper:0718
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    File URL: https://hdl.handle.net/20.500.12008/19973
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    References listed on IDEAS

    as
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    More about this item

    Keywords

    inequidad horizontal en salud; índices de concentración; Uruguay;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I19 - Health, Education, and Welfare - - Health - - - Other

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