Quality policy in health: qualification requirements and their effect on the financial situation of an IPS in Cali, 2018 Política de calidad en salud: requisitos de habilitación y su efecto en la situación financiera de una IPS en Cali, 2018

Abstract

The situation of the General System of Social Security in Health - SGSSS is part of the Mandatory Health Plan, which defines the benefits to which access is available and how the health system has contributed to improving the income of the poorest, taking into account account inequities that come from the absence of universal coverage, differences in health plans and system spending according to population income. 

The realization of this study aimed to broaden the knowledge regarding the intermediation policy that is immersed in the social security system in health in Colombia, exercised by the companies responsible for payment, as the changes in the eligibility requirements influence and they modify the cost structure of health service providers and, as from the definition of regulatory changes, the government does not contemplate a tariff regulation of health services. 

This research was carried out based on the information provided by the IPS of medium complexity of diagnostic aids of the city of Cali and in general terms, presents a balance of some key processes and results of the General System of Social Security in Health (SGSSS) in Colombia. We conducted a systematic review of literature published in indexed journals with an assessment of the quality of evidence, and gray literature.