Gestin de la crisis del sistema de salud en Bogot

Luis G Morales-Sánchez, Juan C García-Ubaque

In the context of the achievements and problems of the SGSSS (General system of Health Social Security in Spanish), the current administration has proposed policies that aim to reorganize the health sector as a means to overcome the crisis experienced by the health system of Bogotá. In order to overcome the crisis, it is necessary to address the low social legitimacy of the system, which is caused by problems in access and quality of services, as well as transparency, sustainability and governance. The proposed public policies are directed to the reorganization of the network of attention, through a unique network conformed by four sub-networks integrated horizontally and vertically, and through the creation of specialized entities for the management of key administrative and logistical issues, and of a steering committee for the network. There is important evidence that justifies the proposed policies, but it is also necessary to strengthen the processes of study, analysis and research of the complex problems that the health system of Bogota is facing.