The conventional wisdom is that because at any time the aged cost more than the young, there is a positive relationship between aging and health care spending. It is hard, however, to find evidence that aging correlates positively with such spending. Intrigued by the puzzle, we account for the...

Low- and middle-income countries face major challenges to their health systems. These include a high burden of communicable disease and an emerging non-communicable disease burden. Coverage of effective services and interventions is inadequate and often constrained by funding availability. At...

Este estudio del Centro de Estudios en Protección Social y Economía de la Salud (PROESA) de la Universidad Icesi describe los problemas, las tensiones y los vacíos que esta doble descentralización genera en el Sistema de Seguridad Social en Salud colombiano. Con base en esta evaluación...

Colombia es un país descentralizado territorial y políticamente. En 1988 se realizó la primera elección popular de alcaldes y en 1992 la primera elección popular de gobernadores. Esta descentralización política se acompañó de un proceso de descentralización fiscal y administrativa. La...

El modelo de competencia regulada establecido por la Ley 100 de 1993 para el funcionamiento del sistema de salud en Colombia presenta fallas de mercado y fallas de gobierno. A la luz del modelo conceptual del «Paradigma Emergente», este artículo presenta una propuesta de adaptación de la...

In 1980 the Government of Indonesia proposed the introduction of a pay-for-performance system, the Functional Position System (FPS), for certain occupational categories of civil servants to provide a career development path and stimulate productivity (Government of Indonesia. Government...

This paper examines the utilization patterns of traditional and modern health services in Indonesia, using household sample survey socio-economic data in conjunction with community-level data on availability of services. The results strongly suggest that low household income is a barrier to the...