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Revista Cubana de Salud Pública

On-line version ISSN 1561-3127

Abstract

PAREDES-CHACIN, Ana Judith et al. Challenges of the general system of social security and health: Prospective for social development in the Atlantic Coast of Colombia. Rev Cubana Salud Pública [online]. 2019, vol.45, n.1 ISSN 1561-3127.

Introduction:

There is an interdisciplinary basis conceived for the management of the health system in the Latin American context, in accordance with the provisions of WHO/PAHO and that is linked with related disciplines, such as management and education. This article proposes a prospective strategy of social development in the Atlantic Coast of Colombia to consolidate its functioning from the preventive and welfare perspectives in the Colombian’s General System of Social Security and Health (SGSSS, by its acronym in Spanish).

Objective:

To define the challenges of the SGSSS from a prospective point of view for the collective social development.

Method:

An exploratory study, based on the conceptual, theoretical analysis to derive the relations´ system of the following categories: management of the health system, and collective social development. Strategic prospective is used by the empirical-analytical component to visualize future scenarios of probable occurrence that address the development of the health system from the interaction between its representative actors.

Results:

The weaknesses identified were related to the comprehensive management of the Colombian SGSSS, specifically on the Atlantic Coast, where the limited use of prospective techniques weakens the management strategy and minimizes the possibility of assuming challenges and anticipating uncertainties in one of the systems that through the effectiveness of health services and quality of life warrants responding to collective social development.

Conclusions:

There is a need to view challenges and scenarios for modeling the management of the SGSSS on the Atlantic Coast of Colombia to strengthen the equity, inclusion and quality of life, and to increase the standards of health management in vulnerable groups and communities.

Keywords : prospective strategies; health system; health service’s management; collective social development.

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