The case of enteral nutritional support tube in Colombia: Problems institutional coordination

Introduction: this paper examines the case of prescription enteral nutritional support tube in Colombia, analyzed from the perspective of the Social Security System in Health, and explained as the result of a problem of institutional coordination. The role and incentives of different actors are iden...

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Autores Principales: Pinzón-Espitia, Olga Lucia, Chicaiza-Becerra, Liliana, Garcia-Molina, Mario, Gonzalez-Rodriguez, Javier-Leonardo
Formato: Artículo (Article)
Lenguaje:Español (Spanish)
Publicado: Grupo Aula Medica S.A. 2015
Materias:
Acceso en línea:https://repository.urosario.edu.co/handle/10336/22675
https://doi.org/10.3305/nh.2015.32.1.9195
id ir-10336-22675
recordtype dspace
spelling ir-10336-226752022-05-02T12:37:14Z The case of enteral nutritional support tube in Colombia: Problems institutional coordination El caso del soporte nutricional enteral por sonda en Colombia: Problemas de coordinación institucional Pinzón-Espitia, Olga Lucia Chicaiza-Becerra, Liliana Garcia-Molina, Mario Gonzalez-Rodriguez, Javier-Leonardo Colombia Digestive tract intubation Enteric feeding Health care delivery Human Meta analysis Social security Colombia Delivery of Health Care Enteral Nutrition Humans Social Security Catchment area (health) Enteral nutrition Force feeding Intersectoral action Market failure Gastrointestinal Intubation Introduction: this paper examines the case of prescription enteral nutritional support tube in Colombia, analyzed from the perspective of the Social Security System in Health, and explained as the result of a problem of institutional coordination. The role and incentives of different actors are identified and shown how the interaction of these discourages the use of enteral nutrition in cases where it is necessary, with corresponding clinical effect for the patient and increased cost for the system. Methods: analysis of the effects it may have in clinical practice the problem of institutional coordination of regulators in the country, analyze their origin and the incentives and interests of the various stakeholders, prior synthesis of the relevant literature review. The search was conducted in the following databases: PubMed, Medline, and Embase ScienceDirect. Conclusions: the current situation of enteral nutritional support in Colombia is the result of a suboptimal equilibrium, resulting from a problem of institutional coordination that can only be solved when the agents to look beyond their local incentives, and nutritional support is a key component of hospital care and constitutes a means to the end: the health of the population served. © 2015, Grupo Aula Medica S.A. All rights reserved. 2015 2020-05-25T23:57:28Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 16995198 02121611 https://repository.urosario.edu.co/handle/10336/22675 https://doi.org/10.3305/nh.2015.32.1.9195 spa info:eu-repo/semantics/openAccess application/pdf Grupo Aula Medica S.A. instname:Universidad del Rosario
institution EdocUR - Universidad del Rosario
collection DSpace
language Español (Spanish)
topic Colombia
Digestive tract intubation
Enteric feeding
Health care delivery
Human
Meta analysis
Social security
Colombia
Delivery of Health Care
Enteral Nutrition
Humans
Social Security
Catchment area (health)
Enteral nutrition
Force feeding
Intersectoral action
Market failure
Gastrointestinal
Intubation
spellingShingle Colombia
Digestive tract intubation
Enteric feeding
Health care delivery
Human
Meta analysis
Social security
Colombia
Delivery of Health Care
Enteral Nutrition
Humans
Social Security
Catchment area (health)
Enteral nutrition
Force feeding
Intersectoral action
Market failure
Gastrointestinal
Intubation
Pinzón-Espitia, Olga Lucia
Chicaiza-Becerra, Liliana
Garcia-Molina, Mario
Gonzalez-Rodriguez, Javier-Leonardo
The case of enteral nutritional support tube in Colombia: Problems institutional coordination
description Introduction: this paper examines the case of prescription enteral nutritional support tube in Colombia, analyzed from the perspective of the Social Security System in Health, and explained as the result of a problem of institutional coordination. The role and incentives of different actors are identified and shown how the interaction of these discourages the use of enteral nutrition in cases where it is necessary, with corresponding clinical effect for the patient and increased cost for the system. Methods: analysis of the effects it may have in clinical practice the problem of institutional coordination of regulators in the country, analyze their origin and the incentives and interests of the various stakeholders, prior synthesis of the relevant literature review. The search was conducted in the following databases: PubMed, Medline, and Embase ScienceDirect. Conclusions: the current situation of enteral nutritional support in Colombia is the result of a suboptimal equilibrium, resulting from a problem of institutional coordination that can only be solved when the agents to look beyond their local incentives, and nutritional support is a key component of hospital care and constitutes a means to the end: the health of the population served. © 2015, Grupo Aula Medica S.A. All rights reserved.
format Artículo (Article)
author Pinzón-Espitia, Olga Lucia
Chicaiza-Becerra, Liliana
Garcia-Molina, Mario
Gonzalez-Rodriguez, Javier-Leonardo
author_facet Pinzón-Espitia, Olga Lucia
Chicaiza-Becerra, Liliana
Garcia-Molina, Mario
Gonzalez-Rodriguez, Javier-Leonardo
author_sort Pinzón-Espitia, Olga Lucia
title The case of enteral nutritional support tube in Colombia: Problems institutional coordination
title_short The case of enteral nutritional support tube in Colombia: Problems institutional coordination
title_full The case of enteral nutritional support tube in Colombia: Problems institutional coordination
title_fullStr The case of enteral nutritional support tube in Colombia: Problems institutional coordination
title_full_unstemmed The case of enteral nutritional support tube in Colombia: Problems institutional coordination
title_sort case of enteral nutritional support tube in colombia: problems institutional coordination
publisher Grupo Aula Medica S.A.
publishDate 2015
url https://repository.urosario.edu.co/handle/10336/22675
https://doi.org/10.3305/nh.2015.32.1.9195
_version_ 1740172331851972608
score 12,111491