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Seasonality of expense in health in Colombia, 2011-2015;
Sazonalidade do gasto em saúde na Colômbia, 2011-2015

dc.creatorEspinosa Acuña, Óscar Andrésspa
dc.creatorPinzón Fonseca, Daniel Andrésspa
dc.date.accessioned2018-04-13T21:18:22Z
dc.date.available2018-04-13T21:18:22Z
dc.date.created2017-09-30
dc.identifier.issn0120-6346spa
dc.identifier.urihttp://hdl.handle.net/11407/4697
dc.descriptionEn este artículo se evalúa si existe estacionalidad en el gasto agregado en salud en Colombia entre los años 2011 y 2015. Para ello, se construye el gasto en salud desde las cuentas financieras de las empresas prestadoras de los servicios de salud en los regímenes contributivo y subsidiado, con periodicidad trimestral. Luego se aplican diferentes técnicas de análisis estadístico para determinar si existe estacionalidad: i) Método gráfico y tasas de crecimiento, ii) Correlogramas; iii) Contraste no paramétrico de Kendall, iv) Análisis de regresión múltiple con inclusión de dummies estacionales, y v) Ajuste de procesos autorregresivos integrados de media móvil estacional. Los resultados evidencian la existencia de estacionalidad estadísticamente significativa solo para gasto en salud realizado por las empresas prestadoras del régimen subsidi­ado, en especial en el cuarto trimestre (octubre-diciembre) de cada año.spa
dc.descriptionThis article evaluates whether or not there was seasonality in the aggregate expense in health in Colombia between 2011 and 2015. For this purpose, expense in health is built from the financial accounts of healthcare service companies (contributory and subsidized regimes) on a quarterly basis. Then, different statistical analysis techniques are applied in order to determine if there is seasonality: i) Graphic method and growth rates; ii) correlograms; iii) Kendall non-parametric contrast; iv) multiple regression analysis with inclusion of seasonal dummies; and v) Adjustment of self-regressive integrated processes of seasonal mobile media. Results show the existence of statistically significant seasonality only for expense in health, performed by healthcare service companies (subsidized regime), especially during the fourth quarter (October-December) each year.spa
dc.descriptionNeste artigo, avalia-se se existe sazonalidade no gasto agregado em saúde na Colôm­bia entre 2011 e 2015. Para isso, constrói-se o gasto em saúde a partir das contas financeiras das empresas prestadoras dos serviços de saúde nos regimes contributivo e subsidiado, com periodicidade trimestral. Logo, aplicam-se diferentes técnicas de análise estatística para determinar se existe sazonalidade: a) método gráfico e taxas de crescimento; b) correlogramas; c) contraste não paramétrico de Kendall, d) análise de regressão múltipla com inclusão de dummies sazonais; e) ajuste de processos autorregressivos integrados de média móvel estacional. Os resultados evidenciam a existência de sazonalidade estatisticamente significativa somente para gasto em saúde realizado pelas empresas prestadoras do regime subsidiado, em especial no quarto trimestre (outubro-dezembro) de cada ano.spa
dc.format.extentp. 137-158spa
dc.format.mediumElectrónicospa
dc.format.mimetypeapplication/pdfspa
dc.format.mimetypePDFspa
dc.language.isospaspa
dc.publisherUniversidad de Medellínspa
dc.relationhttp://revistas.udem.edu.co/index.php/economico/article/view/2365spa
dc.relation10.22395/seec.v20n44a7spa
dc.relation.ispartofseriesSemestre Económico; Universidad de Medellín; Vol. 20, Núm. 44 (2017)spa
dc.relation.haspartSemestre Económico; Vol. 20, Núm. 44. Julio-Septiembre 2017spa
dc.rightsinfo:eu-repo/semantics/openAccessspa
dc.rightshttp://creativecommons.org/licenses/by-nc/4.0spa
dc.sourceSemestre Económico; Vol. 20, Núm. 44 (2017): Julio-Septiembre; 137-158spa
dc.sourcereponame:Repositorio Institucionalspa
dc.sourceinstname:Universidad de Medellínspa
dc.subjectExpense in healthspa
dc.subjectseasonality of expense in healthspa
dc.subjectpublic expense in healthspa
dc.subjectcontributory and subsidized health regimespa
dc.subjectColombiaspa
dc.subjectGasto en saludspa
dc.subjectestacionalidad del gasto en saludspa
dc.subjectgasto público en saludspa
dc.subjectrégimen contributivo y subsidiado en saludspa
dc.subjectColombiaspa
dc.subjectGasto em saúdespa
dc.subjectsazonalidade do gasto em saúdespa
dc.subjectgasto público em saúdespa
dc.subjectregime contributivo e subsidiado em saúdespa
dc.subjectColômbiaspa
dc.titleEstacionalidad del gasto en salud en Colombia, 2011-2015spa
dc.titleSeasonality of expense in health in Colombia, 2011-2015spa
dc.titleSazonalidade do gasto em saúde na Colômbia, 2011-2015spa
dc.typeinfo:eu-repo/semantics/articlespa
dc.typeinfo:eu-repo/semantics/publishedVersionspa
dc.identifier.doihttps://doi.org/10.22395/seec.v20n44a7spa
dc.citation.volume20spa
dc.citation.issue44spa
dc.citation.spage137spa
dc.citation.epage158spa
dc.audienceComunidad Universidad de Medellínspa
dc.publisher.facultyFacultad de Ciencias Económicas y Administrativasspa
dc.coverageLat: 06 15 00 N  degrees minutes  Lat: 6.2500  decimal degreesLong: 075 36 00 W  degrees minutes  Long: -75.6000  decimal degreesspa
dc.pubplaceMedellínspa
dc.identifier.e-issn2248-4345spa
dc.source.bibliographicCitationAlbert, H.; Theodoor, J.; van Bodegom, D. y Johannes, R. (2015). Seasonal variation in mortality, medical care expenditure and institutionalization in older people: Evidence from a Dutch cohort of older health insurance clients. En: PLoS One, Vol. 10, No. 11. https://doi.org/10.1371/ journal.pone.0143154.spa
dc.source.bibliographicCitationAlbouy, V.; Davezies, L. y Debrand, T. (2010). Health expenditure models: A comparison using panel data. En: Economic Modelling, Vol. 27, No. 4, p. 791-803.spa
dc.source.bibliographicCitationBox, G. y Jenkins, G. (1976). Time series analysis: Forecasting and control. Holden Day: San Francisco, EE.UU, 575p.spa
dc.source.bibliographicCitationBrockwell, P. y Davis, R. (2002). Introduction to time series and forecasting (2nd Ed.). Springer Verlag: Harrisonburg, EE.UU., 437p.spa
dc.source.bibliographicCitationCastillo-Laborde, C. y Villalobos, P. (2013). Caracterización del gasto de bolsillo en salud en Chile: Una mirada a dos sistemas de protección. En: Revista Médica de Chile, Vol. 141, No. 11, p. 1456-1463. http://dx.doi.org/10.4067/S0034-98872013001100013.spa
dc.source.bibliographicCitationClements, B.; Faircloth, C. y Verhoeven, M. (2007). Gasto público en América Latina: Tendencias y aspectos clave de política. En: Revista de la CEPAL, No. 93, p. 39-62.spa
dc.source.bibliographicCitationFerrand, Y.; Kelton, C.; Guo, J.; Levy, M. y Yu, Y. (2011). Using time-series intervention analysis to understand U.S. Medicaid expenditures on antidepressant agents. En: Research in Social and Administrative Pharmacy, Vol. 7, No. 1, p. 64-80.spa
dc.source.bibliographicCitationGerdtham, U.; Søgaard, J.; Andersson, F. y Jönsson, B. (1992). An econometric analysis of health care expenditure: A cross-section study of the OECD countries. En: Journal of Health Economics, Vol. 11, No. 1, p. 63-84.spa
dc.source.bibliographicCitationGómez, V. y Maravall, A. (1996). Programs TRAMO and SEATS. Instructions for the User. Working Paper N° 9628, Servicio de Estudios, Banco de España, 128p.spa
dc.source.bibliographicCitationGovindaraj, R.; Chellaraj, G. y Murray, C. (1997). Health expenditures in Latin America and the Caribbean. En: Social Science & Medicine, Vol. 44, No. 2, p. 157-169.spa
dc.source.bibliographicCitationGreene, W. (2008). Econometric analysis (6th Ed.). Prentice Hall: New Jersey, EE.UU, 1178p.spa
dc.source.bibliographicCitationHansen, P. y King, A. (1996). The determinants of health care expenditure: A cointegration approach. En: Journal of Health Economics, Vol. 15, No. 1, p. 127-137.spa
dc.source.bibliographicCitationHitiris, T. y Posnett, J. (1992). The determinants and effects of health expenditure in developed countries. En: Journal of Health Economics, Vol. 11, No. 2, p. 173-181.spa
dc.source.bibliographicCitationKe, X.; Saksena, P. y Holly, A. (2011). The determinants of health expenditure: A country-level panel data analysis. Working paper, World Health Organization, 26 p.spa
dc.source.bibliographicCitationKendall, M. y Ord, K. (1990). Time series (3rd Ed.). Edward Arnold: Londres, Inglaterra, 110p.spa
dc.source.bibliographicCitationLoh, C. (2015). Trends and structural shifts in health tourism: Evidence from seasonal time-series data on health-related travel spending by Canada during 1970-2010. En: Social Science and Medicine, Vol. 132, p. 173-180. doi: 10.1016/j.socscimed.2015.03.036.spa
dc.source.bibliographicCitationMinSalud -Ministerio de Salud y Protección Social- (2014). Cifras financieras del sector salud. Gasto en salud de Colombia: 2004-2011. En: Boletín bimestral No. 2, Dirección de Finan¬ciamiento Sectorial, 21p.spa
dc.source.bibliographicCitationMurthy, V. y Okunade, A. (2016). Determinants of U.S. health expenditure: Evidence from autoregressive distributed lag (ARDL) approach to cointegration. En: Economic Modelling, Vol. 59, p. 67-73. http://dx.doi.org/10.1016/j.econmod.2016.07.001.spa
dc.source.bibliographicCitationO’Meara, G.; Ruiz, F. y Amaya, J. (2003). Impacto del aseguramiento sobre uso y gasto en salud en Colombia. Pontificia Universidad Javeriana: Bogotá, D.C., Colombia, 337p.spa
dc.source.bibliographicCitationPérez-Valbuena, G. y Silva-Ureña, A. (2015). Una mirada a los gastos de bolsillo en salud para Colombia. Documentos de Trabajo sobre Economía Regional, Banco de la República, N° 218, 58p.spa
dc.source.bibliographicCitationSafaeian, L.; Mahdanian, A.; Salami, S.; Pakmehr, F. y Mansourian, M. (2015). Seasonality and physician related factors associated with antibiotic prescribing: A cross sectional study in Isfahan, Iran. En: International Journal of Preventive Medicine, Vol. 6, No. 1. Doi: 10.4103/2008-7802.151431.spa
dc.source.bibliographicCitationTang, C. (2009). An examination of the government spending and economic growth nexus for Malaysia using the leveraged bootstrap simulation approach. En: Global Economic Review, Vol. 38, No. 2, p. 215-227.spa
dc.source.bibliographicCitationTsay, R. (2005). Analysis of financial time series (2nd Ed.). John Wiley & Sons, Inc.: New Jersey, EE.UU, 613p.spa
dc.source.bibliographicCitationYamin, A. y Parra, O. (2010). Judicial protection of the right to health in Colombia: From social demands to individual claims to public debates. En: Hastings International & Comparative Law Review, Vol. 33, No. 2, p. 431–459.spa
dc.creator.affiliationEspinosa Acuña, Óscar Andrés; Universidad Nacional de Colombiaspa
dc.creator.affiliationPinzón Fonseca, Daniel Andrés; Superintendencia Nacional de Saludspa
dc.relation.ispartofesSemestre Económicospa


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