ECONOMÍA

Artículo: Una cura para el sector salud

Fuente: Internet

Un virus alimentado por la desigualdad económica ha infectado al Sector Salud.

 “El Perú es un organismo enfermo: donde se pone el dedo, salta la pus”

Manuel González Prada

Esta frase (nunca mejor contextualizada) resume el alcance de este virus en nuestro sistema de salud. ¿La medicina? Una reforma.

Este año, el ejecutivo destinará S/18.217 millones al presupuesto del sector salud, el cual viene siendo alimentado por el incremento de las inversiones de los afiliados a EsSalud (S/399 entre 2008 y 2018). Sin embargo, existen S/3.844 millones que el seguro no puede cobrar (principalmente de los municipios de Breña y La Victoria y de azucareras, agrícolas y del Club Universitario de Deportes). Esto, junto con las huelgas, presiones sindicales, tasas de aportes diferenciadas, el traspaso de los trabajadores CAS a la planilla del Estado y la ley aprobada por el Congreso para aumentar el CTS de los trabajadores de EsSalud, ha causado una brecha de S/39 millones en infraestructura y ha empeorado la situación del sector. Pero, no todo está perdido.

La ex-ministra de salud, Silvia Pessah, anunció durante el CADE 2018 los planes del MINSA de reformar las redes integradas de salud, utilizando como financiamiento S/ 1000 millones del Banco Mundial y el BID. Esta reforma plantea conectar todos los establecimientos de salud—del MINSA, EsSalud y los privados—y así reducir la fragmentación de las redes de salud, generar oportunidades para el sector privado y alcanzar un mayor aseguramiento en la población (actualmente hay 27 millones de personas aseguradas entre el SIS, EsSalud y aseguradoras privadas y se busca incluir 5 millones de personas más).

Esta conexión ayudaría a que la población (aún en zonas alejadas) pueda resolver problemas menores de salud en establecimientos cerca a sus hogares o, en caso se trate de algo más complejo, acercarse a un establecimiento superior (e.j un centro de maternidad) o, en caso fuese grave o complicado, a un hospital especializado.

Digitalizar la documentación médica de los establecimientos de salud es un gran paso hacia su modernización, la reducción de la burocracia y el control de inventarios y maquinarias. Incluso se podría automatizar el proceso de reabastecimiento de medicinas y vacunas y de reposición de maquinaria obsoleta o ausente.

El sector público se encuentra saturado ante una creciente demanda de pacientes; es necesario que esta se distribuya con el sector privado mediante la firma de convenios. Para esto, los gobiernos regionales deben entablar una buena relación con el sector privado, la cual debería ser cuidadosamente supervisada por Indecopi y La Superintendencia Nacional de Salud para evitar otro escándalo de corrupción (cuyo impacto económico se estima equivale al presupuesto total del MINSA) y asegurar un buen uso de los recursos.

Esperemos que sea el inicio de una reforma necesaria del sector salud: descentralizar la atención médica de calidad y capacitar, conectar y equipar a todos los establecimientos con lo necesario para que los pacientes puedan atenderse—sea cual sea su enfermedad.

 

Una enfermedad a la vez, Perú, no vayas a recaer.

 

 

Joaquin Pacheco
Estudiante de Economía, tutor y miembro de una ONG. Busca crear menos conciencias colectivas.
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