El Sistema Universal de Salud Boliviano y el acceso efectivo a la atención sanitaria: un diagnóstico

Gabriela Alondra Agafitei

doi:10.35319/lajed.202239278

Autores/as

Gabriela Alondra Agafitei Maastricht University https://orcid.org/0000-0002-7681-6925

DOI:

https://doi.org/10.35319/lajed.202239278

Palabras clave:

Sistema de salud universal, acceso efectivo, cobertura, seguro

Resumen

A partir de 2019, el gobierno boliviano implementó el Seguro Universal de Salud (SUS). Al no existir investigaciones que evalúen los efectos de la reforma, este estudio examina cómo ha evolucionado el acceso a los servicios públicos de salud después del SUS. El estudio se ha realizado según un método combinado que analiza datos cuantitativos y datos recogidos mediante entrevistas semiestructuradas en La Paz. Los resultados muestran que el acceso a los servicios sanitarios públicos ha aumentado en el primer año de implementación del SUS, en comparación con los años anteriores. Sin embargo, los recursos humanos y el gasto a nivel macroeconómico son insuficientes, persisten los largos tiempos de espera y la escasez de medicamentos y camas. El estudio ha concluido que, a pesar de que el acceso ha aumentado, la insuficiencia de recursos y las características estructurales del sistema sanitario boliviano plantean limitaciones persistentes para el alcance universal del SUS.

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Biografía del autor/a

Gabriela Alondra Agafitei, Maastricht University

She is an Italian Romanian research analyst passionate about social policies and governance. She holds a BAs in International Relations from University of Bologna and a MAs in Development Studies from Maastricht University. She collaborated with INESAD in Bolivia as a junior researcher, conducting the first evaluation of the Universal Health Insurance system, and worked with the EU Delegation in Nicaragua on democracy and human rights.

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