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La Tutela Y Los Derechos a La Salud Y a La Seguridad Social 2018

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La Tutela Y Los Derechos a La Salud Y a La Seguridad Social 2018 La tutela y los derechos a la salud y a la seguridad social 2018 La tutela y los derechos a la salud y a la seguridad social 2018 3 DEFENSORÍA DEL PUEBLO Carlos Alfonso Negret Mosquera Defensor del Pueblo Jorge Enrique Calero Chacón Vicedefensor del Pueblo Juan Manuel Quiñones Pinzón Secretario General AGRADECIMIENTOS Carmen Eugenia Dávila Al doctor Alejandro Linares Cantillo, Presidente de la Honorable Corte Cons- Delegada para el Derecho a la Salud y a la titucional de Colombia; a la doctora Martha Victoria Sáchica, Secretaria Gene- Seguridad Social ral, y al ingeniero Isaac Sáenz Cruz, quienes facilitaron la base de datos de tu- Álvaro Francisco Amaya Villarreal telas de la Corte Constitucional correspondiente al año 2018, lo cual permitió Director Nacional de Promoción y Divulgación la elaboración del presente estudio. Equipo investigador Obra de distribución gratuita. Lyda Mariana González Lizarazo El presente texto se puede reproducir, Emilcen Rocha Ariza fotocopiar o replicar, total o parcialmente, Édgar Alirio Pinilla Robayo citando la fuente. Hilario Pardo Ariza 13.a edición Edwin Julián Angulo 2019 © DEFENSORÍA DEL PUEBLO Revisión técnica Carmen Eugenia Dávila Guerrero Defensoría del Pueblo de Colombia Mery Concepción Bolivar Vargas Cra. 9 No. 16-21 Apartado Aéreo 24299 – Bogotá, D. C. Corrección de estilo Código Postal 110231 Sonia Patricia Villalba Orjuela Tels.: 314 73 00 - 314 40 00 www.defensoria.gov.co Diagramación y diseño de Portada Twitter: @defensoriaCol Leonardo Parra Puentes Bogotá, D. C., 2019 5 SITUACIÓN DE DERECHOS HUMANOS Y DERECHO INTERNACIONAL HUMANITARIO EN COLOMBIA 2018 INFORME EJECUTIVO Contenido PRESENTACIÓN................................................................................................................................... 17 1. EL DERECHO A LA SALUD EN COLOMBIA (AÑO 2018)................................................... 19 1.1. Políticas públicas en salud............................................................................................................... 19 1.1.1. La triple meta del Ministerio de Salud y Protección Social........................................... 19 1.1.2. Lineamientos de las rutas integrales de promoción de la salud y materno-perinatal......................................................................................... 20 1.1.3. Ruta intersectorial de atención a la niñez con desnutrición aguda.............................. 21 1.1.4. Política Nacional de Salud Mental................................................................................... 22 1.1.5. Afectaciones a la salud por el conflicto armado en Colombia.................................... 23 1.2. Regulación en salud......................................................................................................................... 25 1.2.1. Derecho de niños, niñas y adolescentes a morir con dignidad.................................... 25 1.2.2. Ley de Residencias Médicas............................................................................................... 26 1.2.3. Normas de habilitación técnica para las Entidades Promotoras de Salud (EPS) - Decreto 682 de 2018........................................................... 26 1.2.4. Regulación de los precios de los medicamentos............................................................ 27 1.3. Coberturas y acceso al sistema de salud....................................................................................... 28 1.3.1. Plan de Beneficios en Salud (PBS) 2019......................................................................... 28 1.3.2. Actualización del listado de enfermedades huérfanas.................................................. 28 1.3.3. Exclusiones en el sector salud.......................................................................................... 29 1.3.4. Modificaciones a la plataforma Mi Prescripción (MIPRES)....................................... 30 1.3.5. Salud en migrantes............................................................................................................. 31 1.3.6. Sistema de Afiliación Transaccional (SAT) y nuevas normas sobre afiliación..................................................................................... 32 1.4. Financiamiento del sistema de salud............................................................................................. 33 1.4.1. Resultados financieros del sector salud........................................................................... 33 1.4.2 Embargos al sector salud................................................................................................... 33 1.4.3. Distribución de los recursos para la salud en 2019....................................................... 34 1.4.4. Inconsistencias en los afiliados al sistema de salud........................................................ 35 1.5. Inspección, vigilancia y control del sistema de salud.................................................................. 35 1.5.1. Actividades de Inspección, Vigilancia y Control - Superintendencia Nacional de Salud (SNS)......................................................................................................................... 35 1.5.2. El cartel del VIH-SIDA.................................................................................................... 38 4 7 SITUACIÓN DE DERECHOS HUMANOS Y DERECHO INTERNACIONAL HUMANITARIO EN COLOMBIA 2018 INFORME EJECUTIVO 1.5.3. La situación de Coomeva EPS......................................................................................... 38 3.1.4.5. Tutelas contra Coomeva EPS.............................................................................. 71 1.5.4. Sanción a Cosmitet, prestador de servicios del Magisterio.......................................... 39 3.2. La tutela y el derecho a la seguridad social.................................................................................... 71 1.5.5. Liquidación de la EPS Manexka...................................................................................... 40 3.2.1. El derecho a la seguridad social y su relación con otros derechos............................... 74 1.5.6. Revocatoria de la venta de Cafesalud.............................................................................. 40 3.2.2. Despachos judiciales y decisión en primera instancia................................................... 74 1.5.7. Crisis de la salud en el archipiélago de San Andrés, Providencia y Santa Catalina.... 41 3.2.3. Lugar de origen de las tutelas de seguridad social.......................................................... 75 1.6. Conclusión........................................................................................................................................ 42 3.2.4. Entidades con el mayor número de tutelas del derecho a la seguridad social........... 79 2. ASPECTOS METODOLÓGICOS.................................................................................................. 45 3.2.5. Tipo de entidad demandada en las tutelas que invocan el derecho a la seguridad 2.1. Objetivos........................................................................................................................................... 45 social..................................................................................................................................... 80 3.2.6. Solicitudes más frecuentes en las tutelas de seguridad social...................................... 82 2.1.1. Objetivo general ................................................................................................................ 45 2.1.2. Objetivos específicos.......................................................................................................... 45 3.3. La tutela y el derecho a la salud...................................................................................................... 84 2.2. Metodología...................................................................................................................................... 46 3.3.1. El derecho a la salud y su relación con otros derechos................................................. 87 2.2.1. Descripción de la muestra................................................................................................. 47 3.3.2. Despachos judiciales y decisión en primera instancia................................................... 87 2.2.1.1. Muestra de las tutelas que invocaron el derecho a la seguridad social....... 47 3.3.3 Lugar de origen de las tutelas de salud.............................................................................. 89 2.2.1.2. Muestra de las tutelas que invocaron el derecho a la salud.......................... 48 3.3.3.1. Tutelas de salud por departamento.................................................................... 89 3. RESULTADOS.................................................................................................................................. 51 3.3.3.1.1. Tutelas de salud en Antioquia........................................................... 90 3.3.3.1.2. Tutelas de salud en Valle del cauca................................................... 91 3.1. La tutela en Colombia durante 2018............................................................................................ 51 3.3.3.1.3. Tutelas de salud en Bogotá................................................................ 91 3.1.1. Los derechos invocados en las tutelas............................................................................
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