World Bank: 7 out of 10 people who need medical care do not get it in Peru

A health facility in Piura where there is a shortage of human resources. There is also a lack of hospital beds. (Andean)

Long waiting times for access to medical examination In Peru, this is a reality for thousands of patients. Except remoteness the number of facilities is another factor that reveals that people do not have access to timely care from health services. they are 7 out of 10 people who don’t get it, according to the latest National Household Survey (ENAHO). The World Bank found that in the country, although 99% of the population has health insurance (SIS), the problem is that health networks do not guarantee availability or quality.

“Increasing enrollment or building more facilities is insufficient (to address the lack of required medical care),” the blog says the world bank wrote Gabriel Aguirre Martens, an economist and researcher in epidemiological surveillance and health financing gaps.

Aguirre Martens, suggests that currently Peru Nationwide, it has 25,000 medical facilities, which means one in 1,300. 98% lack adequate infrastructure and basic equipment. Additionally, 52% are not delivered by healthcare professionals. There is also no adequate distribution at that time allocate public health resources.

Hospital in Callo during the health crisis due to Covid -19. (AP Photo/Martin Mejia)

Lack of coordination between health networks It also affects the daily lives of thousands of Peruvians. The case that the World Bank’s health specialist analyzed is that of Arequipa. In the province of Islay, level one centers were simultaneously closing and leaving more than 77 thousand people without access to services. This happens because there was no communication between the devices. The reduction in the number of health centers on Islay could be used so that the surplus budget could be used to boost equipment, emergency staff and operations. It’s a way to expand the healthcare network.

The World Bank provides five suggestions improve management and health care for Peruvians.

  1. Secure resources (medical personnel, equipment, good infrastructure) in central health centers for the population or strategic ones. Applying the successful Islay model will strengthen the quality and accessibility of health care.
  2. Adjust health services to the changing needs of the population: Primary care must evolve to address chronic diseases in addition to traditional diseases such as infectious and maternal diseases.
  3. Secure funding strategically, i.e. based on results, for health centers: It is necessary to allocate funds according to the results achieved for the population served and to overcome the current limitations in the purchase of medicines.
  4. Improve cooperation between providers and insurers: Coordination between insurance networks and providers should be optimized through rate agreements for more efficient service acquisition and reimbursement.
  5. Improve information management for healthcare: The introduction of a healthcare information management system would enable more effective monitoring of patient care and coordinated resource planning in the healthcare sector.
Sullana Support Hospital on the left. Right, ambulances stranded by the river caused by the 2017 El Niño phenomenon (Infobae composition)

According to him the world bankimplement a An information management system would improve health care delivery.

  1. Have nationwide disease surveillancethe productivity of medical staff and the transition of patients between subsectors.
  2. Get a budget record. This would allow the Ministry of Economy and Finance (MEF) to drive improvements across the sector through performance-based allocation of economic resources.
  3. Identify resource shortages of people and inputs that could be resolved by redistribution based on real-time information, thus avoiding a mismatch with local demand.

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