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Abstract
Objetivo:
describir las características del proceso de contratación de servicios de salud entre
las entidades administradoras de planes de beneficio – EAPB (Entidades Promotoras de Salud
(EPS) y entes territoriales) con los Institutos Promotores de Salud (IPS) públicas y privadas en
la ciudad de Medellín, entre los años 2007 y 2008.
Metodología : se realizó un estudio descriptivo
exploratorio; se analizó una muestra de minutas de contratos firmados entre EAPB e IPS,
y se realizaron entrevistas en profundidad para identificar los aspectos relevantes del proceso
de negociación y de las relaciones entre contratantes y contratistas.
Hallazgos relevantes: las
minutas de los contratos son muy diversas, se observa un desbalance en las obligaciones de las
partes y hay constantes tensiones interinstitucionales relacionadas con la posición dominante
de las EAPB.
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