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Abstract
Este artículo tiene por objetivo estudiar los límites y forma de relación entre aseguradores y
prestadores del régimen contributivo en Bogotá, así como relacionar la manera como se organiza
el intercambio de servicios de salud con los resultados percibidos por las instituciones prestadoras
de servicios de salud (IPS). La investigación se soporta desde el punto de vista teórico
en la economía de los costos de transacción. El componente empírico se hizo en 17 IPS en
Bogotá. Se encontraron tres formas fundamentales de intercambio económico: cooperación en
el mercado, mercado jerarquizado y cooperación potencial. En cuanto a las diferencias en desempeño,
se encontró que el mercado jerarquizado presenta resultados de desempeño inferiores
a la cooperación potencial.
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