Challenges and solutions for SISPRO in Colombia

• Published in: Acta Neurológica Colombiana 2023-01, Vol.39 (2)
• Main Author: Yesith Guillermo Toloza Pérez
• Format: Article
• Language: Spanish
• Subjects: Health services; Software
• ISSN: 0120-8748; 2422-4022
• DOI: 10.22379/anc.v39i2.1443

I would like to contribute to the discussion on the use of the databases available in the Integrated Social Protection Information System (Sispro), in the specific case of the variables net cost to pay, referred to in the article "Sispro: the administrative database of the Colombian health system" (1), in which the authors point out that "the total cost of health care for the five-year period from 2017 to 2021 was 8. 377 billion pesos (which would be equivalent to 271 million pesos per person attended), a figure that exceeds Colombia's GDP which for 2021 was 314.3 billion according to DANE". This is due to the fact that the flow of information on these variables is reported by the health service providers with information from the individual health service provision records (RIPS). Likewise, the authors point out that the submission of RIPS information is not restricted or validated by Sispro; this information is not defined in Resolution 3374 of 2000, therefore, providers may report their care in any period, without controlling maximum or minimum values, which may lead to an over- or underestimation of the real cost, and therefore this measure loses validity.The RIPS provide the minimum and basic data necessary to monitor the Health Benefits System in the General Social Security Health System (SGSSS), specifically in relation to the mandatory package of services (POS and POSS). In addition, the objective of the registry is to facilitate commercial relations between the administering entities (payers) and the institutions and independent professionals (providers), by presenting the details of the invoice for the sale of services in digital format, with a standard structure that simplifies communication and the processes of data transfer and review, regardless of the software used by the providers.