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Características de la contratación entre aseguradores y prestadores de servicios de salud, Medellín, 2007-2008Keywords: interinstitutional relations, bargaining, health insurer, health services, health reforms, privatization, interorganizational relations, health services, insurance companies health care reform, medellin (colombia) 2007-2008, interinstitutional relations, bargaining, health insurer, health services, health reforms, privatization, interorganizational relations, health services, insurance companies health care reform, medellin (colombia) 2007-2008. Abstract: objective: to describe the characteristics of the health service contracting out process between administrator entities of benefit plans ? health promoting entities and territorial entities- with public and private health service providers of medellin city, between 2007 and 2008. methodology: a descriptive, exploratory methodological approach was used to analyze a sample of the contract's minutes and a qualitative approach to identify the relevant aspects of the negotiation process and the relationship between contractors and contracting parties in the development of the contracts. main finding: the contract is a source of ongoing inter-institutional stress during the negotiation, development, and ending phases affected by the exercise of the underwriter′s dominant position of the health insurers opposed to the purpose of willing agreement guaranteeing effective access to health service.
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