[THE CASE OF ENTERAL NUTRITIONAL SUPPORT TUBE IN COLOMBIA: INSTITUTIONAL COORDINATION PROBLEMS].
BACKGROUND
this paper examines the case of prescription enteral nutritional support tube in Colombia, analyzed from the perspective of the Social Security System in Health, and explained as the result of a problem of institutional coordination. The role and incentives of different actors are identified and shown how the interaction of these discourages the use of enteral nutrition in cases where it is necessary, with corresponding clinical effect for the patient and increased cost for the system.


METHODS
analysis of the effects it may have in clinical practice the problem of institutional coordination of regulators in the country, analyze their origin and the incentives and interests of the various stakeholders, prior synthesis of the relevant literature review. The search was conducted in the following databases: PubMed, Medline, and Embase ScienceDirect.


CONCLUSIONS
the current situation of enteral nutritional support in Colombia is the result of a suboptimal equilibrium, resulting from a problem of institutional coordination that can only be solved when the agents to look beyond their local incentives, and nutritional support is a key component of hospital care and constitutes a means to the end: the health of the population served.
Grupo de Investigación en Perdurabilidad Empresarial. Escuela de administración, Universidad del Rosario, Méderi.. pinzone.olga@urosario.edu.co.
Olga Lucia
OL
Pinzón-Espitia
Grupo Interdisciplinario en Teoría e Investigación Aplicada en Ciencias Económicas. Facultad de Ciencias Económicas. Universidad Nacional de Colombia. Colombia.. lachicaizab@unal.edu.co.
Liliana
L
Chicaiza-Becerra
Grupo Interdisciplinario en Teoría e Investigación Aplicada en Ciencias Económicas. Facultad de Ciencias Económicas. Universidad Nacional de Colombia. Colombia.. mgarciamo@unal.edu.co.
Mario
M
Garcia-Molina
Grupo de Investigación en Perdurabilidad Empresarial. Escuela de administración, Universidad del Rosario, Méderi.. javier.gonzalez@urorario.edu.co.
Javier Leonardo
JL
González-Rodríguez
D003105:Colombia; D003695:Delivery of Health Care; D004750:Enteral Nutrition; D006801:Humans; D007441:Intubation, Gastrointestinal; D012943:Social Security