Overview
- A Videnza Consultores study published May 28 found that just 44% of prescribed medicines are delivered complete to Seguro Integral de Salud (SIS) affiliates, leaving more than half of prescriptions unmet.
- The report shows dramatic gaps in chronic care: among SIS diabetes patients only about 34–38% have a recorded diagnosis, 18% receive adequate monitoring, and roughly 5% obtain appropriate drug treatment, while hypertension care reaches even smaller shares.
- Analysts trace the shortfalls to a highly fragmented system that splits programming, procurement, inventory and dispensing across more than 230 executing units and weak warehouse, distribution and traceability systems that often leave managers unsure where stocks are located.
- Public spending on health grew roughly 75% from 2018–2026 but medical supplies account for only about 8% of that budget and households still cover about 30% of health costs, driving roughly 40% of sick people to seek care first at pharmacies and causing interrupted treatments.
- Political and technical responses presented at the forum range from emergency procurement and long-term state production to rapid digitalization, AI and private logistics participation, while Videnza urges interoperable e‑prescriptions, real‑time stock monitoring and outcome‑based financing and no nationwide reform has been implemented yet.