Trends in the Use and Costs of Medications for Respiratory Management Included in the 2022 Benefit Plan of the Colombia Health System - Report - MDSpire
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Analysis of Medication Utilization and Expenses for Respiratory Care Under Colombia's 2022 Health Benefit Plan

  • By

  • Manuel Enrique Machado-Duque

  • Luis Fernando Valladales-Restrepo

  • Andrés Gaviria-Mendoza

  • Juan Pablo Albanes-Beltrán

  • Giovanny Mesa-Escobar

  • Ana Camila Delgado-Araujo

  • María Camila Oyuela-Gutiérrez

  • Santiago Rubio-Londoño

  • Jorge Enrique Machado-Alba

  • September 14, 2026

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Clinical Report: Analysis of Medication Utilization and Expenses for Respiratory Care

Overview

This study evaluates the impact of Colombia's 2022 Health Benefit Plan on medication utilization and costs for respiratory conditions. Following the inclusion of new therapies, significant increases in both the use of medications and associated costs were observed.

Background

The management of respiratory diseases in Colombia has historically been limited to a narrow range of medications. The 2022 update to the Health Benefit Plan expanded coverage to include new therapies for asthma and COPD.

Data Highlights

The study utilized a longitudinal observational design, analyzing data from approximately 9.2 million individuals affiliated with the Colombian Health System.

Key Findings

  • The 2022 Health Benefit Plan update significantly expanded the range of medications available for respiratory conditions.
  • New therapies included long-acting beta agonists (LABAs) and monoclonal antibodies, which are now accessible without additional authorizations.
  • Utilization of respiratory medications increased markedly following the update.
  • Changes in prescribing practices suggest that gaps in first-line therapy recommendations were addressed.
  • Increased medication consumption may lead to higher pharmaceutical costs for the health system.

Clinical Implications

Healthcare providers should be aware of the expanded medication options for managing asthma and COPD.

Conclusion

The incorporation of new respiratory therapies into Colombia's Health Benefit Plan represents a significant shift in treatment options.

Related Resources & Content

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  2. Drugs - Real World Outcomes, Springer, 2022 -- Patterns of Sedative-Hypnotic, Opioid, and Neuromuscular Blocker Utilization in Hospitalized COVID-19 Patients: A Retrospective Observational Analysis
  3. Drugs - Real World Outcomes, Springer, 2022 -- Analysis of Analgesic Prescription Trends in Colombia: Variations Between Urban Centers and Rural Areas in a Cross-Sectional Study
  4. GINA Strategy Report 2025, GINA -- GINA 2025 Update
  5. INTRODUCTION, GOLD -- GOLD 2025 Pocket Guide
  6. Drugs - Real World Outcomes — Analysis of Cytochrome P450 Inducers and Inhibitors in Prescriptions and Associated Drug Interaction Risks: A Cross-Sectional Investigation
  7. GINA Strategy Report 2025 Front Cover
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  9. Effect of triple therapy on mortality and cardiovascular risk in patients with moderate to severe COPD: a meta-analysis of randomized controlled trials | BMC Pulmonary Medicine | Springer Nature Link

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