Public Health Services
The Ministry of Health of Costa Rica (MS) has virtually transferred all population-based programs to Social Security Fund (CCSS ) but still dictating policy guidelines for promoting health care policies to emphasize the promotion and chronic disease prevention. Moreover, given the epidemiological profile continues conducting programs to prevent infectious diseases such as diarrhea and cholera, acute respiratory infections and pulmonary tuberculosis. The MS is in charge of the prevention and control of dengue and malaria, as well as maintenance of the elimination of canine rabies. In terms of specific protection, vaccination remains a priority program.
health care services individual
To ensure the services to which they are entitled its affiliates, the CCSS as the only officially recognized public provider to cover maternity insurance and has arranged network care into three levels according to the technological complexity of the resources they use, their different response capacity and portfolio of services offered, related by mechanisms of reference and referral of patients.
The first level of care
Services include health promotion, prevention, cure of illness and rehabilitation of lower complexity in the field house, community, school and the outpatient health facilities and provides access to upper levels of the system services are bundled into two categories: 1) comprehensive care programs including prevention and promotion and 2) care of the demand for prevalent disease. These services are provided through emergency departments and clinics, 812 hospitals and Basic Teams for Integral Health or EBAIS, one for each health sector that subdivide the 94 health areas, grouped in turn the 7 health regions established for the country. A EBAIS is formed by a physician, a nurse's aide and a Technical Assistant or Primary Health Care and several EBAIS ATAPS are advised by a support team consisting of: doctor (a) of family, nurse (o), worker (A) social, dentist (a), nutritionist, pharmacist (a), a microbiologist (a) and technical (a) medical records, each EBAIS serves between 2.500 to 7.000 inhabitants (depending on the degree of dispersion of the population) with which the total population covered with first class services was 3,547,401 inhabitants in 2002 (90% of the population);
Notably to expand the coverage of the first level in areas lacking infrastructure, CCSS began in 1988, a pilot experiment buying services to a health cooperative ; this experience favorable results in terms of quality and cost, which gradually expanded and by 2004 it had agreements with four health cooperatives , the University of Costa Rica and Rican Medical Services Association ( ASEMECO) Clinica Biblica through which they cared about 500.000 inhabitants. Heredia metropolitan area, representing 15% of the national population. In addition to the cooperative strategy to improve access and service coverage the CCSS initiated two additional strategies: the mixed medicine, in which the insured selects and pays for private medical consultation with a registered CCSS and the institution conducts studies and provides the medication prescribed by a private practitioner, and the company doctor , where it hires a doctor to assist their workers in the workplace and the CCSS gives diagnostic services and medicines.
hospitalization, surgery and specialist consultation
At the second level 
consulting services are offered specialized hospitalization and medical and surgical treatment of the basic specialties of internal medicine, pediatrics, obstetrics and gynecology and surgery in a national network of 10 health centers, 13 peripheral hospitals and 7 regional hospitals.
The third level provides specialized care and complex medical and surgical treatments, through 3 national hospitals general (Mexico, San Juan de Dios and Dr. Rafael Angel Calderon Guardia) and 5 national specialized hospitals ( women, children, geriatrics, psychiatry and rehabilitation). Due to insufficient investment hospital infrastructure in the decade of the eighties and nineties and population growth, the buying public offering expanded services to hospitals and private companies.
management commitments
since 1997 and as part of sectoral reform, set out the management commitment as a new mechanism for allocating financial resources to hospitals and health areas, which are signed annually for those providers with a Central Management Services purchase CCSS and which sets targets negotiated with concrete results.
As for private health services than those who participate in the program to expand coverage, it should be noted that this subsector is constantly expanding and has a network of different degrees of complexity, from simple to large hospitals and clinics on the other hand, household surveys reveal that 30% of the population uses at least once a year. Among the conditions that have encouraged this expansion can include the following: the increasing direct demand for these services by users from different backgrounds, the purchase of services private and public institutions as CCSS and INS and insufficient supply of some services by the public health sector. Moreover, the emergence in the market for private insurance companies services in the form of prepaid medicine, has stimulated private investment in the health subsector and its growing expansion can be estimated indirectly by the number of professionals in the works, which increased from 9.9% at the beginning of the nineties to 24% at the end of the decade. This subsector has two sources of funding, direct payment users and less important as the payment it receives from government agencies such as the INS and the CCSS who buy services to meet the occupational disease and general condition of its affiliates, respectively. Blogalaxia Tags: Blogalaxia "clinical + Bible" cooperatives + in + health EBAIS cooperatives Costa + Rica Consalud
0 comments:
Post a Comment