After successful experiences with the creation of Cooperatives Health and Tibas Pavas (COOPESALUD Coopesaín in 1988 and 1990), the Social Security Fund (CCSS) promoted a new cooperative in the canton of Santa Ana, 15 miles west of San José Canton, to tend the local people, who by then were 27,000 people, through an agreement that allows the cooperative to manage the clinic since the CCSS and 10 Ebais that provided that area of \u200b\u200bhealth. Unlike its predecessors, this cooperative is jointly owned between users and workers centers.
Health Cooperative under the model of co-management between users and suppliers.
Health Cooperative "Coopesana" began operations in May 1993 being the only health cooperative that uses the co-management model, this model allows for participation as partners and owners to workers related to the cooperative and the community receiving services represented last for 12 organizations, including the Lions Club, sports associations, pensioners, local government, among others, has the advantage over using the other health unions, where there is greater citizen participation, community members appointed to the organs directors of the cooperative and are closely managing their own health services (Health Cooperative of first-degree property shared by users and providers). Expands initially agreed area of \u200b\u200bfocus.
late 1997 and as part of sectoral reform, the CCSS introduced subscription of "management contracts" as a new mechanism for allocating financial resources to hospitals and health areas, which meant the extension of the agreement initially signed in 1993, since January 2002, the CCSS approved an addendum to extend Coopesana allowed health services across 7 new Ebais, the areas of San Francisco de Dos Rios San Antonio's Homeless and thus currently serves the medical needs of 73,848 inhabitants in all assigned areas offering services in general medicine, pediatrics, gynecology, outpatient surgery, dentistry, nutrition, social work, psychology and emergencies, these contracts were extended in May 2004 and then in December 2006, the latter for two years. Unlike other established health cooperatives in Costa Rica, Coopesana has received equipment and pay rent for the use of the facilities provided by the CCSS, which is offset by a payment per person slightly higher than that received by other cooperatives. Between 1,999 and 2,006 have received payments amounting to ¢ 8.066 million (U.S. $ 15.5 approx.) outstanding accomplishments.
Among the most significant achievements of this cooperative is the increased coverage to policyholders because they began in 1993 covered 73% of the population assigned, and in 2002 reached 95% of that population also pioneered the use of electronic record, an initiative followed by the other unions in health and subsequently by other health agencies in the country . In February 2005, opened a new Ebais Coopesana equipped to provide services in general medicine, gynecology, dentistry, pediatrics and laboratory, among others, provides services to 3,600 uninsured in the community of San Rafael de Santa Ana, the center's construction was funded completely by the cooperative in an investment of ¢ 60 million (U.S. $ 115,400) and is built in an area of \u200b\u200b305 meters painting donated in 1994 by the City of Santa Ana Linkage partners.
workers to acquire the status of partners that work requires a minimum of three years so they can apply to join the association and must provide ¢ 26,500 (U.S. $ 51 approx.), And capitalize the annual surpluses he may have, which are removed by the resignation or dismissal of 125 employees only 63 are associated, which is explained by an increase in staff was to meet a new front in San Francisco working for less than 3 years . People who are not workers health can only be members through partnerships.
Integration with other health cooperatives.
It is part of RL Consalud cooperative consortium, along with three other existing health cooperatives in Costa Rica (COOPESALUD RL, Coopesain Coopesiba RL and RL), more Coopemex, Coopeagri And Coopesanta, that also handle health projects for social projection. Through this cooperative partnership, Coopesana initially participated in the cooperative hospital project in San Carlos, but then withdrew.
Information Additional Information:
To complement and understand the role of RL Coopesana in the Health System of Costa Rica, please consult the following links:
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