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Republic of Uruguay Integrated National Health System : Analysis of the Governability of the SNIS Benefit Plan

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dc.contributor.author World Bank
dc.date.accessioned 2014-02-03T16:07:54Z
dc.date.available 2014-02-03T16:07:54Z
dc.date.issued 2012-11
dc.identifier.uri http://hdl.handle.net/10986/16794
dc.description.abstract Today the health reform in Uruguay is a mature, ongoing process in which major progress has been consolidated. At the same time, like all systems, it faces challenges in the immediate, medium, and long term, and how they are resolved will not only shape the ultimate outcome of many of the processes currently under way, and but will also impact the sustainability of the accomplishments so far. The purpose of this study is to contribute to development of the integrated national health system (SNIS) by analyzing and identifying policy options aimed at improving its governance, equity, efficiency, and sustainability through the government's use of control variables in order to achieve and maintain conditions of governability and efficiency, which will contribute to the stability and sustainability of the results. The present study analyzes the main variables that Uruguay has at its disposal to manage a central aspect of regulating the sector namely, the plan of benefits that the population receives to cover their health needs. This plan has important consequences for both health and the economy. The specific objectives of the study were to analyze the following three aspects of the SNIS: (i) the conditions of governance and governability of its benefit plan, (ii) methodological aspects of determining the premium to be received by insurers, and (iii) the capacity of the management information systems that are being used to monitor and evaluate the benefit plan. The document has three sections: (i) background; (ii) health coverage: critical aspects that affect its governability, specifically: (a) the benefit plan and the conditions of its governance, (b) the methodologies used to determine the premium, and (c) the health information systems used to monitor and evaluate the benefit plan; and (iii) conclusions and policy options. Finally, there are seven annexes that provide details on the topics discussed. en
dc.language English
dc.language.iso en_US
dc.publisher Washington, DC
dc.rights CC BY 3.0 IGO
dc.rights.uri http://creativecommons.org/licenses/by/3.0/igo/
dc.subject MEDICATION
dc.subject HOSPITALS
dc.subject HIV INFECTION
dc.subject LEGAL RIGHTS
dc.subject MINORITY
dc.subject INSTITUTIONAL MECHANISMS
dc.subject COST DIFFERENTIALS
dc.subject MORBIDITY
dc.subject DYNAMIC BALANCE
dc.subject PHYSICIANS
dc.subject HUMAN IMMUNODEFICIENCY VIRUS
dc.subject HIV
dc.subject MANDATES
dc.subject DRUG USERS
dc.subject INSURANCE COVERAGE
dc.subject HEALTH PROBLEMS
dc.subject CITIZENS
dc.subject INSURANCE SYSTEM
dc.subject HEALTH EXPENDITURE
dc.subject HEALTH SERVICE
dc.subject ILLNESS
dc.subject CAPITATION
dc.subject CANCER
dc.subject HEALTH ECONOMICS
dc.subject HEALTH MARKET
dc.subject CITIZEN
dc.subject NATIONAL POPULATION
dc.subject NATIONAL LEVEL
dc.subject INDIVIDUAL RIGHTS
dc.subject HEALTH SERVICES
dc.subject MENTAL HEALTH
dc.subject COST EFFECTIVENESS
dc.subject INTEGRAL HEALTH CARE
dc.subject JUDICIAL OVERSIGHT
dc.subject QUALITY OF SERVICES
dc.subject HEALTH REFORM
dc.subject DEVELOPING COUNTRIES
dc.subject EQUILIBRIUM
dc.subject CENTER FOR HEALTH
dc.subject DIALYSIS
dc.subject ADOLESCENT HEALTH
dc.subject PREGNANT WOMEN
dc.subject INFANT
dc.subject PERSONS WITH DISABILITIES
dc.subject POPULATION GROUPS
dc.subject COMPETENCIES
dc.subject MENTAL HEALTH SERVICES
dc.subject PROGRESS
dc.subject SERVICE QUALITY
dc.subject LIFE YEARS
dc.subject SANITATION
dc.subject NATIONAL HEALTH SYSTEM
dc.subject SEXUALLY TRANSMITTED INFECTIONS
dc.subject LEGAL FRAMEWORK
dc.subject PATIENTS
dc.subject ILLNESSES
dc.subject VASECTOMY
dc.subject SEX
dc.subject HEALTH AFFAIRS
dc.subject POPULATION DENSITY
dc.subject PRIVATE SECTOR
dc.subject HEALTH TECHNOLOGY EVALUATION
dc.subject HEALTH ORGANIZATION
dc.subject HEALTH OUTCOMES
dc.subject HEALTH INSURANCE
dc.subject PATIENT
dc.subject MEDICAL ASSOCIATION
dc.subject MIGRATION
dc.subject QUALITY OF CARE
dc.subject PRIVATE HEALTH INSURERS
dc.subject HEALTH CARE
dc.subject HEALTH SECTOR REFORM
dc.subject EMERGENCY CARE
dc.subject HEALTH INDICATORS
dc.subject PRIVATE INSURERS
dc.subject NUTRITION
dc.subject HUMAN RESOURCES
dc.subject RESPECT
dc.subject EPIDEMIOLOGY
dc.subject NATIONAL HEALTH INSURANCE
dc.subject INSURANCE SYSTEMS
dc.subject DRUGS
dc.subject IUD
dc.subject HEALTH SERVICES ADMINISTRATION
dc.subject MEDICAL TECHNOLOGY
dc.subject DELIVERY OF HEALTH SERVICES
dc.subject HEALTH PROVIDERS
dc.subject SOCIAL CAPITAL
dc.subject DISABILITIES
dc.subject INTERVENTION
dc.subject BIOETHICS
dc.subject HEALTH TARGETS
dc.subject POLICY DISCUSSIONS
dc.subject REHABILITATION
dc.subject SCREENING
dc.subject HEALTH PROGRAMS
dc.subject PUBLIC HEALTH
dc.subject LAWS
dc.subject HEALTH SYSTEM REFORM
dc.subject SOCIAL SECURITY HEALTH INSURANCE
dc.subject SOCIAL PARTICIPATION
dc.subject INFANT MORTALITY
dc.subject WORKERS
dc.subject UNEMPLOYMENT
dc.subject POINT OF DEPARTURE
dc.subject HR
dc.subject INDEXES
dc.subject MEDICAL BENEFITS
dc.subject MORTALITY RATE
dc.subject EXPENDITURES
dc.subject PRIVATE INSURANCE
dc.subject MORTALITY
dc.subject LARGE NUMBER OF PEOPLE
dc.subject HEALTH SECTOR
dc.subject SOCIAL PRESSURE
dc.subject NATIONAL LEGISLATION
dc.subject INSURANCE PREMIUM
dc.subject HEALTH SECTOR WORKERS
dc.subject RISK FACTORS
dc.subject PUBLIC HEALTH SERVICES
dc.subject PUBLIC PROVISION
dc.subject NATIONAL HEALTH SYSTEMS
dc.subject HOSPITAL INPATIENT
dc.subject COMMUNICABLE DISEASES
dc.subject PUBLIC SERVICE
dc.subject COMPREHENSIVE HEALTH INSURANCE
dc.subject NATIONAL HEALTH SERVICE
dc.subject HEALTH COVERAGE
dc.subject HEALTH SYSTEMS
dc.subject HEALTH CARE COSTS
dc.subject SOCIAL SECURITY
dc.subject HEALTH PROFESSIONALS
dc.subject DIAGNOSIS
dc.subject PLACE OF RESIDENCE
dc.subject PRIMARY HEALTH CARE
dc.subject DIAGNOSTIC PROCEDURES
dc.subject OLDER ADULTS
dc.subject INSURANCE COMPANIES
dc.subject GENDER DISCRIMINATION
dc.subject NATIONAL HEALTH
dc.subject RESOURCE ALLOCATION
dc.subject HEALTH INFORMATION
dc.subject STDS
dc.subject WORLD HEALTH ORGANIZATION
dc.subject HEALTH NEEDS
dc.subject MEDICAL CARE
dc.subject PEDIATRICS
dc.subject LIVE BIRTHS
dc.subject HEALTH SERVICE PROVIDERS
dc.subject DEMAND FOR SERVICES
dc.subject SERVICE DELIVERY
dc.subject HEALTH PROMOTION
dc.subject HEALTH CARE PROVIDERS
dc.subject GOOD GOVERNANCE
dc.subject PUBLIC POLICY
dc.subject HEALTH POLICY
dc.subject ALLOCATIVE EFFICIENCY
dc.subject HEALTH RESULTS
dc.subject INCOME
dc.subject FAMILY MEMBERS
dc.subject ADVERSE SELECTION
dc.subject SPOUSES
dc.subject TREATMENTS
dc.subject COST ANALYSIS
dc.subject CARDIOVASCULAR DISEASES
dc.subject INDIVIDUAL MEMBERS
dc.subject INTEGRATION
dc.subject MEDICAL SERVICES
dc.subject QUALITY CARE
dc.subject HEALTH INFORMATION SYSTEMS
dc.subject HEALTH REGULATION
dc.subject HEALTH INFORMATION SYSTEM
dc.subject HEALTH CONDITIONS
dc.subject HEALTH CARE SERVICES
dc.subject DISSEMINATION
dc.subject INTEGRATED HEALTH CARE
dc.subject HEALTH CONTROL
dc.subject HEALTH WORKERS
dc.subject IMMUNODEFICIENCY
dc.subject ORAL HEALTH
dc.subject MEDICINES
dc.subject PRIMARY CARE
dc.subject ACQUIRED IMMUNODEFICIENCY SYNDROME
dc.subject HOSPITAL
dc.subject MINISTRY OF HEALTH
dc.subject HEALTH CARE PLAN
dc.subject HUMAN DEVELOPMENT
dc.subject DISABILITY
dc.subject HEALTH SYSTEM
dc.subject ELDERLY
dc.subject HOUSEHOLD SIZE
dc.subject CHILD HEALTH
dc.subject HEALTH CARE PRODUCTS
dc.subject CENSUSES
dc.subject HEALTH CARE INSTITUTIONS
dc.subject BASIC LEGISLATION
dc.title Republic of Uruguay Integrated National Health System : Analysis of the Governability of the SNIS Benefit Plan en
dc.rights.holder World Bank


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