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

Simple item page
dc.contributor.authorWorld Bank
dc.date.accessioned2014-02-03T16:07:54Z
dc.date.available2014-02-03T16:07:54Z
dc.date.issued2012-11
dc.description.abstractToday 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.identifierhttp://documents.worldbank.org/curated/en/2012/11/18286242/uruguay-integrated-national-health-system-analysis-governability-snis-benefit-plan-piass
dc.identifier.doi10.1596/16794
dc.identifier.urihttps://hdl.handle.net/10986/16794
dc.languageEnglish
dc.language.isoen_US
dc.publisherWashington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACQUIRED IMMUNODEFICIENCY SYNDROME
dc.subjectADOLESCENT HEALTH
dc.subjectADVERSE SELECTION
dc.subjectALLOCATIVE EFFICIENCY
dc.subjectBASIC LEGISLATION
dc.subjectBIOETHICS
dc.subjectCANCER
dc.subjectCAPITATION
dc.subjectCARDIOVASCULAR DISEASES
dc.subjectCENSUSES
dc.subjectCENTER FOR HEALTH
dc.subjectCHILD HEALTH
dc.subjectCITIZEN
dc.subjectCITIZENS
dc.subjectCOMMUNICABLE DISEASES
dc.subjectCOMPETENCIES
dc.subjectCOMPREHENSIVE HEALTH INSURANCE
dc.subjectCOST ANALYSIS
dc.subjectCOST DIFFERENTIALS
dc.subjectCOST EFFECTIVENESS
dc.subjectDELIVERY OF HEALTH SERVICES
dc.subjectDEMAND FOR SERVICES
dc.subjectDEVELOPING COUNTRIES
dc.subjectDIAGNOSIS
dc.subjectDIAGNOSTIC PROCEDURES
dc.subjectDIALYSIS
dc.subjectDISABILITIES
dc.subjectDISABILITY
dc.subjectDISSEMINATION
dc.subjectDRUG USERS
dc.subjectDRUGS
dc.subjectDYNAMIC BALANCE
dc.subjectELDERLY
dc.subjectEMERGENCY CARE
dc.subjectEPIDEMIOLOGY
dc.subjectEQUILIBRIUM
dc.subjectEXPENDITURES
dc.subjectFAMILY MEMBERS
dc.subjectGENDER DISCRIMINATION
dc.subjectGOOD GOVERNANCE
dc.subjectHEALTH AFFAIRS
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE COSTS
dc.subjectHEALTH CARE INSTITUTIONS
dc.subjectHEALTH CARE PLAN
dc.subjectHEALTH CARE PRODUCTS
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH CARE SERVICES
dc.subjectHEALTH CONDITIONS
dc.subjectHEALTH CONTROL
dc.subjectHEALTH COVERAGE
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH INFORMATION
dc.subjectHEALTH INFORMATION SYSTEM
dc.subjectHEALTH INFORMATION SYSTEMS
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH MARKET
dc.subjectHEALTH NEEDS
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROBLEMS
dc.subjectHEALTH PROFESSIONALS
dc.subjectHEALTH PROGRAMS
dc.subjectHEALTH PROMOTION
dc.subjectHEALTH PROVIDERS
dc.subjectHEALTH REFORM
dc.subjectHEALTH REGULATION
dc.subjectHEALTH RESULTS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SECTOR REFORM
dc.subjectHEALTH SECTOR WORKERS
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICE PROVIDERS
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SERVICES ADMINISTRATION
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEM REFORM
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH TARGETS
dc.subjectHEALTH TECHNOLOGY EVALUATION
dc.subjectHEALTH WORKERS
dc.subjectHIV
dc.subjectHIV INFECTION
dc.subjectHOSPITAL
dc.subjectHOSPITAL INPATIENT
dc.subjectHOSPITALS
dc.subjectHOUSEHOLD SIZE
dc.subjectHR
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN IMMUNODEFICIENCY VIRUS
dc.subjectHUMAN RESOURCES
dc.subjectILLNESS
dc.subjectILLNESSES
dc.subjectIMMUNODEFICIENCY
dc.subjectINCOME
dc.subjectINDEXES
dc.subjectINDIVIDUAL MEMBERS
dc.subjectINDIVIDUAL RIGHTS
dc.subjectINFANT
dc.subjectINFANT MORTALITY
dc.subjectINSTITUTIONAL MECHANISMS
dc.subjectINSURANCE COMPANIES
dc.subjectINSURANCE COVERAGE
dc.subjectINSURANCE PREMIUM
dc.subjectINSURANCE SYSTEM
dc.subjectINSURANCE SYSTEMS
dc.subjectINTEGRAL HEALTH CARE
dc.subjectINTEGRATED HEALTH CARE
dc.subjectINTEGRATION
dc.subjectINTERVENTION
dc.subjectIUD
dc.subjectJUDICIAL OVERSIGHT
dc.subjectLARGE NUMBER OF PEOPLE
dc.subjectLAWS
dc.subjectLEGAL FRAMEWORK
dc.subjectLEGAL RIGHTS
dc.subjectLIFE YEARS
dc.subjectLIVE BIRTHS
dc.subjectMANDATES
dc.subjectMEDICAL ASSOCIATION
dc.subjectMEDICAL BENEFITS
dc.subjectMEDICAL CARE
dc.subjectMEDICAL SERVICES
dc.subjectMEDICAL TECHNOLOGY
dc.subjectMEDICATION
dc.subjectMEDICINES
dc.subjectMENTAL HEALTH
dc.subjectMENTAL HEALTH SERVICES
dc.subjectMIGRATION
dc.subjectMINISTRY OF HEALTH
dc.subjectMINORITY
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectMORTALITY RATE
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL HEALTH INSURANCE
dc.subjectNATIONAL HEALTH SERVICE
dc.subjectNATIONAL HEALTH SYSTEM
dc.subjectNATIONAL HEALTH SYSTEMS
dc.subjectNATIONAL LEGISLATION
dc.subjectNATIONAL LEVEL
dc.subjectNATIONAL POPULATION
dc.subjectNUTRITION
dc.subjectOLDER ADULTS
dc.subjectORAL HEALTH
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPEDIATRICS
dc.subjectPERSONS WITH DISABILITIES
dc.subjectPHYSICIANS
dc.subjectPLACE OF RESIDENCE
dc.subjectPOINT OF DEPARTURE
dc.subjectPOLICY DISCUSSIONS
dc.subjectPOPULATION DENSITY
dc.subjectPOPULATION GROUPS
dc.subjectPREGNANT WOMEN
dc.subjectPRIMARY CARE
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIVATE HEALTH INSURERS
dc.subjectPRIVATE INSURANCE
dc.subjectPRIVATE INSURERS
dc.subjectPRIVATE SECTOR
dc.subjectPROGRESS
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH SERVICES
dc.subjectPUBLIC POLICY
dc.subjectPUBLIC PROVISION
dc.subjectPUBLIC SERVICE
dc.subjectQUALITY CARE
dc.subjectQUALITY OF CARE
dc.subjectQUALITY OF SERVICES
dc.subjectREHABILITATION
dc.subjectRESOURCE ALLOCATION
dc.subjectRESPECT
dc.subjectRISK FACTORS
dc.subjectSANITATION
dc.subjectSCREENING
dc.subjectSERVICE DELIVERY
dc.subjectSERVICE QUALITY
dc.subjectSEX
dc.subjectSEXUALLY TRANSMITTED INFECTIONS
dc.subjectSOCIAL CAPITAL
dc.subjectSOCIAL PARTICIPATION
dc.subjectSOCIAL PRESSURE
dc.subjectSOCIAL SECURITY
dc.subjectSOCIAL SECURITY HEALTH INSURANCE
dc.subjectSPOUSES
dc.subjectSTDS
dc.subjectTREATMENTS
dc.subjectUNEMPLOYMENT
dc.subjectVASECTOMY
dc.subjectWORKERS
dc.subjectWORLD HEALTH ORGANIZATION
dc.titleRepublic of Uruguay Integrated National Health System : Analysis of the Governability of the SNIS Benefit Planen
dspace.entity.typePublication
okr.date.disclosure2013-09-23
okr.date.doiregistration2025-05-07T09:49:32.779421Z
okr.doctypeEconomic & Sector Work::Other Health Study
okr.doctypeEconomic & Sector Work
okr.docurlhttp://documents.worldbank.org/curated/en/2012/11/18286242/uruguay-integrated-national-health-system-analysis-governability-snis-benefit-plan-piass
okr.globalpracticeHealth, Nutrition, and Population
okr.globalpracticeGovernance
okr.globalpracticeHealth, Nutrition, and Population
okr.guid530551468127466706
okr.identifier.externaldocumentum000442464_20130923100243
okr.identifier.internaldocumentum18286242
okr.identifier.report80084
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2013/09/23/000442464_20130923100243/Rendered/PDF/800840ESW0Urug000PUBLIC00Box379829B.pdfen
okr.region.administrativeLatin America & Caribbean
okr.region.countryUruguay
okr.sectorHealth and other social services :: Health
okr.themeHuman development :: Health system performance
okr.topicHealth Monitoring and Evaluation
okr.topicLaw and Development::Health Law
okr.topicHealth Systems Development and Reform
okr.topicHealth Economics and Finance
okr.topicHealth, Nutrition and Population::Population Policies
okr.unitHealth Sector (LCSHH)
okr.volume1 of 1
Files
Original bundle
Now showing 1 - 2 of 2
Thumbnail Image
Name:
800840ESW0Urug000PUBLIC00Box379829B.pdf
Size:
2 MB
Format:
Adobe Portable Document Format
Download
No Thumbnail Available
Name:
800840ESW0Urug000PUBLIC00Box379829B.txt
Size:
739.02 KB
Format:
Plain Text
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Plain Text
Description:
Download
Collections
Other Health Study