Username: SabanaMedicina /
Username: SabanaMedicina / Testing GENERAL SOCIAL SECURITY SYSTEM IN COLOMBIA (SHSS) This study aims vital to disclose the main features and functions of the general social security system in Colombia in a way that you provide a general outline of the general concepts , systems, principal actors and entities in the system. 1) General concepts a. Set of institutions, rules and procedures that provide for the person and community to improve the quality of life through health: b. C. Individual WelfareCommunity integration of the human protection against social needs 1) Social Prevision 2) Social Security 3) Workers individuals 4) Public Workers 5) Public Assistance 6) Occupational Health 7) Privacy empeleo 8) Wage Policy 9) Conferences and breaks 10) Public health 11) Policy Mechanism social housing that humanizes social relations 1) Social stability 2) Public Service Political Stability Keeps 1) Appointed by the Constitution of 1991 The system is comprised of 1) general system of pensions 2 ) social security system in health 3) General system of occupational hazards 4) Supplementary social services main objectives 1) To secure economic and health benefits in relation to employment or ability to pay 2) Ensure provision of services complementariosestablecidos by law 3) Ensure expanding coverage 2) a. SGSSS Features SGSSS affiliate Affiliate – All Colombians must be affiliated to the SHSS.Prior payment for contribution through subsidy or regulation. Membership can be: Single: through business, Through guilds, for settlement geography. Guarantees members. Should receive at least a comprehensive plan of protection of health: Preventive Care, POS (obligatory health plan), Medical / surgical, Essential medicines. The warranty shall also include the member’s family, which also will be entitled to the provision of service. Everyone must be affiliated in the same EPS (entity health promoter). Depending on the type of family relationship must present documents to establish the legal conditions of a household and family so they can enroll in special conditions such as: Spouse – Must submit the registration of marriage, lifelong companion – notarized statement, expressing the will of form a permanent family.Quality of children, parents or relatives by blood 3rd – civil records proving kinship, as students – Certification of the educational establishment. PERMANENT inability of children over 18 years: 2463 Decree 2001. Economic dependence. Affidavit delivered by the contributor. 3) a. Regimen Subsidized population who can not pay the full cost of service. 1. State Responsibility facilitating membership to those who lack a working link. 2. People with lower incomes and without payment capacity of health services therefore receive full or partial subsidy to supplement the value of the UPCS. ii. How 1. Can join an entity to register as: 2. Health-promoting entity 3. Company health solidarity 4. State social enterprise iii. What gives 1. Basic care of the first level 2. Promotion and Education 3. Hospital care less complex 4. Hospital care more complex 5. Transportation of patients 6. Iv medications and diagnostic aids. Resources 1.Financing territorial 2. Resources to fund subsidized solar and guarantees of local funds 3. The 15 additional resources of income tax of the production companies. 4. The benefits are not made by demand but by priority given by the Ministry of Social Protection that is up to each district, municipality or department. 5. The beneficiaries contribute through co-payments set by levels or categories established by the Sisben: 6. To properly indigence verfic and indigenous communities, the Athenion is free and no copayment 7. Level 1 Sisben and incubated in the population census listing the copayment is maximum 5 of the value of the account without charging for the same event Eced a quarter of the legal minimum wage. 8. Level 2 Sisben the maximum copayment is 10 of the value of the account without charging for the same event Eced a quarter of the legal minimum wage. 9. It prohibits the collection of copayments to prenatal care, delivery care and its complications and care of children during the first year of life. v. Focus 1. A. National LevelB. Ministry of Social Protection C. National Health Authority National Council on Social Insurance 2. A. Municipal Level B. Mayor City Council social security health 3. A. Departmental Level Departmental council health social security 4. Sisben a. Tool for identifying factors of poverty in a given population. b. Levels 1-6 which classifies the need for coverage, 1 and 2 where the population more experimienta extreme poverty and therefore most need coverage. c. Identification in populations without Sisben d. Child population abandoned e. F. indigent Population displacement in terms of g. Family groups of community mothers h. Elderly people in nursing homes protection i. Migrant rural population. 5. Administering a. Health solar companies (ESS) b. The Family Compensation c. B. EPS Linked i. Vulnerable population that does not qualify to enter the subsidized system or who is in “waiting list” to enter. c. Contributory i.They belong to people has a job working relationship in private and public sector, pensioners and retirees, and independent workers’ ability to pay and their families ii. Because 1. With a health-promoting entity daily high 12.5 of their earnings separately or in tandem with your company. 2. Single 3. Collective 4. Enitdades authorized by the National Health Authority 5. Settlements GEOGRAFICO 6. Guilds 7. Companies iii. A cohort 1. Sign in to play an important role EMPLOYER.