Costa Rican healthcare system Flashcards
How do the WHO and UNICEF define primary health care?
- multisectorial policy and action
- empowered people and communities
- primary care and essential public health functions as the core of integrated health services
T/F: Costa Rica has the third highest life expectancy in the Western Hemisphere
True
What is the MMR, under 5 years old mortality rate and NCD rate?
MMR: 25 per 100,000 births
Under 5 years old: 10 per 1,000 births
Adult mortality from NCDs: 12%
What is the per capita cost for care?
$970 USD (2014)
How is the responsibility for primary care split in Costa Rica?
The Social Security Administration (Caja) has sole responsibility for all public care provision. This includes public health, prevention, and curative care. This makes it easier to integrate with other levels of care and emphasize comprehensive care.
What does primary health care encompass?
Epidemiological surveillance and infectious disease control
Immunization
Health education and health promotion in the community
Contraceptive and dental education in schools
Childhood growth monitoring
Pregnancy monitoring
Treatment of diabetes, hypertension, among other chronic diseases
Treatment of diseases like pneumonia, diarrheal diseases, minor trauma
Elderly population monitoring and treatment
What are EBAIS teams?
These teams provide care in EBAIS clinics and in the community. The care is comprehensive and covers ~80% of healthcare needs.
What do EBAIS teams include?
Primary care physician (reviews care plan with the patient), ATAP (like a CNA?), pharmacist (dispenses medication), and REDES (responsible for health records, patient intake), nurses
How does the EBAIS empanelment work?
Every citizen in Costa Rica is “empaneled” or assigned to an EBAIS team based on where they live. The system focuses on empaneling areas that have higher rates of inequity before other areas.
How many patients is one EBAIS team responsible for managing?
A “panel” of about 4500 people.
What are the 3 tiers of the system?
Health regions, health areas, and EBAIS teams (in that order)
What data systems accompany the EBAIS teams?
EHRs and Family Files, which are filled out by the ATAPS during home visits. The files include clinical info and SDOH info.
T/F: Data flows up and down the Costa Rican health system.
True
How does the healthcare delivery performance index work?
The Quality Assurance Dept ranks the coverage and quality of primary care in multiple health areas from best to worst. There are 15 indicators. Then, all health areas review their rankings and develop a QI plan.
T/F: Health areas that rank in the bottom 20% must develop and submit a remediation plan.
True
