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8b@h1%#"! ('&   4$)0/ J.-,TDK     (H+*,;<=>?@AB32CDEFGIJ96578KLMNOPQ:RSTUVWXYZ[\]^_`abo$2$Ν͓UjH$xhBRI/"$3ƈQg@-'4Ib$)M˒JTtV "$H+YV^#>v2$`G(}մՕAdV 0AA0 f3@8?ݣʚ;@d4ʚ;g4AdAdH( b0(ppp@ <4dddd8i0l؋ <4BdBd8g0l<4!d!d8g0l h___PPT2001D<4X___PPTMac11@f   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography 8    hnamd` Arial&Monotype Typography l___PPT10L 4___PPT9<=I 0  8'<$0/"?  %<#  _9Porqu una Reforma?*0(  `:7Situacin Actual Beneficiarios por Quintil de Ingresos,8K7$)&  a;b<Un pas, dos sistemas*..Inequidad Insuficiente efectividad sanitaria y adaptacin a nuevos desafos. Espiral de costos sin correlato sanitario Insatisfaccin ciudadana: Inseguridad de acceso en sistema pblico, inseguridad financiera en el privado(nUZc="Qu debera resolver la Reforma?*#".. Inequidades no resueltas Sistema no adecuado a nuevos desafos sanitarios, cambios tecnolgicos y cambios sociales y culturales. Insuficiencias de organizacin: Falta de potestad del Estado en funciones claves de salud pblica Necesidad de Poltica Pblica en salud Mercado insuficientemente regulado Fallas de gestin en sector pblico y privado Modelo hospitalo-cntrico y medicalizado Insuficiente participacin ciudadana`0lU 0lU ,g  %d>Objetivos Sanitarios*..   e?f@gAhBiCjDkElFmGnHoIProyectos de la Reforma& Ley de financiamiento: asegura los recursos para la reforma, incluyendo un aumento en 1% del I.V.A. (aprobada) Ley de autoridad sanitaria: separa las funciones de provisin de servicios sanitarios y regulacin del sector, fortalece la autoridad sanitaria, crea un sistema de acreditacin de prestadores pblicos y privados (aprobada) Ley AUGE: crea un sistema de garantas explcitas para el acceso, oportunidad, calidad y proteccin financiera, para un conjunto de patologas prioritarias (aprobada) Ley de ISAPRES: asegura la estabilidad del sistema, mejora transparencia y potencia el rol de la Superintendencia (aprobada) Proyecto Ley Deberes y Derechos en Salud (En el Congreso)vnK3ZnK3AnK3ZnK3AnK3ZnK3A}nK3ZnK3A:nK3Z pJ(Estructura Sistema de Salud Sin Reforma8)( $( qKZ80LEYES QUE SUSTENTAN LA REFORMA DE SALUD EN CHILE,1P0$0  Por que una Reforma? ((Mejorar los logros sanitarios alcanzados Enfrentar los nuevos desafos derivados del envejecimiento poblacional y de los cambios de la sociedad. Reducir las desigualdades en la situacin de salud Proveer servicios acordes a las necesidades y expectativas de la poblacin< nPR              !          Parmetros    Chile se encuentra en etapas de Post-transiciones epidemiolgica, demografas, nutricionales avanzadas. Cambios en la Magnitud, Trascendencia y Gravedad de la situacin sanitaria presente y futura.) Efectividad de las prestaciones necesarias para su control$nK3P   Infraestructura, equipamiento y recursos humanos disponibles en el pas. Eficiencia de prestaciones de Fonasa e Isapres Costo asociado y sustentabilidad financiera Valores sociales y culturales0nK3Pbh       ) Elementos claves del Proceso:*K& Cambio estructural, mas que evolutivo. Cambio de objetivos polticos seguido de cambio institucional. Cambio intencionado, no casual. Cambio sostenido de largo plazo, no nico. Proceso desde arriba-abajo dirigido por autoridad.&nK3 LEYES DE LA REFORMA DE LA SALUD* K$3 Autoridad Sanitaria Financiamiento Rgimen de Garantas ( AUGE ) Deberes y Derechos de las Personas Modificaciones a Ley de ISAPRES( " ZP U1V2&Funciones de la ASR con la Ley 19.937,'K&($3 ' !Velar por cumplimiento de normas, planes, programas y polticas nacionales de salud Proteccin de salud de la poblacin de riesgos del medio ambiente: Aplicacin Cdigo Sanitario y otras normativas. Otorgar autorizaciones sanitarias y adoptar medidas sanitarias. Velar por ejecucin de Acciones de Salud Pblica. Diagnstico, vigilancia y anlisis epidemiolgico regional, y evaluacin de impacto de estrategias y programas. Atender reclamos. Fiscalizar y acreditar. Evaluar cumplimiento de metas de atencin primaria municipal. Organizar COMPIN*"P! " -Autoridad Sanitaria y Gestin LEY N 19.937*.-($3- PROPOSITOS Fortalecimiento institucional. Amplias atribuciones de la autoridad sanitaria. MINSAL es la Autoridad Sanitaria Nacional.) | nK3ZZ{ " ZZ Z {  Autoridad Sanitaria y Gestin  ( Creacin de normas que permiten mejorar la gestin . Se establece la constitucin de redes asistenciales. Se establece clara separacin de funciones entre provisin ( Servicios de Salud ) y la regulacin (Seremis) h " ZZm ZZZ.   Autoridad Sanitaria y Gestin   ( hEstablecer instancias de participacin ciudadana en Seremis y Servicios de salud, consejos consultivos. Nh " Z g.4  , "(Autoridad Sanitaria y Gestin Contenidos*)($$3(  Readecua la estructura y funcionamiento del sector Pblico. Cambios Institucionales A nivel Central: Creacin de Subsecretaria de Redes: Coordina a la RED de Servicios de Salud , Establecimientos de salud , Cenabast, Hospitales Experimentales. h P$nK3P nK3PnnK3P P<33&k  .  # +' Administracin de acciones de promocin, vigilancia epidemiolgica. Coordina acciones de FONASA, ISP, SEREMIS. Administra financiamiento de acciones de salud pblica. 4nK3ZZ $  7A nivel local: Se crean las Direcciones Regionales de Salud Creacin de Hospitales Auto Gestionados. Se dotan de mayor autonoma en el manejo de recursos. Se redefinen los Servicios de Salud como Administradores de la Red Asistencial. Se modifican las normas de remuneraciones, asignaciones, desempeo, etc.X Z(nK3Z ((*7 (Autoridad Sanitaria y Gestin Contenidos*)K( 3( Fiscaliza al FONASA en relacin al AUGE y los derechos de los beneficiarios Ley 18.469 - MAI y MLE. Fiscaliza a prestadores pblicos y privados, respecto a la acreditacin y certificacin, cumpliendo con los estndares en el tiempo. 4nK3ZZ Superintendencia de Salud(  lSe estructura en 2 Intendencias: Intendencia de Fondos y Seguros previsionales de Salud: Control de IsapresHm !7  <B    W7!LEY DE FINANCIAMIENTO("3 'Clara distincin entre compradores y proveedores. Transparencia en los sistemas de contratos. Proveedores en el contexto de la competencia regulada. Se financia AUGE y CHILE SOLIDARIO Parte del financiamiento es por crecimiento econmico. Modificaciones tributarias ( iva, alcoholes, etc ) 8(nK3F&.   %!REGIMEN DE GARANTIAS AUGE *K" m En conformidad con el Plan Nacional de Salud, los objetivos sanitarios, prioridades nacionales, necesidades de las personas y a los recursos de que disponga el pas . Establece un conjunto priorizado de enfermedades y condiciones de salud y las prestaciones de salud asociadas a ellas de carcter promocional, preventivo, curativo, de rehabilitacin y paliativo. PlnK3_PuN.    ($REGIMEN DE GARANTIAS (( Determina garantas explcitas relativas al acceso, niveles de oportunidad, proteccin financiera y calidad. El Fondo Nacional de Salud y las ISAPRES debern asegurar las atenciones a sus beneficiarios. Sin perjuicio del acceso a las dems prestaciones contempladas en las leyes6nK3 90REGIMEN DE GARANTIAS (( Son prestaciones costo / efectivas Garantas de: Acceso Oportunidad Proteccin Financiera Calidad (prestadores acreditados) 28nK3X   8/REGIMEN DE GARANTIAS AUGE*("3  Las garantas pueden ser modificadas cada tres aos. Son obligatorias para beneficiarios FONASA e ISAPRES La forma de acceso es siguiendo los flujos de cada sistema. Sern fiscalizados por la Superintendencia. Regula el cumplimiento y la garanta de oportunidad.8 nK3Z   X6Y3&"2PROYECTO DE LEY DERECHOS DE LAS PERSONAS EN SALUD.3K2(32 Derecho a un trato digno; Respeto y proteccin de privacidad; Lenguaje y actitudes. Derecho a tener compaa y asistencia espiritual. Derecho a informacin. Derecho a la reserva de fichas clnicas Derecho a la decisin informada.8nK3Z '#4PROYECTO DE LEY DE DERECHOS DE LAS PERSONAS EN SALUD.5K4("34 Deber de informarse Deber de adoptar decisiones Deber de cuidar las instalaciones y responder por los daos. Deber de colaborar e informar al prestador Deber de cumplir el tratamiento e informar..H Z L%QU NOS FALTA PARA SEGUIR AVANZANDO?.&K%("3% Acumular mayor experiencia Disear modelo de datos para evaluacin ex  post Observar experiencias internacionales Proponer metoH Z  MGRACIAS POR SU ATENCIN.K("3   H ZZ /$rstuvwxyz{ | } ~   !"#$%&'()*+,-.PC6  0` 3f` ]fff3` W.f36d` ff3fffe̙` 3f3` kuos` f___ff̙` /!fff3̙>?" dd@,? " xd@  d  " x@ d`vP n?" dd@   @@``PR    @ ` `p>> @(    6,* " `   KClic para editar ttulo =  0  " `  kHaga clic para modificar el estilo de texto del patrn Segundo nivel Tercer nivel Cuarto nivel Quinto nivel7    l  6p #" `^ `  ^*   6H6 #" `^   `*   6p0 #" `^ `  `*   Zfd޽h @ ?#" @@ 3f80___PPT10. P:4  Ocano 0 ?7(    6 "p  KClic para editar ttulo   0+ " `    n:Haga clic para modificar el estilo de subttulo del patrn; ;  \@ABCxDE k'<xx"^  6  #" `^   `*   6`  #" `^ `  `*   6  #" `^ `  ^*   Zfd޽h @ ?#" @@ 3f80___PPT10. P:4!0 @H1(  H H Ne1 jjjj s$  1  n*  I%%IInn H Ndv1 jjjj  /$ 1  p*  I%%IInnd H c $ ?LD  1 M H NDy1 jjjj  x 1  kHaga clic para modificar el estilo de texto del patrn Segundo nivel Tercer nivel Cuarto nivel Quinto nivel7    l  H T1 jjjj s  1  n*  I%%IInn  H T1 jjjj  / 1  p*  I%%IInnH H 0j ? 3380___PPT10.6@~Px @(    NE jjjj s$    x* I%%IInn  NI jjjj  0$   z* I%%IInn  T8[ jjjj s    x* I%%IInn  T\` jjjj  0   z* I%%IInnH  0j ? ̙3380___PPT10.&s{P' 0 2*  (    <e?PB JTaller de Capacitacin Evaluacin del Desempeo y Fortalecimiento de la Funcin Rectora de la Autoridad Sanitaria Nacional Alex Alarcn Hein Jefe de Gabinete, Subsecretara de Salud Pblica Ministerio de Salud - Chile Washington, D.C, 29 y 30 de Marzo de 2007 0( 2e08 220( 2`08 22,0( 20fff  fNff)f  &  z    C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsPH  0޽h ? 3f___PPT10i.a+D='  = @B +0^N0 (  ~  s * p     C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsH  0޽h ? ̙33y___PPT10Y+D='  = @B +m 0^N0 ph (   x   c $ f^P  ^    BA ?1? 8 $D0   s *Da^? @,$D0 El sector pblico atiende a la mayora de la poblacin, a los ms pobres y a los ms viejos. El sector Isapre a los ms jvenes, sanos y de mayores ingresos.J]1 0 A1  )    4 4 4   dd   B0^ ?" 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JMENOS INGRESOS 0  G 6^? @_ I MAS INGRESOS 0  I C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsr  Zfd޽h @ ? ̙33___PPT10e.+D='  = @B + 0 (  x  c $H^P  ^ x  c $D^pp ^   C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsr  Zfd޽h @ ? 33y___PPT10Y+D='  = @B + 0 (  x  c $x^P  ^ x  c $<^P ^   C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsr  Zfd޽h @ ? 33y___PPT10Y+D='  = @B + 0 )!(  ~  s *(<pU  <   0P <@@ Mantener y mejorar los logros sanitarios alcanzados Enfrentar los nuevos desafos derivados del envejecimiento poblacional Reducir las desigualdades en situacin de salud y en acceso a la atencin de salud Proveer servicios acordes a las necesidades y expectativas de la poblacin.,0 nUU   R  6            !           hh  C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsr  Zfd޽h @ ? fDW&cC3y___PPT10Y+D='  = @B +-0^N0 ,,@RS C,(      6(0<  -Mortalidad infantil Indicador de desigualdad,.U-(  . :   3 APQ)F W5   p*   B CDEF" 6 @`i j] <B  B # jJ] (] <B  B # jJ( ^ <B  B # jJ] ( <B  B # jJ(o ^p <B  B # jJ]Q ( <B  B # jJ  V! <B  B # jJ] (9 <B  B # jJ( ^ <B  B # jJ]({ <B  B # jJ(^<B  B # jJ]-(<B  B # jJ(-^.<B  B # jJ]z(<B  B # jJ(z^{<B  B # jJ](W<B  B # jJ(^<B  B # jJ] (<B  B # jJ( ^ <B  B # jJ]W(<B  B # jJ(W^X   B CDEF"jJ 6   @`i j]    BCDEF"jJw@`iW(]    BB CwDEF"jJwB B www@`(Wj     BCDEF"```jJ @`` + ]     BICDEF"jJII@`]` ]     BCDEF"jJIII@`+ ]    BCDEF"jJq@` P g ]  !   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3fe]___PPT10=..ܜ Q+TED' ~ = @B DP' = @BA?%,( < +O%,( < +D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*6%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*6D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*6D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*6k%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*6kD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*6kD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*k%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*kD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*kD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*+p+0+0 ++0+0 + 0 j(    S ,  `$ <$D 0  ,    S , ` <$ 0 ,  &|,xXPp  C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsH  0޽h ? 3f  ___PPT10 ..ܜ T+SpD ' , = @B D ' = @BA?%,( < +O%,( < +D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*h%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*hD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*h+p+0+0 ++0+0 +,' 0 z(    c $|,  `<$ 0  ,    c $,  <$ 0 ,  *,<|  C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsH  0޽h ? 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3f'___PPT10..g V+2D' , = @B DJ' = @BA?%,( < +O%,( < +D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*,D%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*,DD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*,DD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*,Ep%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*,EpD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*,EpD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*,q%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*,qD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*,q+8+0+,0 +  0  (      S 4, <$D 0 ,     C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsH   0޽h ? 3f-%___PPT10..%O+WZD' , = @B DP' = @BA?%,( < +O%,( < +D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<* D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<* D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<* =%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<* =D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<* =D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<* >%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<* >D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<* >D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<* D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<* D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<* 8%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<* 8D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<* 8+8+0+ 0 + !0 -%(    S , p<$ 0  ,    S 8, P @@0<$ 0 ,  0h$,4  C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsA  0, p RJB___PPTMac11   hnamd` Arial&Monotype Typography  9Creacin de Superintendencia de Salud (publica /privada ): 2: : H  0޽h ? 3f_W___PPT107..ܜ+5ӸD' , = @B DJ' = @BA?%,( < +O%,( < +D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*e%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*eD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*eD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*f%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*fD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*f+p+0+0 ++0+0 + "0 h(    S P/ `<$ 0  /    S  / P@@ <$ 0 /  *xxNV^  C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.eps  0|/  pV___PPTMac110(   hnamd` Arial&Monotype Typography    hnamd` Arial&Monotype Typography 4___PPT10 B___PPT9$ BIntendencia Prestadores de Salud: Acreditaciones y certificaciones,C 2!" C H  0޽h ? 3f___PPT10..ܜ+B#style.visibility<*%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*!%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*!D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*!D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*"Z%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*"ZD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*"ZD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*Zm%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*ZmD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*Zm+p+0+0 ++0+0 +l#0^N0 og(    0$/ ~ LEY SOBRE FINANCIAMIENTO:00 22,$  m  0 */ P0k  El Estado financiar el acceso al Plan AUGE para todas las familias de escasos recursos, lo que demandar un total de $153.000 millones. Los mayores recursos requeridos provendrn de tres fuentes:6} 2              '      00i  0,M/  p Crecimiento econmico Mejoras en los ejercicios presupuestarios posibilitados por ganancias de eficiencia y focalizacin del gasto pblico Perfeccionamiento de la estructura tributaria  P  P.  P    ;        "    00  C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsr  Zfd޽h @ ? ̙33y___PPT10Y+D='  = @B +$ $0^N0 P(    S @/  <$D 0  /    S A/  <$ 0 /    C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsH  0޽h ? 3fk!c!___PPT10C!..D+SpD ' ?/ = @B DV ' = @BA?%,( < +O%,( < +D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*2%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*2D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*2D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*3_%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*3_D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*3_D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*`%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*`D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*`D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*(%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*(D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*(+p+0+0 ++0+0 + %0^N0 P(    S 0e/ <$D 0  /    S 0f/ 0<$ 0 /    C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsH  0޽h ? 3f_W___PPT107..@BS+SpD' l/ = @B DJ' = @BA?%,( < +O%,( < +D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*m%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*mD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*m+p+0+0 ++0+0 + &0^N0  P(      S ~/ P <$D 0  /     S r/ P<$ 0 /     C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsH   0޽h ? 3f___PPT10..+SpD' / = @B D' = @BA?%,( < +O%,( < +D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<* D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<* D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<* n%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<* nD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<* nD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<* o%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<* oD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<* oD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<* D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<* +p+0+ 0 ++0+ 0 +$ '0^N0 tb(  t t S L/ ` `<$ 0  /   t S ؛/  0<$ 0 /   HP t C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsH t 0޽h ? 3fk!c!___PPT10C!..A@;+5ӸD ' V= @B DV ' = @BA?%,( < +O%,( < +D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*t%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*tD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*tD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*t#%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*t#D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*t#D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*t#8%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*t#8D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*t#8D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*t8B%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*t8BD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*t8BD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*tBQ%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*tBQD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*tBQD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*tQj%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*tQjD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*tQjD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*tj%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*tjD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*tj+p+0+t0 ++0+t0 +$  (0^N0 ppP(  p p S |/ h @`<$D 0  /   p S |/ @`<$ 0 /   p C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsH p 0޽h ? 3f___PPT10..@ +SpD'  = @B D' = @BA?%,( < +O%,( < +D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*p%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*pD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*pD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*p5%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*p5D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*p5D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*p6k%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*p6kD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*p6kD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*pl%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*plD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*plD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*p%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*pD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*pD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*p %(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*p D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*p +p+0+p0 ++0+p0 +)0^N0 N(    04/   dLEY DE ISAPRES&0( 2,  v  0`/ P Las Isapres tendrn un precio nico para el AUGE; las Isapres podrn tener precios distintos entre ellas para las prestaciones complementarias al AUGE, pero sin que esto implique discriminar a sus afiliados por sexo o edad. El contrato de salud tendr carcter indefinido, pero podr modificarse cada 3 aos. Asegurar acceso y permanencia en el sistema como un derecho de los cotizantes. Aumentar facultades regulatorias de la Super de Isapres - SISP<0 nKU2      ]                                 !     00  C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsr  Zfd޽h @ ? 33y___PPT10Y+D='  = @B +*0  (    0(/  1PROYECTO DE LEY DERECHOS DE LAS PERSONAS EN SALUD620 1$1    Z  0/     8El 8 junio del ao 2000 se present al Congreso Nacional690 28h           01 @ 8H  Hace explcitos y regula los derechos que las personas tienen durante su atencin de salud, como asimismo los mecanismos para hacer efectivos dichos derechos. 8 nK<         A   00  C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsr  Zfd޽h @ ? 33y___PPT10Y+D='  = @B +  +0 `P(    S | 1 ` <$D 0  1    S | 1 0 `<$ 0 1    C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.eps\H  0޽h ? 3f___PPT10..~y+SpD'  1 = @B D' = @BA?%,( < +O%,( < +D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*T%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*TD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*TD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*T%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*TD' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*TD{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*D{' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?dCB1+#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*+p+0+0 ++0+0 + ,0 Pn(    S 01 p<$ 0  1    S x%1 p<$ 0 1  *h$,4  C A MACOSX:Users:cdebitte:Desktop:PARA ENVIAR LOGOS:logoletrasblancas.epsH  0޽h ? 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