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Published Tuesday, April 2, 2019
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A.M. Costa Rica wire services photo


Court gives Social Security 6 months to
reduce patient waiting lists in hospitals


By the A.M. Costa Rica staff
 

The Constitutional Court Chamber has ordered Social Security to design, in a maximum of six months, an integrated management system to reduce the "disproportionate and unreasonable deadlines that the patient should expect to receive care in hospitals," said the ruling. The problem is one that represents a systematic and repeated violation of the right to health.

Judges ordered the system in response to an appeal by a senior citizen filed on September 13, 2018.

The citizen said that she required surgery at the San Rafael Hospital*  in the province of Alajuela, but that she was not informed of a specific date for the operation and she was placed on the waiting list. For this reason, the woman appealed to the Constitutional Court alleging that her right to health was violated by the medical center.

The Constitutional Court concluded that the problem in terms of excessive waiting lists is a constant in Social Security. "These actions in the provision of public service violate the right to health, as a fundamental right autonomous and violate the constitutional principles of public service," said the resolution statement.

In the next six months, Social Security must define reasonable waiting times for treatments, as well as objective criteria to specify the location of a patient on waiting lists. It was also required to set a schedule of actions to meet the goals.

Within the plan, Social Security should propose solutions to the shortcomings and problems recognized by the institution itself: lack of adequate infrastructure, lack of specialized doctors, equipment needs, and the absenteeism of patients to appointments in various medical centers, among others.

In order to follow up on compliance with this ruling, the Constitutional Chamber set a public and oral hearing for 9 a.m. on November 14, 2019 in the Supreme Court of Justice.






On that day, the authorities of Social Security must present the advances and actions developed.

In addition, the ruling, it was urged that Catalina Crespo- Sancho, in her capacity as Ombudsman, assist in the follow-up of the execution of this resolution.

The ruling includes:

-Order Social Security must attend waiting lists.

- Define reasonable waiting periods by pathology or related diagnostic groups according to the symptomatology, the level of urgency and the patient's conditions.

- Determine the objective criteria to set a patient on the waiting lists.

- Set a progress schedule.

- Take into account such special groups as older adults, with people with disabilities, and minors.

- Respect the constitutional principles in public service of efficiency and effectiveness.
 
According to the statistics of the Constitutional Court, in 2018, 7,037 claims against Social Security for violating the right to health were registered.




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Have you had to wait to be treated at Social Security? We would like to know your thoughts on this story. Send your comments to: news@amcostarica.com

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