Directory of the State Health Services Administration (ASSE)
The Directory of the State Health Services Administration (ASSE) is the leading public health provider in Uruguay. In the context of the reform of the health sector from 2007, Law No. 18.161 was mandated to include the participation of workers and users. The functions of the board are to develop the health rights of its users, organize and manage health care services, seek efficiency and effectiveness through coordination with other public health service providers and between levels of care and to be part of and to contribute to the implementation of the NHIS, among others. The law also considers decentralizing the ASSE and establishing forms of participation that guarantee the participation of users and workers at the departmental and local levels in public health providers.
Institutional design
Formalization: is the innovation embedded in the constitution or legislation, in an administrative act, or not formalized at all?
Frequency: how often does the innovation take place: only once, sporadically, or is it permanent or regular?
Mode of Selection of Participants: is the innovation open to all participants, access is restricted to some kind of condition, or both methods apply?
Type of participants: those who participate are individual citizens, civil society organizations, private stakeholders or a combination of those?
Decisiveness: does the innovation takes binding, non-binding or no decision at all?
Co-governance: is there involvement of the government in the process or not?
- Formalization
- embedded in the constitution/legislation
- Frequency
- regular
- Mode of selection of participants
- both
- Type of participants
- citizens civil society
- Decisiveness
- democratic innovation yields a binding decision
- Co-Governance
- yes
Means
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Ends
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