Territorial Councils for Social Security in Health
The Territorial Councils for Social Security in Health are bodies that advise the health directorates of their respective territorial level (departmental, district, municipal or local), in the formulation of health plans, strategies, programs and projects and in the orientation of territorial social security systems in health, that develop the policies defined by the National Council of Social Security in Health. The Councils are made up of representatives of the Governor's Office or Mayor's Office, the Secretariat (or corresponding entity) of the Treasury, employers and workers in the health sector, social insurance entities and providers of health services, experts In the health system, the user associations of this service and indigenous communities. The Councils were created in 1993 with the reform of the Social Security System in Health, through the approval of Law 100. This reform had a mandate of decentralization and privatization and, in order to generate a specialization of power, also created the National Council of Social Security in Health to divide the competencies of management and regulation between the Ministry of Health and said Council. The Council had the task of establishing rules for the operation of insurance under a framework of regulated competition. However, this Council was eliminated in 2007, while the Territorial Councils were maintained.
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
- restricted
- Type of participants
- private stakeholders
- Decisiveness
- democratic innovation yields a non-binding decision
- Co-Governance
- yes
Means
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Ends
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