The Guatemalan Healthcare Landscape Sample Clauses

The Guatemalan Healthcare Landscape. ‌ In theory, the health system in Guatemala is stratified in order to permeate society at each level. However, political corruption often prevents public services from making a significant difference in rural communities, facilitating the provision of these services by other parties. Guatemalan health services are therefore composed of a landscape of different sources, rather than one consolidated healthcare system. The actual Guatemalan healthcare system, funded by Ministerio de Salud Pública y Asistencia Social (MSPAS), is organized into large national hospitals within urban centers of each department, and health centers or health posts located at a more rural level (Xxxxxx & Xxxxx, 2011; MSPAS, 2017). Even though the health system has an assigned coverage of 70% of the population, access indicators indicate otherwise and have remained fairly unchanged since 2000, particularly disfavoring indigenous populations (PAHO, 2017). Taking a closer look at the structure of MSPAS and the presence of other sources of healthcare in Guatemala can outline why there is a need for sustainable interventions in rural, indigenous communities. The countrywide physician density as of 2018 was 3.6 per 10,000 population (Central Intelligence Agency, 2020). However, analyzing specific subsets of the Ministry of Public Health and Social Welfare’s (MSPAS) outreach reveals further disparities within the healthcare system. Within the Department of Guatemala, home to the capital city, the physician density of the MSPAS system in 2014 was 8.1 per 10,000 population. In contrast, the MSPAS network within larger and denser rural departments like Alta Verapaz and Huehuetenango had a physician density of 1.5 and 1.6 per 10,000 population, respectively (PAHO, 2017). It is not out of the ordinary for national hospitals to experience shortages in medications or equipment and to have extensive, months-long waitlists for a procedure or consult (which in some hospitals are carried out by primary-care doctors rather than specialists) (Xxxxxxxx et al., 2017). A parallel health system available in Guatemala is the Guatemalan Institute of Social Security (IGSS). However, the healthcare offered in the IGSS facilities is limited to citizens employed in the formal economy, which is concentrated in the urban areas, covering only around 18% of the population (PAHO, 2017). Another example of poor coverage in the national healthcare system is the fact that there is only one oncology hospital serving peop...
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Related to The Guatemalan Healthcare Landscape

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  • Radiation Therapy/Chemotherapy Services This plan covers chemotherapy and radiation services. This plan covers respiratory therapy services. When respiratory services are provided in your home, as part of a home care program, durable medical equipment, supplies, and oxygen are covered as a durable medical equipment service.

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  • Surgery Services This plan covers surgery services to treat a disease or injury when: • the operation is not experimental or investigational, or cosmetic in nature; • the operation is being performed at the appropriate place of service; and • the physician is licensed to perform the surgery. This plan covers reconstructive surgery and procedures when the services are performed to relieve pain, or to correct or improve bodily function that is impaired as a result of: • a birth defect; • an accidental injury; • a disease; or • a previous covered surgical procedure. Functional indications for surgical correction do not include psychological, psychiatric or emotional reasons. This plan covers the procedures listed below to treat functional impairments. • abdominal wall surgery including panniculectomy (other than an abdominoplasty); • blepharoplasty and ptosis repair; • gastric bypass or gastric banding; • nasal reconstruction and septorhinoplasty; • orthognathic surgery including mandibular and maxillary osteotomy; • reduction mammoplasty; • removal of breast implants; • removal or treatment of proliferative vascular lesions and hemangiomas; • treatment of varicose veins; or • gynecomastia.

  • Cornerstone shall notify the LLC and confirm such advice in writing (i) when the filing of any post-effective amendment to the Registration Statement or supplement to the Prospectus is required, when the same is filed and, in the case of the Registration Statement and any post-effective amendment, when the same becomes effective, (ii) of any request by the Securities and Exchange Commission for any amendment of or supplement to the Registration Statement or the Prospectus or for additional information and (iii) of the entry of any stop order suspending the effectiveness of the Registration Statement or the initiation or threatening of any proceedings for that purpose, and, if such stop order shall be entered, Cornerstone shall use its best efforts promptly to obtain the lifting thereof.

  • COVERED HEALTHCARE SERVICES This section describes covered healthcare services. This plan covers services only if they meet all of the following requirements: • Listed as a covered healthcare service in this section. The fact that a provider has prescribed or recommended a service, or that it is the only available treatment for an illness or injury does not mean it is a covered healthcare service under this plan. • Medically necessary, consistent with our medical policies and related guidelines at the time the services are provided. • Not listed in Exclusions Section. • Received while a member is enrolled in the plan. • Consistent with applicable state or federal law. We review medical necessity in accordance with our medical policies and related guidelines. Our medical policies can be found on our website. Our medical policies are written to help administer benefits for the purpose of claims payment. They are made available to you for informational purposes and are subject to change. Medical policies are not meant to be used as a guide for your medical treatment. Your medical treatment remains a decision made by you with your physician. If you have questions about our medical policies, please call Customer Service. When a new service or drug becomes available, when possible, we will review it within six (6) months of one of the events described below to determine whether the new service or drug will be covered: • the assignment of an American Medical Association (AMA) Current Procedural Terminology (CPT) code in the annual CPT publication; • final Food and Drug Administration (FDA) approval; • the assignment of processing codes other than CPT codes or approval by governing or regulatory bodies other than the FDA; • submission to us of a claim meeting the criteria above; and • generally, the first date an FDA approved prescription drug is available in pharmacies (for prescription drug coverage only). During the review period, new services and drugs are not covered. For all covered healthcare services, please see the Summary of Medical Benefits and the Summary of Pharmacy Benefits to determine the amount that you pay and any benefit limits.

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