In Dominican Republic It is imperative to apply medical protocols and guidelines, as a way to make quality and health spending more efficient. Likewise, it is necessary to implement the Primary Care strategy, postponed for decades and not taken into account in the application of law 87-01.
The information was provided by the doctor Jose Manuel Vargas, executive president of the Association of Health Risk Administrators (ADARS), an entity that brings together the six private insurers that have the largest number of affiliates in the contributory regime. He indicates that currently, few centers or providers of health services have medical guidelines and protocols.
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Vargas assures that it is imperative to lower out-of-pocket spending, which is between 45 and 50%. This is the direct expense that people have to cover health needs such as procedures, consultations, hospitalizations and medications that are not in the catalog of services.
For Vargas, it is an inescapable task that the Ministry of Public Health in its role as the governing body of the health system that updates the medical catalog of medicines and procedures. It is necessary, he said, to establish a national pharmaceutical policy and a price of coverage for social security.
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