CARE MODELS
Three models of care exist in the Foundation:
charity, private and concerted. All health care activity meets
the same criteria of human quality, scientific basis, constant
evaluation and control mechanisms in effect to monitor quality
at all the Units. The only difference among the three models
can be found in their funding and the administrative characteristics
that imposes.
Charitable Model
The Kovacs Foundation has agreements for
free health care for certain groups. This care is organized
in collaboration with the representative social entitles of
the beneficiary groups, such as labor unions - General Worker's
Union (UGT) and Workers Commissions (CCOO)-or senior citizens
- the Federation of Senior Citizen Associations-which select
and refer the subsidized patients to be treated.
The care is financed by the Foundation and is provided only
in those Back Units situated in its own clinics.
Private Model
In the private model, the patient directs
him or herself to the Foundation directly for treatment. The
patient covers the cost of care; no entity refers or finances
this care.
The Foundation's essential objective is to assure that its
health care is of the highest human and scientific quality
and that it is easily accessible to those who need it. For
that reason, the charitable care has been established; additionally,
the Foundation tries to assure the accessibility of its private
care, containing its costs by selectively suppressing useless
procedures. But the Foundation gives priority to the quality
of the care it provides above and beyond the cost, so that,
in the private setting, the Kovacs Back Units only work in
the context of truly private health care and do not have agreements
with mutual health insurance companies.
The Foundation receives a percentage of the billing of the
Kovacs Back Units installed in separate clinics in order to
finance the application of its quality control mechanisms
in these Units. The remainder of these funds is allotted to
finance charitable care in the Units situated in its own clinics.
Concerted Model
In this model, the doctors in the National
Health System refer their patients who need it to the Foundation
Back Units for treatment with neuroreflexotherapy and the
National Health System covers the cost.
This model is in effect in the Autonomous Regions whose Health
Care Services have signed the same agreement with the Foundation.
As it is a Not-for-Profit entity, of recognized public interest
and which collaborates with the National Health System, the
Foundation's point of view is that of a "partner"
rather than a "provider" and it maintains its policy
of utter transparence and collaboration with the Health Services
with which it is concerted.
Thus the Foundation and the Health Services have jointly established
the mechanisms to follow-up and control the activity and jointly
they analyze the exhaustive information that they gather on
this activity in order to optimize the application of the
accord and improve its effectiveness and efficiency.
At the same time, the Foundation also has analogous agreements
in effect with several Mutual Workmen's Compensation insurance
companies. In this case, it is the doctors at the Mutuals
who refer their patients to the Foundation's Back Units for
neuroreflexotherapeutic interventions, and the Mutuals assume
the corresponding costs.
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