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Ley No. 18.211: Creación del Sistema Nacional Integrado de Salud. 2007. https://www.gub.uy/ministerio-salud-publica/institucional/normativa/ley-n-18211-fecha-13122007-creacion-del-sistema-nacional-integrado-salud", "url": "https://www.gub.uy/ministerio-salud-publica/institucional/normativa/ley-n-18211-fecha-13122007-creacion-del-sistema-nacional-integrado-salud", "locator": { "locator_type": "legal_article_anchor", "sections": [ "Arts. 1-3", "Arts. 5-7", "Arts. 45-49" ], "source_word_anchor": "articulará a prestadores públicos y privados", "source_word_count": 5 }, "source_version": { "response_sha256": "23f05d18addfd87c77cfddc03e9aa14b6cd596d8169567182056ee367471ebf7", "detected_media_type": "text/html", "retrieved_at": "2026-08-22", "hash_verified": true }, "source_projection_id": "country-improvement-source:URY:law-18211-snis-2007", "display_source_id": "display-source:URY:60af61a0536c18b66f61056d", "source_version_id": "display-source-version:2e67c7580e453f4d51790a53" }, { "title": "Sistema de salud de Uruguay", "citation": "Aran D, Laca H, de Salazar L. 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"display-source:URY:60af61a0536c18b66f61056d", "display-source:URY:95eb51e9746c54a3d71ce974", "display-source:URY:d7866dc56a750b450d63d367" ], "source_version_ids": [ "display-source-version:2e67c7580e453f4d51790a53", "display-source-version:9159f98159f058882de96810", "display-source-version:3f4c4907f821c1e8805bd322" ], "display_evidence_object_id": "display-claim:265967952b6da9782db8fd1d" }, { "actor_label": "ASSE", "function_label": "Public comprehensive delivery", "role": "Decentralized public provider", "actor_family": "provider", "display_claim_ids": [ "display-claim:04fdcd7187def2d7360339f2" ], "display_source_ids": [ "display-source:URY:60af61a0536c18b66f61056d", "display-source:URY:95eb51e9746c54a3d71ce974", "display-source:URY:d7866dc56a750b450d63d367" ], "source_version_ids": [ "display-source-version:2e67c7580e453f4d51790a53", "display-source-version:9159f98159f058882de96810", "display-source-version:3f4c4907f821c1e8805bd322" ], "display_evidence_object_id": 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Functioning of the health system in Uruguay. 2021. https://www.paho.org/sites/default/files/2021-12/Functioning%20of%20the%20health%20system%20in%20Uruguay.pdf", "country_ids": [ "URY" ], "coverage_domains": [ "authoritative_review", "facility_data", "governance", "hospital_organization", "market_structure", "networks", "observed_referral", "patient_flows", "primary_care", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "has not been generalized in the Uruguayan health system", "institution": "Pan American Health Organization", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "has not been generalized in the Uruguayan health system", "source_word_count": 9 }, "material_id": "material:9e6180480f39ec82389f87e4", "notes": [ "Do not convert the reported network limitation into a national adherence rate." ], "origin": "country-evidence-improvement-sources", "period": "2021 report; the cited network organization is not stated as universal", "publication_date": null, "publication_year": 2021, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "8c7cf625b75f6cfe31f6c3872f7605669ac6f76597c426043006566f236227c0", "page_count": 32, "response_sha256": "8c7cf625b75f6cfe31f6c3872f7605669ac6f76597c426043006566f236227c0" }, "statement": "PAHO reports that integrated-network organization had not been generalized across Uruguay and describes ASSE primary-care networks coordinating with higher-level services. Its observation is system-level and does not provide a national referral-completion rate.", "tags": [], "territory": "Uruguay; system-wide review with ASSE network examples", "title": "Functioning of the health system in Uruguay", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.paho.org/sites/default/files/2021-12/Functioning%20of%20the%20health%20system%20in%20Uruguay.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Organización Panamericana de la Salud. La construcción del Sistema Nacional Integrado de Salud 2005-2009: Uruguay. 2009. https://www.paho.org/es/documentos/construccion-sistema-nacional-integrado-salud-2005-2009-uruguay", "country_ids": [ "URY" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "ownership", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "implantación del Sistema Nacional Integrado de Salud", "institution": "Organización Panamericana de la Salud", "locator": { "locator_type": "web_section_anchor", "source_word_anchor": "implantación del Sistema Nacional Integrado de Salud", "source_word_count": 6 }, "material_id": "material:407ebe2a5abe5c6f790292f8", "notes": [ "Keep historical reform description distinct from post-reform outcomes." ], "origin": "country-evidence-improvement-sources", "period": "2005-2009 reform account; subsequent development is outside this source", "publication_date": null, "publication_year": 2009, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "ba471820dc949f1341b6cfd8bcd25962feb9754e60170268887c10e1640d6b5a" }, "statement": "This PAHO account reviews actions centred on implementation of SNIS during 2005-2008. It supports historical and reported reform context, not current service-delivery performance.", "tags": [], "territory": "Uruguay; national health-system reform", "title": "La construcción del Sistema Nacional Integrado de Salud 2005-2009", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.paho.org/es/documentos/construccion-sistema-nacional-integrado-salud-2005-2009-uruguay" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "República Oriental del Uruguay. Ley No. 18.131: Creación del Fondo Nacional de Salud. 2007. https://www.impo.com.uy/bases/leyes/18131-2007", "country_ids": [ "URY" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities", "market_structure", "ownership", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Créase el Fondo Nacional de Salud", "institution": "Instituto Nacional de Estadística y Oficina de Información Pública Oficial", "locator": { "locator_type": "legal_article_anchor", "source_word_anchor": "Créase el Fondo Nacional de Salud", "source_word_count": 6 }, "material_id": "material:27dd4247b286993d9ef5bbd2", "notes": [ "Do not infer capitation levels or competition effects from the founding law." ], "origin": "country-evidence-improvement-sources", "period": "Law promulgated 18 May 2007; payment operation and later benefit rules require separate checking", "publication_date": null, "publication_year": 2007, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "414b2f34dfd1c02fbd13e54e08f5ff5a83d25c24c092007dc1a82860a12fc956" }, "statement": "The law creates the Fondo Nacional de Salud within the social-security framework. It supports a formal financing and purchasing architecture, not an observed account of provider behavior or market outcomes.", "tags": [], "territory": "Uruguay; national health-insurance financing framework", "title": "Law No. 18.131: Creation of the National Health Fund", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.impo.com.uy/bases/leyes/18131-2007" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Presidencia de la República Oriental del Uruguay. Ley No. 18.161: Creación de la Administración de los Servicios de Salud del Estado. 2007. https://www.gub.uy/presidencia/institucional/normativa/ley-n-18161-fecha-29072007", "country_ids": [ "URY" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "networks", "ownership", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "suficiente autonomía en la gestión de sus recursos", "institution": "Presidencia de la República Oriental del Uruguay", "locator": { "locator_type": "legal_article_anchor", "source_word_anchor": "suficiente autonomía en la gestión de sus recursos", "source_word_count": 7 }, "material_id": "material:05fc3c57112de4583eb10e0c", "notes": [ "Do not turn a delegation power into observed local autonomy." ], "origin": "country-evidence-improvement-sources", "period": "Law promulgated 29 July 2007; operational delegation requires separate evidence", "publication_date": null, "publication_year": 2007, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "670129a9b531ba8924ec35f1af88f3039f2ce56c36d4a1ad31e935e52f1f9e85" }, "statement": "The law creates ASSE as a decentralized public service related to the Executive through MSP and permits internal delegation to regional and local units through management agreements. It does not establish a uniform realized facility-autonomy score.", "tags": [], "territory": "Uruguay; ASSE national public-provider network", "title": "Law No. 18.161: Creation of ASSE as a decentralized service", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.gub.uy/presidencia/institucional/normativa/ley-n-18161-fecha-29072007" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministerio de Salud Pública de Uruguay. Ley No. 18.211: Creación del Sistema Nacional Integrado de Salud. 2007. https://www.gub.uy/ministerio-salud-publica/institucional/normativa/ley-n-18211-fecha-13122007-creacion-del-sistema-nacional-integrado-salud", "country_ids": [ "URY" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "networks", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "articulará a prestadores públicos y privados", "institution": "Ministerio de Salud Pública de Uruguay", "locator": { "locator_type": "legal_article_anchor", "source_word_anchor": "articulará a prestadores públicos y privados", "source_word_count": 5 }, "material_id": "material:d0ca8e2bcf28a41555520f96", "notes": [ "Treat statutory allocation as formal authority, not achieved integration." ], "origin": "country-evidence-improvement-sources", "period": "Law promulgated 13 December 2007; later amendments and regulations require separate checking", "publication_date": null, "publication_year": 2007, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "23f05d18addfd87c77cfddc03e9aa14b6cd596d8169567182056ee367471ebf7" }, "statement": "The statute assigns implementation of SNIS to the Ministry of Public Health and provides a legal framework that articulates public and private comprehensive providers. It establishes formal duties and principles, not implementation or performance.", "tags": [], "territory": "Uruguay; national statutory framework", "title": "Law No. 18.211: Creation of the National Integrated Health System", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.gub.uy/ministerio-salud-publica/institucional/normativa/ley-n-18211-fecha-13122007-creacion-del-sistema-nacional-integrado-salud" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "República Oriental del Uruguay. Ley No. 18.335: Pacientes y Usuarios de los Servicios de Salud. 2008. https://www.impo.com.uy/bases/leyes/18335-2008", "country_ids": [ "URY" ], "coverage_domains": [ "authoritative_review", "governance", "patient_flows", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "derecho a una atención integral", "institution": "Instituto Nacional de Estadística y Oficina de Información Pública Oficial", "locator": { "locator_type": "legal_article_anchor", "source_word_anchor": "derecho a una atención integral", "source_word_count": 5 }, "material_id": "material:02f2de7f061743e53c762fbb", "notes": [ "Do not treat legal rights as a referral-completion measure." ], "origin": "country-evidence-improvement-sources", "period": "Law promulgated 15 August 2008; individual use and enforcement are not measured here", "publication_date": null, "publication_year": 2008, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "7fe7e71750366d5892f0439c837f25bd6f9b804544a226f5da28880b5b9aea05" }, "statement": "The statute establishes users' rights concerning information and care. It is relevant to the formal patient-care framework but does not measure completed referrals, continuity, or use.", "tags": [], "territory": "Uruguay; users of health services", "title": "Law No. 18.335: Patients and users' rights and duties", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.impo.com.uy/bases/leyes/18335-2008" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Provisión de servicios en el primer nivel de atención basada en la estrategia de APS de Uruguay en 2023. 2025. https://www.paho.org/es/documentos/provision-servicios-primer-nivel-atencion-basada-estrategia-aps-uruguay-2023", "country_ids": [ "URY" ], "coverage_domains": [ "actors", "authoritative_review", "governance", "hospital_organization", "networks", "observed_referral", "patient_flows", "primary_care", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Montevideo y Salto, cuya realidad sanitaria es diferente", "institution": "Pan American Health Organization", "locator": { "locator_type": "web_section_anchor", "source_word_anchor": "Montevideo y Salto cuya realidad sanitaria es diferente", "source_word_count": 8 }, "material_id": "material:65ab81a76a0871e5b5d76aa6", "notes": [ "Keep the Montevideo and Salto study frame visible in all interpretations." ], "origin": "country-evidence-improvement-sources", "period": "Study of 2023 service provision, published 2025; two-territory scope", "publication_date": null, "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "534d228359ff25778272dc5439e6720fce023dc37945f6885997c8ac5dc3d1d4" }, "statement": "The study examines PHC implementation in Montevideo and Salto, including organization, management, coordination and barriers. It is bounded to the studied territories and does not establish nationwide referral performance.", "tags": [], "territory": "Montevideo and Salto; selected providers and territories in Uruguay", "title": "Provision of first-level services based on Uruguay's PHC strategy in 2023", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.paho.org/es/documentos/provision-servicios-primer-nivel-atencion-basada-estrategia-aps-uruguay-2023" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Aran D, Laca H, de Salazar L. Sistema de salud de Uruguay. Salud Pública de México. 2011. https://saludpublica.mx/index.php/spm/article/download/5047/10027?inline=1", "country_ids": [ "URY" ], "coverage_domains": [ "actors", "authoritative_review", "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "ownership", "primary_care", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "pagos per cápita de acuerdo con el riesgo", "institution": "Salud Pública de México", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "pagos per cápita de acuerdo con el riesgo", "source_word_count": 8 }, "material_id": "material:f9f68747e1349b040b25d9bb", "notes": [ "Show the study period and do not project its provider figures forward." ], "origin": "country-evidence-improvement-sources", "period": "2011 system description using information available around 2008-2010", "publication_date": null, "publication_year": 2011, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "response_sha256": "c9335918d14686770a1c52a841230a1d61a7e2205043da05d4cec63f0252dba6" }, "statement": "The review describes a mixed public-private system and reports risk-adjusted FONASA payments to ASSE and IAMC providers with care targets. It is a dated system description, not a current provider census or evaluation.", "tags": [], "territory": "Uruguay; national health system", "title": "Sistema de salud de Uruguay", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://saludpublica.mx/index.php/spm/article/download/5047/10027?inline=1" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Documents and Reports. The health workforce in Latin America and the Caribbean : an analysis of Colombia, Costa Rica, Jamaica, Panama, Peru, and Uruguay. World Bank Documents and Reports; 2015. https://documents.worldbank.org/curated/en/634931468000893575/pdf/97475-PUB-PUBLIC-Box-382159B-9781464805943.pdf", "country_ids": [ "URY" ], "coverage_domains": [ "actors", "government_responsibilities", "primary_care" ], "display_status": "shown_in_full", "document_type": "candidate source metadata", "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "physical_pdf_page": 9, "source_word_anchor": "Health Professionals at the Ministry of Health Panama 2014 31 3 3", "source_word_count": 12 }, "material_id": "candidate-source:URY:9301c48cfe9164a8dd84", "notes": [ "Public source projection retained as a distinct stage record.", "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.", "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit." ], "origin": "current-public-source-projection", "period": null, "publication_date": null, "publication_year": 2015, "record_kind": "displayed_source_projection", "record_kind_label": "Displayed source projection", "screening": { "page_locator_linked_from_priority_acquisition": true, "previous_visibility": "previously_projected", "source_version_linked_from_priority_acquisition": true }, "source_layers": [ "candidate_source_metadata", "grey_literature" ], "source_system": "global_literature", "source_version": { "detected_media_type": "application/pdf", "page_count": 133, "response_sha256": "9e4ca48259360612e97d691c6d052d76baa85fae95174be9738d64465515d6ea" }, "statement": null, "tags": [ "grey_library" ], "territory": null, "title": "The health workforce in Latin America and the Caribbean : an analysis of Colombia, Costa Rica, Jamaica, Panama, Peru, and Uruguay", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/634931468000893575/pdf/97475-PUB-PUBLIC-Box-382159B-9781464805943.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Documents and Reports. The political economy of healthcare litigation : model and empirical application to Uruguay. 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Uruguay - Integrated national health system analysis of the governability of the SNIS benefit plan (PIASs). 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