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Welcome to Worldwide Physical Therapy Practice: a focus on Primary Care Physical Therapy

This is a project created by and for the students in the School of Physical Therapy at the University of St. Augustine in St. Augustine Florida. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

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Payment System

The System for the Selection of Beneficiaries for Social Programs (SISBEN), classifies the people according to their socio-economic level into 6 strata, being stratum 1 homeless people and extreme poverty and stratum 6 the highest level of affluence. According to the survey results, people will be placed in one of the Plans. Those placed in the Contributory Plan (strata three to six) must contribute monthly a certain amount from their salaries to finance the system, while the State covers the costs corresponding to those within the Subsidized Plan (strata one and two). Other organizations called Health Providing Entities (EPS) offer private healthcare, by selling health services packages to the public and contract such services with the healthcare-providing institution. These EPS offer the highest medical attention and priority service to the patient at a much higher cost.

The health care institutions avoid providing health care to poor people who cannot guarantee payment, which therefore leaves the "linked" out of the system (as they are attended to only if payment is given "up front"). Patients are turned into clients and health care centers lack budgets to buy medicines or pay for salaries, surgeries, etc. Furthermore, those affiliated to the Contributory Plan can go to any public or private IPS whereas those affiliated to the Subsidized Plan can only go to old public hospitals.