There are a couple of things the Caja Costarricense de Seguro Social could do right now that would save time and money.
How about filling recurring prescriptions for three months at a time instead of monthly? This could be done immediately, at no cost to the system. It might actually save money for the Caja, and it would certainly be more convenient for the patient who is on blood pressure or cholesterol medication for the rest of their life. The prescribing doctor gives out prescriptions for the next 6 to 12 months of medication, so why have to show up once each month to get them filled?
How about allowing one to make an appointment by phone? Or reschedule or even cancel an appointment. Setting up a phone system and staffing it would cost money, but it should be cost effective in the long term. Maybe set up a Web page for appointments.
How about setting up actual appointment times instead of telling 50 people their appointment is at 7 in the morning, and then have it be nothing more than first come first served (sometimes).
It’ll be interesting to see if CCSS will come up with and execute a plan within the one-year time frame. Please keep us informed.