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El centro de hemodi\u00e1lisis deber\u00e1 de estar en la ciudad de Obligado", "dateAnswered": "2022-01-27T14:59:53-04:00"}, {"id": "3", "date": "2022-01-13T12:36:13-04:00", "title": "Referencia: Llamado para la Ciudad de Obligado", "description": "Consulta: de ser la licitaci\u00f3n un llamado exclusivo para los ciudadanos de la Ciudad de Obligado que documentos ser\u00e1n solicitados para demostrar que son efectivamente de la localidad y no de otras ciudades, ya que de no ser as\u00ed deber\u00e1n acudir al centro de hemodi\u00e1lisis cuyo llamado fue adjudicado en el departamento de Itap\u00faa.   ", "author": {"name": "STERIL - MED SA", "id": "PY-RUC-80017346-5"}, "answer": "Favor dirigirse a la versi\u00f3n 3 del PbyC. Los pacientes deber\u00e1n presentar el Certificado vigente de Vida y Residencia.", "dateAnswered": "2022-01-27T14:59:29-04:00"}, {"id": "2", "date": "2022-01-13T12:35:15-04:00", "title": "Referencia: Llamado para la Ciudad de Obligado", "description": "Consulta: Al tratarse de un llamado para la ciudad de Obligado en el Cual solicitan Patente comercial vigente al inicio de la etapa competitiva, del MUNICIPIO donde est\u00e9 asentado el establecimiento principal del oferente., podr\u00edan confirmar que los pacientes que ser\u00e1n dializados corresponden solo y exclusivamente a pacientes de la ciudad de obligado?", "author": {"name": "STERIL - MED SA", "id": "PY-RUC-80017346-5"}, "answer": "Es correcta su apreciaci\u00f3n, los pacientes a ser asistidos pertenecer\u00e1n exclusivamente a la  Ciudad de Obligado.", "dateAnswered": "2022-01-27T14:58:05-04:00"}, {"id": "1", "date": "2022-01-13T12:34:15-04:00", "title": "Referencia: Llamado para la Ciudad de Obligado", "description": "Consulta: La Ciudad de Obligado se encuentra dentro del Departamento de Itap\u00faa, y dicho Dpto ya cuenta con la LPN - SBE N\u00b050/21 - SERVICIOS DE HEMODI\u00c1LISIS PARA ADULTOS PARA PACIENTES RENALES DE ITAP\u00daA \u0096 ID N\u00b0400141, con fecha de apertura 07 de octubre del 2021, el llamado mencionado ya est\u00e1 adjudicada.\nLa consulta es porque el MSPyBS realiza un llamado nuevamente siendo que la ciudad de Obligado se encuentra en el departamento de Itap\u00faa y ya cuenta con cobertura de Servicio de hemodi\u00e1lisis en la LPN N\u00b050/21?\n", "author": {"name": "STERIL - MED SA", "id": "PY-RUC-80017346-5"}, "answer": "La presente licitaci\u00f3n se realiza en el marco del acceso universal a la Salud de toda la poblaci\u00f3n y conforme la visi\u00f3n Institucional que es la de  garantizar el acceso efectivo de la poblaci\u00f3n, para la asistencia sanitaria integral y equitativa. Al respecto, informamos que existen pacientes renales que residen en la Ciudad de Obligado, y que  para acceder al tratamiento de di\u00e1lisis con la urgencia respectiva, deben trasladarse a la ciudad de Encarnaci\u00f3n, distante aproximadamente a 54 km., lo que econ\u00f3micamente implica una mayor inversi\u00f3n en recursos econ\u00f3micos (Transporte,alimentaci\u00f3n,hora/distancia/, entre otros) lo que implica un abandono al tratamiento(no realizarse la di\u00e1lisis), para luego acudir al servicio de manera tard\u00eda (estado cr\u00edtico), lo cual significa que una intervenci\u00f3n en \u00faltima instancia resulte ineficaz y con resultados muy adversos para el paciente. 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