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LOS DOS SANATORIOS DEBER\u00c1N CONTAR CON TOM\u00d3GRAFO Y RESONADOR INSTALADOS Y CON TERAPIA INTENSIVA PARA ADULTOS. AL MENOS 1 DE ELLOS DEBER\u00c1 CONTAR CON TERAPIA INTENSIVA NEONATAL Y PEDI\u00c1TRICA, CON UN CENTRO DE ESPECIALIDADES PEDI\u00c1TRICAS, CENTRO DE ESPECIALIDADES CARDIOL\u00d3GICAS, SERVICIO DE HEMODINAMIA, UNIDAD DE MEDICINA TRANSFUSIONAL, SERVICIO DE DIAGN\u00d3STICO POR IM\u00c1GENES Y UNIDAD CORONARIA, TODOS ELLOS HABILITADOS POR EL MSPYBS\". ESTE REQUISITO PARECE CLARAMENTE DIRIGIDO A UN PROVEEDOR ESPEC\u00cdFICO, LIMITANDO LA PARTICIPACI\u00d3N DE OTROS OFERENTES, YA QUE ESTABLECE CONDICIONES QUE NO SON T\u00c9CNICAMENTE INDISPENSABLES PARA LA PRESTACI\u00d3N DEL SERVICIO, LO QUE GENERA UN DIRECCIONAMIENTO Y RESTRINGE LA LIBRE COMPETENCIA.", "answer": "El requisito establecido responde a la necesidad de garantizar un adecuado acceso a servicios de salud para los funcionarios de la Auditoria General del Poder Ejecutivo, es fundamental asegurar que los oferentes cuenten con la capacidad operativa para atender eficientemente las necesidades de los beneficiarios de la AGPE, garantizando la cobertura y calidad del servicio, ya que este ha sido estructurado con base en las necesidades y objetivos espec\u00edficos de la convocatoria. Es importante destacar que este mismo requisito se exige en el Pliego de Bases y Condiciones de convocatorias de igual naturaleza. As\u00ed tambi\u00e9n el requisito no afecta el PRINCIPIO DE IGUALDAD Y LIBRE COMPETENCIA, en raz\u00f3n de que en el mercado nacional existen varias empresas de medicina que cumplen con el requerimiento.", "dateAnswered": "2025-06-09T15:02:16-04:00"}, {"id": "f75f6cb333d223090afb4dc53058734e-1", "date": "2025-06-06T19:33:19-04:00", "title": "Instructivo de cotizaci\u00f3n", "description": "Se solicita a la CONVOCANTE favor proveer instructivo de cotizaci\u00f3n para la carga de planilla de precios", "answer": "La presente contrataci\u00f3n se realizar\u00e1 bajo el sistema de Contrato Abierto por monto m\u00ednimo y monto m\u00e1ximo, en el cual, en la planilla de precios, el oferente deber\u00e1 cotizar el costo mensual por persona del servicio ofrecido.", "dateAnswered": "2025-06-09T15:03:20-04:00"}, {"id": "8e15d2bd3f42e446aa280cb6eb6c964f-1", "date": "2025-06-06T19:34:01-04:00", "title": "URGENCIAS", "description": "Se solicita a la convocante favor confirmar que la cobertura para medicamentos y descartables en servicios de urgencias es la establecida en el punto  E SERVICIOS DE URGENCIAS, que establece:  \u201cLa cobertura de medicamentos y descartables, ya sean inyectables, suspensi\u00f3n, comprimidos, oxigeno, para los servicios de urgencia ser\u00e1 de G. 800.000, por evento para el titular y G. 400.000, por evento para el grupo familiar y adherente pago, en los servicios dispuestos y habilitados por la Prestadora\u201d. Se resalta que en el punto F OTROS SERVICIOS CUBIERTOS INTEGRALMENTE se establece: \u201cEn el servicio de urgencia tendr\u00e1n cobertura total: inyecciones, nebulizaciones, servicio de enfermer\u00eda, toma de presi\u00f3n arterial, medicamentos y descartables que pueda necesitar el asegurado en este servicio, tanto para casos de accidente, como para eventos agudos de atenci\u00f3n en este Servicio, tendr\u00e1 una cobertura total sin costo e inmediata para el BENEFICIARIO. Para estos casos no existir\u00e1 limitaciones y la cobertura podr\u00e1 ser bajo prescripci\u00f3n del m\u00e9dico de guardia interviniente, excepto en los casos previstos en los servicios sin cobertura\u201d, lo cual contradice la limitaci\u00f3n establecida en el punto E.", "answer": "Remitirse a la Adenda que ser\u00e1 publicada.", "dateAnswered": "2025-06-11T07:50:43-04:00"}, {"id": "11fa8c3628e50227cfd2577f77339d6d-1", "date": "2025-06-06T19:34:49-04:00", "title": "CENTROS ASISTENCIALES", "description": "En el \u00edtem CENTROS ASISTENCIALES, respecto a los centros asistenciales nivel 3 requeridos para Asunci\u00f3n, se solicita: \u201c Al menos 1 de ellos deber\u00e1 contar: con\nterapia intensiva neonatal y pedi\u00e1trica, con un Centro de especialidades Pedi\u00e1tricas, Centro de Especialidades Cardiol\u00f3gicas, Servicio de Hemodinamia, Unidad de medicina Transfusional, Servicio de diagn\u00f3stico por im\u00e1genes y Unidad coronaria, todos ellos habilitados por el MSPYBS.\u201d. Se solicita a la convocante eliminar el requisito , ya que claramente evidencian un direccionamiento hacia un determinado oferente, limitando la concurrencia de eventuales proveedores porque se han establecido requisitos que no resultan t\u00e9cnicamente indispensables para la prestaci\u00f3n del servicio. De esta manera se ha quebrantado el principio de Igualdad y Libre Competencia, y el de Imparcialidad consagrados en el Inc. b) del Art. 4\u00b0 de la Ley N\u00b0 7021/2022, que reza: \u201cd) Igualdad y Libre Competencia: todo potencial oferente que tenga la solvencia t\u00e9cnica, econ\u00f3mica y legal necesaria para responder a los compromisos que supone la contrataci\u00f3n con el Estado paraguayo y que cumpla con los requisitos establecidos en la presente Ley, en su reglamento, en las bases y condiciones y en las dem\u00e1s disposiciones administrativas, tendr\u00e1 la posibilidad de participar sin restricciones y en igualdad de oportunidades en los procedimientos de contrataci\u00f3n p\u00fablica.  e) Imparcialidad: las normativas, procedimientos y cualquier otro documento relacionado con la Cadena Integrada de Suministro P\u00fablico, se dictar\u00e1n y adoptar\u00e1n en atenci\u00f3n a criterios t\u00e9cnicos que permitan objetividad en el tratamiento a los sujetos del Sistema Nacional de Suministro P\u00fablico\u201d.  Las especificaciones t\u00e9cnicas de los pliegos de requisitos de licitaci\u00f3n se deben establecer con la mayor amplitud de acuerdo con la naturaleza espec\u00edfica del contrato, por lo cual se solicita a la convocante la exclusi\u00f3n del requisito citado, a fin de dotar al presente procedimiento licitatorio de legalidad y armonizar el pliego con la normativa vigente.", "answer": "El requisito establecido responde a la necesidad de garantizar un adecuado acceso a servicios de salud para los funcionarios de la Auditoria General del Poder Ejecutivo, es fundamental asegurar que los oferentes cuenten con la capacidad operativa para atender eficientemente las necesidades de los beneficiarios de la AGPE, garantizando la cobertura y calidad del servicio, ya que este ha sido estructurado con base en las necesidades y objetivos espec\u00edficos de la convocatoria. Es importante destacar que este mismo requisito se exige en el Pliego de Bases y Condiciones de convocatorias de igual naturaleza. As\u00ed tambi\u00e9n el requisito no afecta el PRINCIPIO DE IGUALDAD Y LIBRE COMPETENCIA, en raz\u00f3n de que en el mercado nacional existen varias empresas de medicina que cumplen con el requerimiento.", "dateAnswered": "2025-06-09T14:57:06-04:00"}, {"id": "4b80e49bf6b3f384914e7cb81087fa2f-1", "date": "2025-06-06T19:35:35-04:00", "title": "TERAPIA INTENSIVA O INTERMEDIA", "description": "Solicitamos a la convocante aclarar si es correcta la interpretaci\u00f3n de que en el \u00edtem C TERAPIA INTENSIVA O INTERMEDIA (ADULTOS Y NI\u00d1OS),que los d\u00edas de internaci\u00f3n y cobertura de medicamentos citados a continuaci\u00f3n deben considerarse por beneficiario, por a\u00f1o de contrato:  \u201cTiempo de internaci\u00f3n hasta 25 d\u00edas por evento para el titular y de 15 d\u00edas por evento para el grupo familiar y adherente pago con cobertura en internaciones cl\u00ednicas y quir\u00fargicas, en honorarios profesionales habilitados, equipos, cuidado de enfermer\u00eda y todos los medios auxiliares de diagn\u00f3stico, medicina por im\u00e1genes y servicios laboratoriales seg\u00fan anexo de estudios laboratoriales y anexo de medicina por im\u00e1genes. Cobertura de medicamentos y descartables (ya sean inyectables, suspensi\u00f3n, comprimidos) hasta Gs. 15.000.000, por evento para el titular y hasta G. 8.000.000 por evento para el grupo familiar y adherente pago, incluye term\u00f3metro, siempre que guarden relaci\u00f3n al episodio tratado o cualquier afecci\u00f3n adquirida durante la internaci\u00f3n, incluyendo oxigeno terapia. 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