Health prioritization: The case of Chile

Health Affairs

Volumn 27, Issue 3, 2008, Pages 782-792

  Vargas, Verónica ^a   Poblete, Sergio ^b  

^a GEORGETOWN UNIVERSITY   (United States)

^b CENTRAL BANK OF CHILE   (Chile)

Author keywords

[No Author keywords available]

Indexed keywords

CHILE; CLASSIFICATION ALGORITHM; COST EFFECTIVENESS ANALYSIS; DISCRIMINANT ANALYSIS; EVALUATION; HEALTH; HEALTH CARE ACCESS; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HEALTH INSURANCE; HEALTH SERVICE; HEALTH STATUS; HUMAN; LAW; MORBIDITY; MORTALITY; QUALITY OF LIFE; REVIEW; SOCIOECONOMICS; TREATMENT PLANNING;

CHILE; COST OF ILLNESS; COST-BENEFIT ANALYSIS; HEALTH CARE REFORM; HEALTH PRIORITIES; HEALTH SERVICES ACCESSIBILITY; HEALTHCARE DISPARITIES; HUMANS; INSURANCE, HEALTH; NATIONAL HEALTH PROGRAMS; UNIVERSAL COVERAGE;

EID: 44449160589     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.27.3.782     Document Type: Review

References (48)

1. Public health is financed through the contributions of affiliates, 7 percent of taxable income, and with resources originating from general taxes.
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10. Regarding system capacity, FONASA postulated that the health problems with limited services were depression, schizophrenia, severe burns, degenerative osteoarthritis, diabetic retinopathy, multiple traumas, strabismus, rheumatoid arthritis, benign prostatic hyperplasia, ocular trauma, alcohol and drug dependency, retinal detachment, lumbar disc hernia, and accidents that require emergency care.
11. Regarding special-interest groups and social participation, see Sandoval, "Mejor Salud para los Chilenos";
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17. Ministerio de Salud, Encuesta de Calidad de Vida y Salud, Chile 2000, 2001, http://www.ine.cl/canales/chile_estadistico/ calidad_de_vida_y_salud/calidadvida/folleto-cdv.pdf (accessed 1 February 2008);
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23. Ibid.; M. Concha and X. Aguilera, "Enfoque Epidemiológico de la Desigualdad en Salud," Revista Médica de Chile 3, no. 1 (1999): 43-52;
24. and Vega et al., "Socioeconomic Differentials and Mortality."
25. Ministerio de Salud, Resultados, Primera Encuesta de Salud.
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27. See, for example, C. Gattini et al., "Variación de los Indicadores de Mortalidad Evitable entre Comunas Chilenas como Aproximación a las Desigualdades de Salud," Revista Panamericana Salud Pública 12, no. 6 (2002): 454-461;
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29. Vega et al., "Socioeconomic Differentials and Mortality";
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31. and Hollstein et al., "Desigualdades Sociales y Salud."
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41. On 29 November 2006, the exchange rate was 559.77 Chilean pesos for one U.S. dollar. The annual minimum wage was the benchmark for defining financial protection: beneficiaries of the public system earning less than the minimum wage were exempt from copayments; for beneficiaries earning between the minimum wage and 1.46 times its value (US$223.30-US$303.69), the copayment was limited to 12.3 percent of their annual salary; for beneficiaries with a monthly salary greater than US$303.70, the limit was 16.9 percent, and for private insurance beneficiaries, 23 percent. These ranges are located at the lower boundary of what the literature defines as catastrophic expenditures.
42. Costs estimates are from R. Bitrán et al., " Verificación del Costo Esperado por Beneficiario del Conjunto Priorizado de Problemas de Salud con Garantías Explícitas" (Santiago: Ministerio de Salud, 2006).
43. The Program for Catastrophic Health Care of public insurance covered conditions whose costs varied between US$85.74 (pain relief) and US$36,622.18 (childhood cancer). Liver transplant is the only health condition from the program not included in the AUGE plan.
44. Escuela de Salud Pública, Universidad Católica, "Análisis de la Magnitud de los Problemas de Salud GES y de la Eficacia de las Intervenciones Propuestas en el Plan, Noviembre 2005 (Santiago: Universidad Católica, 2005).
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47. M.Concha et al., Estudio de Costo Efectividad para los Principales Problemas de Salud Pública, 1999, http://epi.minsal.cl/epi/html/ invest/ace.pdf (accessed 4 October 2007).
48. L. Hernández, "Costo-Efectividad de los Tratamientos con Garantías Explicitas: Revisión Bibliográfica" (Unpublished manuscript, Alberto Hurtado University, 2006).