PMID: 11910721Mar 26, 2002Paper

The Chilean health system: 20 years of reforms

Salud pública de México
Annick Manuel

Abstract

The Chilean health care system has been intensively reformed in the past 20 years. Reforms under the Pinochet government (1973-1990) aimed mainly at the decentralization of the system and the development of a private sector. Decentralization involved both a deconcentration process and the devolution of primary health care to municipalities. The democratic governments after 1990 chose to preserve the core organization but introduced reforms intended to correct the system's failures and to increase both efficiency and equity. The present article briefly explains the current organization of the Chilean health care system. It also reviews the different reforms introduced in the past 20 years, from the Pinochet regime to the democratic governments. Finally, a brief discussion describes the strengths and weaknesses of the system, as well as the challenges it currently faces.

Citations

Apr 4, 2008·PLoS Medicine·Jean-Pierre UngerOscar Arteaga Herrera
Dec 3, 2014·Lancet·Daniel CotlearRocío Sáenz
Sep 20, 2006·International Journal of Health Services : Planning, Administration, Evaluation· Pushkar
Aug 2, 2007·International Journal of Health Services : Planning, Administration, Evaluation·Howard WaitzkinCelia Iriart
May 22, 2003·Health Affairs·Rob V BijlHans-Ulrich Wittchen
Nov 26, 2020·Cadernos de saúde pública·Suelen Carlos de OliveiraPatty Fidelis de Almeida

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