The pending health reform in Chile: reflections on a proposal to transform the systemA inacabada reforma da saúde no Chile: reflexões sobre proposta de transformação do sistema

Revista Panamericana De Salud Pública = Pan American Journal of Public Health
Camilo Cid, Andras Uthoff

Abstract

Chile maintains a health system segmented by risks and income. A Presidential Commission convened in 2014 presented two scenarios for its health system in accordance with a timeline of expected results. For the long term, it proposed a vision for the direction of the Chilean health system that would converge in a single public insurance. For the short term, it proposed a transition that consisted of regulating pension health institutions to function under social security rules and principles. The central approaches were based on international evidence of systems that have achieved success in offering universal health access and coverage to the population, through appropriate transformations and regulations. The analysis carried out by the Commission signaled the beginning of a new paradigm for health policies in Chile. This points out that the strategy used previously-to promote greater competition and freedom of choice in health insurance markets-has not yielded results, and that in order to advance towards equitable access to health it is necessary to focus on the right to health and the principles of solidarity and equity, as well as assessing progress in the world, recognizing that the Chilean scheme moves away from the bes...Continue Reading

References

Jul 27, 2010·Health Policy·John ArmstrongWynand P M M van de Ven
Jul 3, 2013·Lancet·Rifat AtunRecep Akdağ
Jul 1, 2017·MEDICC Review·Carla Castillo-LabordeClaudia González-Wiedmaier

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Citations

Jan 1, 2017·Revista de salud pública·Luis G Morales-Sánchez, Juan C García-Ubaque
Jul 19, 2018·Ciência & saúde coletiva·Patty Fidelis de AlmeidaLígia Giovanella
Sep 15, 2018·Medwave·Fernando Daniel Córdova-LepeMaría Teresa Muñoz Quezada
Nov 6, 2020·International Journal for Equity in Health·Alice BlukaczNiina Markkula
Jul 3, 2021·International Journal of Environmental Research and Public Health·Daniel Barredo IbáñezVanessa Rodríguez Breijo

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