Determinantes sociales que influyen en el acceso en Chile al Plan GES, según CASEN 2017



Título del documento: Determinantes sociales que influyen en el acceso en Chile al Plan GES, según CASEN 2017
Revista: Revista médica de Chile
Base de datos: PERIÓDICA
Número de sistema: 000448951
ISSN: 0034-9887
Autores: 1
2
Instituciones: 1Universidad de Talca, Facultad de Economía y Negocios, Talca. Chile
2Universidad de La Frontera, Facultad de Medicina, Temuco, Araucanía. Chile
Año:
Periodo: Ene
Volumen: 150
Número: 1
Paginación: 70-77
País: Chile
Idioma: Español
Tipo de documento: Artículo
Enfoque: Analítico, crítico
Resumen en inglés Background: In Chile, an eventual implementation of a plan with universal health coverage is a challenge. The already implemented explicit health guarantees plan (GES) could be a benchmark. For this reason, it is important to obtain information about the results of its implementation. Aim: To identify the social determinants of health that influence the access to GES. Material and Methods: The National Socioeconomic Characterization Survey performed in 2017 was used as a data source. The beneficiaries of 20 diseases covered by GES and inquired in the survey were considered for the present study. Results: People with the higher probability of access to GES plan belong to the lowest income quintiles, are nationals, live in the central-southern metropolitan Santiago, have lower education, have a public health insurance program (FONASA) and are aged mostly over 60 years. The diseases with the highest probability of access to the program are primary arterial hypertension, type 1 and type 2 diabetes mellitus, acute myocardial infarction, moderate and severe bronchial asthma, breast cancer, colon cancer, and bipolar disorder. Conclusions: The access probability to the GES program is in line with the epidemiological profile of the Chilean population, and with a greater social vulnerability
Disciplinas: Medicina
Palabras clave: Salud pública,
Medicina social,
Acceso a la salud,
Servicios de salud,
Seguro médico universal
Keyword: Public health,
Social medicine,
Health access,
Health services,
Universal health insurance
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