Revista: | Revista médica de Chile |
Base de datos: | PERIÓDICA |
Número de sistema: | 000448951 |
ISSN: | 0034-9887 |
Autores: | Alvear Vega, Sandra1 Acuña San Martín, Margot2 |
Instituciones: | 1Universidad de Talca, Facultad de Economía y Negocios, Talca. Chile 2Universidad de La Frontera, Facultad de Medicina, Temuco, Araucanía. Chile |
Año: | 2022 |
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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