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Chile: protección social de la salud / Chile: social protection in health
Urriola, Rafael.
  • Urriola, Rafael; FONASA. Santiago. CL
Rev. panam. salud pública ; 20(4): 273-286, oct. 2006. tab
Article in Spanish | LILACS | ID: lil-441058
ABSTRACT
This piece begins with a brief discussion of the concepts leading to the social right to health protection. Special emphasis is placed on the principle of social cohesion, which has influenced social health protection in European countries. ChileÆs experience in this field from the 1990s to the present is described, as exemplified in three dimensions. In the first place, social security coverage is presented as a means to achieve universal (horizontal) coverage. A discussion follows on vertical coverage, where the author identifies health problems for which insured persons have guaranteed rights of access to medical care. This section describes available emergency care, primary health care, and the special plan for Universal Access to Explicit Guarantees (Acceso Universal de Garantías Explícitas de salud, or AUGE). Thirdly, the discussion covers the funding sources supporting the Chilean health care system: Government subsidies, contributions to social security, and out-of-pocket disbursements for private care. ChileÆs public health system has various special programs. One of them is catastrophic insurance, which covers 100 percent of the care needed for complex and very costly treatments. Older persons (over 65) have coverage for 100 percent of the cost of eyeglasses and hearing aids, and for 50 percent of the cost of home care. If life expectancy is an appropriate indicator of health system results, it is worth noting that Chile and the United States of America have both achieved a life expectancy of 77 years, even though Chile spends only 5.9 percent of its gross domestic product on health care, as compared to the 15 percent spent by the United States.
Subject(s)
Full text: Available Index: LILACS (Americas) Main subject: Social Security / Delivery of Health Care Type of study: Prognostic study Limits: Humans Country/Region as subject: South America / Chile Language: Spanish Journal: Rev. panam. salud pública Journal subject: Public Health Year: 2006 Type: Article Affiliation country: Chile Institution/Affiliation country: FONASA/CL

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Full text: Available Index: LILACS (Americas) Main subject: Social Security / Delivery of Health Care Type of study: Prognostic study Limits: Humans Country/Region as subject: South America / Chile Language: Spanish Journal: Rev. panam. salud pública Journal subject: Public Health Year: 2006 Type: Article Affiliation country: Chile Institution/Affiliation country: FONASA/CL