Monitoring and Evaluating Progress towards Universal Health Coverage in Chile

نویسندگان

  • Ximena Aguilera
  • Carla Castillo-Laborde
  • Manuel Nájera-De Ferrari
  • Iris Delgado
  • Ciro Ibañez
چکیده

With the establishment of the social security system in 1924, Chile started the path towards UHC. A key milestone was the creation of the National Health System in 1952, which offered public subsidized coverage for the poor [1]. Currently, after the partial privatization of social security in 1981 the health system is mixed, both in insurance and in service provision [2], and health insurance reaches 98% of the population, with 77% of this coverage by the public health insurance [3]. Regardless of this encouraging figure and a relatively good health situation, a significant burden of out-of-pocket (OOP) payment exists and the access to care has been described as noticeably inequitable between the public and private sectors [4,5,6,7]. Defining UHC as a situation where all people obtain the health services they need without risking financial hardship from unaffordable outof-pocket payments [8], this article reviews the case of Chile, with the aim of identifying indicators to monitor and evaluate UHC.

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عنوان ژورنال:

دوره 11  شماره 

صفحات  -

تاریخ انتشار 2014