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Seguimiento de cobertura sanitaria universal con equidad en Chile entre 2000 y 2011 usando las Encuestas CASEN

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dc.contributor.author Frenz, Patricia
dc.contributor.author Delgado, Iris
dc.contributor.author Villanueva, Loreto
dc.contributor.author Kaufman, Jay S.
dc.contributor.author Muñoz, Fernando
dc.contributor.author Navarrete, Maria Soledad
dc.date.accessioned 2017-03-03T12:48:39Z
dc.date.available 2017-03-03T12:48:39Z
dc.date.issued 2013
dc.identifier.citation Revista Médica de Chile 2013, vol.141, p.1095-1106 es_CL
dc.identifier.uri http://dx.doi.org/10.4067/S0034-98872013000900001 es_CL
dc.identifier.uri http://hdl.handle.net/11447/994
dc.description Centro de Epidemiología y Políticas de Salud es_CL
dc.description.abstract Background: The Chilean health reform aimed to expand universal health coverage (UHC) with equity. Aim: To analyze progress in health system affiliation, attended health needs (health visit for a recent problem) and direct payment for services, between 2000 and 2011. Material and Methods: We evaluated these outcomes for adults aged 20 years or older, analyzing databases of five National Socioeconomic Characterization Surveys. Using logistic regression models for no affiliation and unattended needs, we estimated odds ratios (OR) and prevalences, adjusted for socio-demographic characteristics. Results: The unaffiliated population decreased from 11.0% (95% confidence interval (CI) 10.6-11.4) in 2000 to 3.0% (95% CI 2.8- 3.2) in 2011. According to the model, self-employed workers had a higher adjusted prevalence of no affiliation: 27.4% (95% CI 24.1-30.6) in 2000 and 7.8% (95% CI: 5.9-9.7) in 2011. The level of unmet needs decreased from 33.5% (95% CI 31.8-35.1) to 9.1% (95% CI 8.1-10.1) in this period. Not being affiliated to the health system was associated with higher unmet needs in the adjusted model. Indigent affiliates, entitled to free care in the public system, reported payments for general and specialist visits in a much lower proportion than other groups. However, direct payments for visits increased for this group during the decade. Conclusions: Concurrent with the introduction of new health and social policies, we observed significant progress in health system enrolment and attended health needs. However, the percentage of impoverished people who made direct payments for services increased. es_CL
dc.format.extent 12 es_CL
dc.language.iso spa es_CL
dc.publisher Sociedad Médica de Santiago es_CL
dc.subject Universal, coverage es_CL
dc.subject Health systems, plans es_CL
dc.subject Healthcare disparities es_CL
dc.subject Chile, Health care reform es_CL
dc.title Seguimiento de cobertura sanitaria universal con equidad en Chile entre 2000 y 2011 usando las Encuestas CASEN es_CL
dc.title.alternative Universal health coverage assessment based on national socioeconomic characterization surveys es_CL
dc.type Artículo es_CL


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