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

Simple item page
dc.contributor.authorFrenz, Patricia
dc.contributor.authorDelgado, Iris
dc.contributor.authorVillanueva, Loreto
dc.contributor.authorKaufman, Jay S.
dc.contributor.authorMuñoz, Fernando
dc.contributor.authorNavarrete, Maria Soledad
dc.date.accessioned2017-03-03T12:48:39Z
dc.date.available2017-03-03T12:48:39Z
dc.date.issued2013
dc.descriptionCentro de Epidemiología y Políticas de Salud
dc.description.abstractBackground: 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.
dc.format.extent12
dc.identifier.citationRevista Médica de Chile, 2013, 141:1095-1106
dc.identifier.urihttp://hdl.handle.net/11447/994
dc.identifier.urihttp://dx.doi.org/10.4067/S0034-98872013000900001
dc.language.isospa
dc.publisherSociedad Médica de Santiago
dc.subjectUniversal, coverage
dc.subjectHealth systems, plans
dc.subjectHealthcare disparities
dc.subjectChile, Health care reform
dc.titleSeguimiento de cobertura sanitaria universal con equidad en Chile entre 2000 y 2011 usando las Encuestas CASEN
dc.title.alternativeUniversal health coverage assessment based on national socioeconomic characterization surveys
dc.typeArtículo

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Seguimiento de cobertura sanitaria.pdf
Size:
7.66 MB
Format:
Adobe Portable Document Format
Description:
Texto Completo
Download

Collections

Artículos Medicina y Ciencias de la Salud

Implementado por OpenGeek Services