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[A model for resource allocation in primary health care].
Javier Raña K1, Juan-Carlos Ferrer O, Paula Bedregal G
1Departamento de Ingeniería Industrial y de Sistemas, Facultad de Ingeniería, Pontificia Universidad Católica de Chile, Santiago, Chile.
Summary
Resource allocation in primary health care is a global challenge. A new model in Chile improves equitable, efficient, and transparent distribution of health resources by considering patient and programmed activity needs.
Area of Science:
- Health Services Research
- Public Health Policy
- Health Economics
Context:
- Resource allocation in primary health care is a significant global issue.
- Chilean state resource allocation to city halls uses a "per capita" mechanism.
- Current distribution by health centers relies on historical expenses, ignoring demand variations.
Purpose:
- To propose an equitable, efficient, and transparent resource allocation model for health centers.
- To address the limitations of current per capita and historical expense-based methods.
- To incorporate epidemiological and demographic factors into resource distribution.
Summary:
- A novel model was developed to allocate resources to health centers.
- It accounts for both programmable activities (health promotion, prevention, control) and morbidity-related demand.
- Utilization rates are calculated for diverse sociodemographic groups, integrating health authority goals.
Impact:
- The model was successfully applied in a large community in Metropolitan Santiago.
- It demonstrated increased efficiency and transparency in resource allocation.
- This approach offers a more equitable distribution of primary health care resources.
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