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Equity in health care utilization in Chile
1Departamento de Control de Gestión y Sistemas de Información, Facultad de Economía y Negocios, Universidad de Chile, Diagonal Paraguay 257, oficina 1304, Santiago, Chile. anunez@fen.uchile.cl.
International Journal for Equity in Health
|August 14, 2013
Summary
Chile
Area of Science:
- Health Services Research
- Health Economics
- Public Health Policy
Background:
- Chile implemented the Regime of Explicit Health Guarantees (AUGE) in 2005, a significant healthcare reform.
- AUGE aims to guarantee healthcare coverage for specific conditions.
Purpose of the Study:
- To assess the distribution and equity of healthcare utilization in Chile post-reform.
- To provide evidence for policymakers on healthcare access and equity.
Main Methods:
- Analysis of National Socioeconomic Survey (CASEN) data (1992-2009) and a 2006 survey.
- Utilized a two-part model to identify factors influencing healthcare utilization.
- Decomposed income-related inequalities and calculated a horizontal inequity index.
Main Results:
- Identified inequities in the Chilean healthcare system favoring higher socioeconomic groups.
- Education and payment methods were significant factors influencing healthcare service utilization.
- Evidence suggests disparities in access to care.
Conclusions:
- The Chilean healthcare system exhibits inequities benefiting the affluent.
- Key factors like education and payment influence healthcare access.
- Findings can guide policy to improve healthcare equity and service availability.
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