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Schizophrenia Treatment Coverage Provided by the Public and Private Health Systems of Chile
Alberto Minoletti1, Gonzalo Soto-Brandt1, Olga Toro1
1Program of Mental Health, School of Public Health, Faculty of Medicine, Universidad de Chile, Santiago (Minoletti, Soto-Brandt, Toro, Zanga, Alvarado); Department of Mental Health, Ministry of Health, and Millenium Institute for Research in Depression and Personality, Santiago, Chile (Irarrázaval). Kathleen M. Pike, Ph.D., and Pamela Scorza, Sc.D., M.P.H., are editors of this column.
Abstract:
Since health care delivery in Chile was comprehensively reformed in 2005, treating schizophrenia for its populace has been guaranteed, regardless of individuals' type of health insurance coverage. The implementation of this national schizophrenia treatment program has facilitated timely access to care for Chileans with a first episode of schizophrenia, particularly for publicly insured individuals. Although this reform has benefited 98% of the population, significant challenges remain. These include the transition to new evidence-based interventions, such as coordinated specialty care with multielement interventions, and the development of an information system that permits monitoring and improvement of quality of care and treatment outcomes.
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