[里卡尔特·索托法,一个独特的案例研究反思]
María Angélica Saldías-Fernández1, Claudia Rodríguez-Torres2, Denisse Parra-Giordano1
1Departamento de Enfermería, Universidad de Chile, Santiago, Chile.
概括
智利 智利 智利 智利
科学领域:
- 公共卫生政策 公共卫生政策
- 卫生经济学 卫生经济学
- 卫生法 法律 卫生法
背景情况:
- 高成本的医疗程序带来了巨大的财务风险,可能超过家庭预算的40%.
- 智利于2015年颁布了第20850号法律,建立了对高成本诊断和治疗的金融保护体系.
研究的目的:
- 分析智利里卡特·索托法 (Ricarte Soto Law) 的制定过程,这是一项旨在为高成本医疗治疗提供财政保障的公共政策.
- 模拟围绕这一公共政策发展的现有文献.
主要方法:
- 采用一种独特的案例研究方法,利用跨学科的文档审查.
- 以英语和西班牙语进行了与公共政策相关的概念的文献搜索 (2010-2023年).
- 信息根据公共政策制定阶段进行分类,使用三个维度的六个指标:资源,冲突和影响.
主要成果:
- 里卡特·索托法为高成本的疾病诊断和治疗提供了财政保障.
- 对50条条款的分析揭示了自2015年以来法律制定和实施的优点和复杂性.
- 该系统目前涵盖了27种不同的病理.
结论:
- 在疾病覆盖的卫生系统中,越来越多的全球趋势是透明,道德和基于证据的决策.
- 分析了"里卡特·索托法"的措辞,确定了在当前社会政治和社会人口统计学挑战中改进的机会.
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