Jiménez de la Jara J
Departamento de Salud Pública, Universidad Católica de Chile, Marcoleta 352, Santiago de Chile.
Salud Publica Mex. 2001 Sep-Oct;43(5):485-93.
The combination of inspiration, science, and politics is a cornerstone precept for the common good of humanity, towards the fulfillment of social objectives. Based on this precept, this paper reviews core experiences of the Chilean Health Sector. Health sector key events taking place during the first half of the 20th century were the creation of the National Health Service and the development of mother and child healthcare policies. After the earthquake of 1939, the future President of Chile, Doctor Salvador Allende, set up the Special Sanitation Council, to balance policies. Also, he launched the Social Security reform process, which endured financing restrictions and the animosity of physicians opposing the socialization of medical care. In 1951 the reform was approved, to extend coverage to blue collar workers and their families; separate health provision from healthcare security; emphasize preventive pediatric care in mother's health, and reproductive health. The basic tenets of healthcare reform were the right to health, solidarity, and equity, as the pillars of policy-making and healthcare programming. The question of whether the evolution of social security in Chile has been consistent with the original healthcare reform tenets is raised by the author.
灵感、科学与政治的结合是造福人类、实现社会目标的基石准则。基于这一准则,本文回顾了智利卫生部门的核心经验。20世纪上半叶发生的卫生部门重大事件包括国家卫生服务体系的创建以及母婴保健政策的发展。1939年地震后,未来的智利总统萨尔瓦多·阿连德博士设立了特别卫生委员会以平衡各项政策。此外,他启动了社会保障改革进程,该进程面临资金限制以及医生对医疗服务社会化的反对。1951年,改革获得批准,将覆盖范围扩大至蓝领工人及其家庭;将医疗服务与医疗保障分开;强调母婴健康中的预防性儿科护理以及生殖健康。医疗改革的基本原则是健康权、团结和公平,它们是政策制定和医疗规划的支柱。作者提出了智利社会保障的演变是否与最初的医疗改革原则相一致的问题。