Vergara-Iturriaga Marcos, Martínez-Gutiérrez María Soledad
Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile.
Salud Publica Mex. 2006 Nov-Dec;48(6):512-21. doi: 10.1590/s0036-36342006000600010.
To explore the Chilean health system financing based on the most recent available data.
Using the WHO World Health Report 2000 framework, this paper analyzes the Chilean health system financing, with special emphasis on insurance schemes.
The analysis shows that a great proportion of people is covered by the existing health insurance schemes (about 88%). However, there is a tendency towards segmentation of the population in terms of risk and income.Additionally, efforts have been made, especially by FONASA (National Health Fund), to perform a strategic purchasing of healthcare.
There still is a need for improving the Chilean health system financing in terms of pooling and strategic purchasing.
基于最新可得数据探索智利卫生系统融资情况。
本文采用世界卫生组织《2000年世界卫生报告》的框架,分析智利卫生系统融资情况,特别关注保险计划。
分析表明,现有医疗保险计划覆盖了很大比例的人口(约88%)。然而,在风险和收入方面存在人口细分的趋势。此外,特别是国家卫生基金(FONASA)已做出努力进行医疗保健的战略采购。
在统筹和战略采购方面,智利卫生系统融资仍有改进的必要。