Becerril-Montekio Víctor, Reyes Juan de Dios, Manuel Annick
Instituto Nacional de Salud Pública, Morelos, México.
Salud Publica Mex. 2011;53 Suppl 2:s132-43.
This paper describes the Chilean health system, including its structure, financing, beneficiaries, and its physical, material and human resources. This system has two sectors, public and private. The public sector comprises all the organisms that constitute the National System of Health Services, which covers 70% of the population, including the rural and urban poor, the low middle-class, the retired, and the self-employed professionals and technicians.The private sector covers 17.5% of the population, mostly the upper middle-class and the high-income population. A small proportion of the population uses private health services and pays for them out-of-pocket. Around l0% of the population is covered by other public agencies, basically the Health Services for the Armed Forces. The system was recently reformed with the establishment of a Universal System of Explicit Entitlements, which operates through a Universal Plan of Explicit Entitlements (AUGE), which guarantees timely access to treatment for 56 health problems, including cancer in children, breast cancer, ischaemic heart disease, HIV/AIDS and diabetes.
本文介绍了智利的卫生系统，包括其结构、融资、受益人群以及物力、财力和人力资源。该系统有公共和私营两个部门。公共部门包括构成国家卫生服务体系的所有机构，覆盖70%的人口，包括农村和城市贫困人口、中低收入阶层、退休人员以及自营职业的专业人员和技术人员。私营部门覆盖17.5%的人口，主要是中上层阶级和高收入人群。一小部分人口使用私营卫生服务并自掏腰包付费。约10%的人口由其他公共机构覆盖，主要是武装部队卫生服务机构。该系统最近进行了改革，建立了统一的明确权益体系，通过统一的明确权益计划（AUGE）运作，该计划保证及时治疗56种健康问题，包括儿童癌症、乳腺癌、缺血性心脏病、艾滋病毒/艾滋病和糖尿病。
