Concha Nanette Liberona, Mansilla Miguel Ángel
Antropóloga. Investigadora, Instituto de Estudios Internacionales, Universidad Arturo Prat, Chile.
Sociólogo. Investigador Instituto de Estudios Internacionales, Universidad Arturo Prat, Chile.
Salud Colect. 2017 Jul-Sep;13(3):507-520. doi: 10.18294/sc.2017.1110.
In recent decades, Chile has become a destination for immigrants from other South American countries, which has significantly impacted public services - particularly the public health system - at the economic, social, and cultural levels. The aim of this paper is to provide substantiated information on issues concerning undocumented immigrants' access to health care in Chile. A qualitative methodology, fundamentally an ethnography of the clinical setting, was used. Results were then analyzed in relation to theories of power asymmetries and interethnic relations. The research results highlight the lack of compliance with existing regulations and the exercise of discretionary personal judgment as barriers to access. It is concluded that in Chile immigrants in general, and undocumented immigrants in particular, are considered to be illegitimate patients.
近几十年来，智利已成为来自其他南美国家移民的目的地，这在经济、社会和文化层面给公共服务，尤其是公共卫生系统带来了重大影响。本文旨在提供关于智利无证移民获得医疗保健问题的实证信息。采用了定性研究方法，从根本上来说是对临床环境进行人种志研究。然后根据权力不对称和族际关系理论对结果进行了分析。研究结果突出了不遵守现有规定以及行使个人自由裁量权判断作为获取医疗保健的障碍。得出的结论是，在智利，一般移民，尤其是无证移民被视为不合法的患者。
