Alvear-Vega Sandra, Acuña San-Martín Margot
Facultad de Economía y Negocios, Universidad de Talca, Talca, Chile.
Departamento Obstetricia y Ginecología, Facultad de Medicina, Universidad de la Frontera, Temuco, Chile.
Rev Med Chil. 2022 Jan;150(1):70-77. doi: 10.4067/S0034-98872022000100070.
In Chile, an eventual implementation of a plan with universal health coverage is a challenge. The already implemented explicit health guarantees plan (GES) could be a benchmark. For this reason, it is important to obtain information about the results of its implementation.
To identify the social determinants of health that influence the access to GES.
The National Socioeconomic Characterization Survey performed in 2017 was used as a data source. The beneficiaries of 20 diseases covered by GES and inquired in the survey were considered for the present study.
People with the higher probability of access to GES plan belong to the lowest income quintiles, are nationals, live in the central-southern metropolitan Santiago, have lower education, have a public health insurance program (FONASA) and are aged mostly over 60 years. The diseases with the highest probability of access to the program are primary arterial hypertension, type 1 and type 2 diabetes mellitus, acute myocardial infarction, moderate and severe bronchial asthma, breast cancer, colon cancer, and bipolar disorder.
The access probability to the GES program is in line with the epidemiological profile of the Chilean population, and with a greater social vulnerability.
在智利，最终实施全民健康覆盖计划是一项挑战。已经实施的明确健康保障计划（GES）可能是一个基准。因此，获取有关其实施结果的信息很重要。
确定影响获得GES的健康社会决定因素。
以2017年进行的全国社会经济特征调查作为数据源。本研究考虑了GES涵盖并在调查中询问的20种疾病的受益人。
获得GES计划概率较高的人群属于最低收入五分位数，是本国居民，居住在圣地亚哥中南部大都市，教育程度较低，拥有公共医疗保险计划（FONASA），且大多年龄超过60岁。获得该计划概率最高的疾病是原发性动脉高血压、1型和2型糖尿病、急性心肌梗死、中度和重度支气管哮喘、乳腺癌、结肠癌和双相情感障碍。
获得GES计划的概率与智利人口的流行病学特征相符，且社会脆弱性更大。
