Repositorio
Institucional

Acuna San-Martin, Margot

Alvear-Vega, Sandra

Determinantes sociales que influyen en el acceso en Chile al Plan GES, según CASEN 2017

SOC MEDICA SANTIAGO

REVISTA MEDICA DE CHILE

es

Background: 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. Aim: To identify the social determinants of health that influence the access to GES. Material and Methods: 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. Results: 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. Conclusions: The access probability to the GES program is in line with the epidemiological profile of the Chilean population, and with a greater social vulnerability. (Rev Med Chile 2022, 150: 70-77)

artículo original

10.4067/S0034-98872022000100070

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Health Services Accessibility

Social Determinants of Health

Universal Health Insurance

Medicina general e interna

Accesibilidad a los servicios de salud

Determinantes sociales de la salud

Seguro universal de salud

Política de Salud y Servicios

Salud Pública y Ambiental

Sociología

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WOS:000827225300008

Determinantes sociales que influyen en el acceso en Chile al Plan GES, según CASEN 2019

70

77

artículo original

CC BY 4.0

CC BY 4.0