The 2019 crisis in Chile: fundamental change needed, not just technical fixes to the health system

Méndez, Claudio A.; Greer, Scott L.; McKee, Martin

doi:10.1057/s41271-020-00241-2

Cited by 12 publications

(8 citation statements)

References 44 publications

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“…It was founded when South America was mostly dominated by left-wing governments committed to social issues. Political shifts in the region in the past five years to the right had a detrimental effect in the union as well as on social policy in some of the countries that have shifted right (Méndez, Greer, and McKee 2020). As a result, between 2018 and 2020, eight countries left the union (Brazil, Argentina, Chile, Colombia, Peru, Paraguay, Ecuador and Uruguay).…”

Section: Unasurmentioning

confidence: 99%

Regional International Organizations and Health: A Framework for Analysis

Greer

Amaya

Jarman

et al. 2021

Journal of Health Politics, Policy and Law

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Context: Regional international organizations, from the South African Development Community (SADC) to the European Union (EU), are organizations that promote cooperation among countries in a specific region of the world. Asking what RIOs do to health and health policy by looking only at their formal health policies can understate their effects (e.g., a free trade agreement with no stated health goals can affect health policy) and overstate their effects (as with agreements full of ambition that did not deliver much). Methods: We adopt a "three faces" framework that identifies their direct health policies, the effects of their trade and market policies, and their effects on health via fiscal governance of their member states in order to better capture their health impact. We tested the usefulness of the framework by examining the Association of Southeast Asian Nations (ASEAN), EU, North American Free Trade Agreement (NAFTA/USMCA), SADC, and the Union of South American Nations (UNASUR). Findings: All RIOs had some impact on health systems and policies; and, in many cases, the principal policies were not identified as health policy. Conclusions: Such a framework will be useful in understanding their effects on health systems and policies because it captures indirect and even unintended health effects in a way that permits development of explanatory theories.

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Section: Unasurmentioning

confidence: 99%

Regional International Organizations and Health: A Framework for Analysis

Greer

Amaya

Jarman

et al. 2021

Journal of Health Politics, Policy and Law

Self Cite

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“… After a few minutes of waiting, they are called for an evaluation according to the severity and the type of health problem. According to the waiting time assigned to each category in the Triage scale, the severity of the patient’s condition is determined as of greater or lesser degree of importance [ 27 , 36 ]. An evaluation is made and the patient awaits their attention according to the waiting time established in the Triage.…”

Section: Description Of the Attention Processmentioning

confidence: 99%

“…According to the waiting time assigned to each category in the Triage scale, the severity of the patient’s condition is determined as of greater or lesser degree of importance [ 27 , 36 ].…”

Section: Description Of the Attention Processmentioning

confidence: 99%

Overuse of Health Care in the Emergency Services in Chile

Alvial

Rojas

Carrasco

et al. 2021

IJERPH

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The Public Health Service in Chile consists of different levels of complexity and coverage depending on the severity and degree of specialization of the pathology to be treated. From primary to tertiary care, tertiary care is highly complex and has low coverage. This work focuses on an analysis of the public health system with emphasis on the healthcare network and tertiary care, whose objectives are designed to respond to the needs of each patient. A review of the literature and a field study of the problem of studying the perception of internal and external users is presented. This study intends to be a contribution in the detection of opportunities for the relevant actors and the processes involved through the performance of Triage. The main causes and limitations of the excessive use of emergency services in Chile are analyzed and concrete proposals are generated aiming to benefit clinical care in emergency services. Finally, improvements related to management are proposed and the main aspects are determined to improve decision-making in hospitals, which could be a contribution to public health policies.

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“…27 Although Chile is classified as a high-income country by the World Bank with a per capita income of $15 000 USD, 28 it is a country with the highest socioeconomic disparity in Latin America with a Gini coefficient of 44.4; 10% of the wealthiest people in the country hold 60% of the total income. 13 This situation has immense social consequences that have resulted in massive social protests in recent years, 29,30 causing a political and constitutional change that is currently underway. 31 The current social unrest has had immeasurable, detrimental repercussions on the public health system.…”

Section: Socioeconomic Characteristics and Disparity In Chilementioning

confidence: 99%

Impact of a National Multicentric Strategy to Support Kidney Transplant Patients During the COVID-19 Pandemic in Latin America: FUTAC Team Creation and Activities

Pefaur¹,

Toro²,

Lorca³

et al. 2021

Transplantation

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Around the World J.P. was the first head of the FUTAC division of kidney transplant patients; they participated in the research design, performance of research, and writing of the article. L.T. was responsible for the kidney transplant and dialysis patients FUTAC registry; they participated in the research design, performance of research, data analysis, and writing of the article. E.L. is the current head of the FUTAC team; they participated in the research design, data analysis, and writing of the article. R.T. created the FUTAC team and was a past president of the Chilean Society of Nephrology; they participated in the research design and writing of the article.

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The 2019 crisis in Chile: fundamental change needed, not just technical fixes to the health system

Cited by 12 publications

References 44 publications

Regional International Organizations and Health: A Framework for Analysis

Regional International Organizations and Health: A Framework for Analysis

Overuse of Health Care in the Emergency Services in Chile

Impact of a National Multicentric Strategy to Support Kidney Transplant Patients During the COVID-19 Pandemic in Latin America: FUTAC Team Creation and Activities

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