Transcript Health Care Systems in a global perspective

Health Care Systems in a global
perspective
Margarita Mondaca A.
Karolinska Institut
[email protected]
Chile: a country of contrasts…
CHILE
UGANDA
SWEDEN
Population
20 mill.
30mill
9 mill
GDP
44 (203 mil USD)
62 (17mill USD)
22 (456 mill USD)
% of GDP used in
Health
5.3
7.2
8.9
Life expectancy at
birth
75/81
49/51
79/83
How does the HCS works in Chile?
• Public Sector : 70% of the population
• Private sector: 20 % (14 companies)
• None ensurence:10%
Public Sector
• 7% of the salary
• Primary Service Attention
– Over 2000 heath care centers providers
• Secondary and tertiary attention
– 200 hospitals
• Infrastructure investments and network
coordination
• Administration of the largest Health insurance
alternative
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Vigilance of Public Health
Control and regulations at the national level
Medicines and food regulations
International Collaborations
National protocols
Certification of health care providers standars
Certification of specialties
Health Priorities
• Aging
• Chronic diseases (cardiovascular, diabetes,
Mental health, cancer)
• Life styles (obesity, tobacco, STD)
• Lack of resources
Private sector
• 7% of the salary plus extra insurance if:
– Catastrophe diseases
– Chance to get pregnant
– Aging associated diseases
• Private and Public infrastructure
• Concentration of specialties
• Access according to salary
Challenges
Thank you!