Incidencia del Auge en la salud privada

Fernández Montt, René (2008): Incidencia del Auge en la salud privada. Published in: Serie Indagación. Expansiva UDP. (8 January 2008)

Abstract

This paper present an e valuation of the health system’s re form initiated during the period of the former President Ricardo Lagos (Law 19.996).In this paper we assess the probability that a given patient selects the system AUGE GES, (that mainly consists on a guarantee offered by the State of Chile on the access, the quality, the opportunity and the financial protection of an umber of pathologies) in order to receive treatment for any of the pathologies typified in the system. The information was obtained from two important private health ser vices entities.

Methods: Two Multichanged Statistical Models we re used to determine the effect of the different variables o n the final decision to accept or reject the attention under AUGE GES.

Results: The pathologies of high cost, such as oncologic treatments, exhibit a greater probability of being provided through the AUGE GES health network. On the contrary, primary care services, including respirator y disorders have a lower likelihood of being treated via the AUGE GES, since those ser vices have a relatively lower economic impact. Like wise, it was observed that patients from a lower socio-economic status exhibit a higher demand of AUGE health ser vices. This fact was identified by using the Human Development Index (HDI). Conclusions: As far as public health is concerned, this methodology may be useful to identify the characteristics of those patients voluntarily accepting or re fusing the health care coverage from the AUGE GES.

• Item Type: MPRA Paper
• English Title: AUGE`s impact in private health
• Language: Spanish
• Keywords: AUGE,GES, libre elección, reforma sanitaria chilena
• Subjects: I - Health, Education, and Welfare > I1 - Health > I11 - Analysis of Health Care Markets; H - Public Economics > H5 - National Government Expenditures and Related Policies > H51 - Government Expenditures and Health; I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy ; Regulation ; Public Health

References

Aedo, C. y Sapelli, C: El Sistema de Salud en Chile: Readecuar el Mandato y Reformar el Sistema de Seguros, Estudios Públicos 75 (Invierno), 1999.

Anónimo. Evaluación: Directores de hospitales hacen buen balance de mini AUGE. El Mercurio de Santiago, Cuerpo C, 15 de enero de 2003.

Beltrán Mena, José Badía, Marcelo Neira y Alejandro Ríos. Telemedicine in Chile, Escuela de Medicina de la Universidad Católica.

Beteta, Edmundo: Crecimiento del gasto en salud en Chile: ¿Estamos ante un problema? , Expansiva, serie en foco Nº 13, ISSN 0717-9987.

Concha, Marisol: Innovación tecnológica en salud, Expansiva, serie en foco Nº 14, ISSN 0717-9987.

Espinoza, Consuelo.: Herramientas legales para mantener los costos en salud, Expansiva, serie en foco Nº 15, ISSN 0717-9987.

Fernández Montt, René (2006). ¿GES o No GES? Esa es la cuestión. Revista Española de Economía de la Salud.

Filmer, D, Hammer, J.S. y Pritchett, L.: Weak Links in the Chain: A Diagnosis of Health Policy in Poor Countries, World Bank Research Observer, 15 (2):199-224, 2000.

Filmer, D, Hammer, J.S. y Pritchett, L.: A Prescription for Health Policy in Poor Countries, World Bank Research Observer, 17 (1):47-66, 2002.

Folland, S. , Goodman, A.C. y Stano, M.: The Economics of Health and Health Care. Prentice-Hall, 1993. Cap. 18: “Comparative Health Care Systems”.

Gaynor, M. y Haas-Wilson, D: Change, Consolidation, and Competition in Health Care Markets, Journal of Economic Perspectives 13 (1): 141-64, 1999.

Gonzalez F., Fernando. Implementación del plan AUGE en pacientes con IRC. Rev. méd. Chile, mayo 2003, vol.131, no.5, p.545-551. ISSN 0034-9887.

Kalisch D. W., Aman T. y Buchele L.A.: Social and Health Policies in OECD Countries: A Survey of Current Programmes and Recent Developments. Directorate for Education, Employment, Labour and Social Affairs, OECD, Julio 1998.

Larrañaga, O.: Health Sector Reforms in Chile, en D. Leipziger y Guillermo Perry (eds.): op. cit, 1999.

Ministerio de Salud, Fondo Nacional de Salud, Gobierno de Chile. Manual para la aplicación del sistema AUGE en las Redes de Atención del Sistema Nacional de Servicios de Salud. Santiago, julio de 2002.

Musgrove, P.: Public and Private Roles in Health: Theory and Financing Patterns, World Bank Discussion Paper 339, The World Bank, 1999.

Oxley H. y Macfarlan M., Health Care Reform: Controlling Spending and Increasing Efficiency, OECD Working Paper 149, OECD.

Oyarzo, C. y Vergara, M.: Reforma de la salud en Chile: lo logrado y lo pendiente, Expansiva, serie en foco Nº 42, ISSN 0717-9987.

Scott, David H., (1994). The Regulation and Supervision of Domestic Financial Conglomerates. Policy Research Working Paper 1329. The World Bank.

Sundararajan, V., (2001). Regulation of Financial Conglomerates: is unification of financial of financial sector supervision the answer. Presentation in IMF.Finanzas.

The World Bank: World Development Report 1993: Investing in Health. Overview y Cap. 1.

Zweifel, P. y Breyer, F.: Health Economics. Oxford: Oxford University Press, 1997, caps. 5 y 6.