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Main Author: Francisco Mardones Restat
Format: Artículo científico
Language:en
Published: Instituto Nacional de Salud Pública 2006
Subjects:
Online Access:https://www.redalyc.org/articulo.oa?id=10648609
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author Francisco Mardones Restat
author_facet Francisco Mardones Restat
contents The essential health reform in Chile; a reflection on the 1952 process Francisco Mardones Restat Antonio Carlos De Azevedo Salud Chile health policy infant mortality health systems reform The authors claim that the critical health reform in Chileanhistory was the establishment of the National Health Service(NHS) in 1952. The development of modern Chileanhealth care since the end of the 19th century is discussedboth in terms of the prevailing health situation and the subsequentevolution of institutions and policies, with an emphasison the social and political conditions that led to thecreation of the NHS in 1952. From this analysis and from acomparison of infant mortality rates among Latin Americancountries during the same period, the authors infer that the1952 health reform was the social and political benchmarkthat allowed Chile to exhibit the relatively favorable healthsituation it still enjoys. Using Cavanaugh’s scheme, it is clearthat the "first-generation reform" was the reform imposedby the military regime in the early 1980s, which aimed tochange the orientation of the health system. Similarly, the"second-generation reform" was that implemented by thedemocratic administrations of the early 1990s to reversethe harm done by their military predecessors. The rapidaging of the population and the advent of new technologiespose a challenge to the insurance system’s coverage capacityand threaten the sustainability of all health systems. Theimplementation of universal, comprehensive, collective healthsystems, managed under the most integrated authority politicalconditions will allow, is emphasized as an appropriatesolution for developed and developing countries alike. 2006 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10648609 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.6 Vol.48
format Artículo científico
id redalyc_10648609
language en
publishDate 2006
publisher Instituto Nacional de Salud Pública
spellingShingle The essential health reform in Chile; a reflection on the 1952 process
Francisco Mardones Restat
Salud
Chile
health policy
infant mortality
health systems reform
The essential health reform in Chile; a reflection on the 1952 process Francisco Mardones Restat Antonio Carlos De Azevedo Salud Chile health policy infant mortality health systems reform The authors claim that the critical health reform in Chileanhistory was the establishment of the National Health Service(NHS) in 1952. The development of modern Chileanhealth care since the end of the 19th century is discussedboth in terms of the prevailing health situation and the subsequentevolution of institutions and policies, with an emphasison the social and political conditions that led to thecreation of the NHS in 1952. From this analysis and from acomparison of infant mortality rates among Latin Americancountries during the same period, the authors infer that the1952 health reform was the social and political benchmarkthat allowed Chile to exhibit the relatively favorable healthsituation it still enjoys. Using Cavanaugh’s scheme, it is clearthat the "first-generation reform" was the reform imposedby the military regime in the early 1980s, which aimed tochange the orientation of the health system. Similarly, the"second-generation reform" was that implemented by thedemocratic administrations of the early 1990s to reversethe harm done by their military predecessors. The rapidaging of the population and the advent of new technologiespose a challenge to the insurance system’s coverage capacityand threaten the sustainability of all health systems. Theimplementation of universal, comprehensive, collective healthsystems, managed under the most integrated authority politicalconditions will allow, is emphasized as an appropriatesolution for developed and developing countries alike. 2006 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10648609 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.6 Vol.48
title The essential health reform in Chile; a reflection on the 1952 process
topic Salud
Chile
health policy
infant mortality
health systems reform
url https://www.redalyc.org/articulo.oa?id=10648609