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

• Autores: Sandra Alvear-Vega, Margot Acuña San-Martín
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 150, Nº. 1, 2022, págs. 70-77
• Idioma: español
• Títulos paralelos:
  • Social determinants of access to the explicit guarantees health program implemented in Chile
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• Resumen

  • 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.