Propuesta de reformas a los prestadores
públicos de servicios médicos en Chile:
“fortaleciendo la opción pública”
Author
dc.contributor.author
Vergara I., Marcos
Admission date
dc.date.accessioned
2019-03-15T16:09:08Z
Available date
dc.date.available
2019-03-15T16:09:08Z
Publication date
dc.date.issued
2015
Cita de ítem
dc.identifier.citation
Rev Med Chile 2015; 143: 237-243
Identifier
dc.identifier.issn
07176163
Identifier
dc.identifier.issn
00349887
Identifier
dc.identifier.other
10.4067/S0034-988720150002000011
Identifier
dc.identifier.uri
https://repositorio.uchile.cl/handle/2250/166423
Abstract
dc.description.abstract
Currently, there is no discussion on the need to improve and strengthen the
institutional health care modality of FONASA (MAI), the health care system used
by the public services net and by most of the population, despite the widely known
and long lasting problems such as waiting lists, hospital debt with suppliers, lack
of specialists and increasing services purchase transference to the private sector,
etc. In a dichotomous sectorial context, such as the one of health’s social security
in Chile (the state on one side and the market on the other), points of view are
polarized and stances tend to seek refuge within themselves. As a consequence,
to protect the public solution is commonly associated with protecting the “status
quo”, creating an environment that is reluctant to change. The author proposes a
solution based on three basic core ideas, which, if proven effective, can strengthen
each other if combined properly. These are: network financing management,
governance of health care services in MAI and investments and human resources
in networked self-managed institutions. The proposal of these core ideas was
done introducing a reality testing that minimizes the politic complexity of their
implementation.