Loading…
Improving Efficiency in Healthcare: Lessons from Successful Health Policies in Chile
Chile has made significant progress in recent decades in implementing policies to improve the efficiency of its health system with an impact on population health. To present five case studies of successful policies whose impact has been documented. Case study report. First, we present a summary of t...
Saved in:
| Published in: | Archives of medical research 2025-01, Vol.56 (1), p.103105, Article 103105 |
|---|---|
| Main Authors: | , , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | |
|---|---|
| cites | cdi_FETCH-LOGICAL-c287t-78da088e4b12efcb170db73e3d82e9141a21d0109df916750f25fccf238a313e3 |
| container_end_page | |
| container_issue | 1 |
| container_start_page | 103105 |
| container_title | Archives of medical research |
| container_volume | 56 |
| creator | Espinoza, Manuel A. Zamorano, Paula Zuñiga-San Martin, Carlos Taramasco, Carla Martinez, Felipe Becerra, Sergio Letelier, Maria Jose Armijo, Nicolas |
| description | Chile has made significant progress in recent decades in implementing policies to improve the efficiency of its health system with an impact on population health.
To present five case studies of successful policies whose impact has been documented.
Case study report.
First, we present a summary of the evidence supporting the policy that is changing the Chilean care model from a problem-based to a patient-centered care model. Second, we show how tele-nephrology and advanced renal care units have demonstrated significant impact on chronic kidney disease in Chile. This internationally recognized successful Chilean policy is contributing to address one of the conditions that explains the highest financial burden on the health system. Third, we present recent evidence on the effectiveness of teleoncology care in Chile. Fourth, we highlight the most recent system of epidemiological surveillance implemented in Chile, the EPIVIGILA system, which was essential to support decisions throughout the pandemic. Finally, we underline the health benefit plans implemented in recent decades to improve access to services and financial protection.
Chile has successfully implemented policies in its health system that have an impact on efficiency and population health. These experiences can be replicated in countries facing similar challenges, using the Chilean experience as a benchmark. |
| doi_str_mv | 10.1016/j.arcmed.2024.103105 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3118076158</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0188440924001565</els_id><sourcerecordid>3118076158</sourcerecordid><originalsourceid>FETCH-LOGICAL-c287t-78da088e4b12efcb170db73e3d82e9141a21d0109df916750f25fccf238a313e3</originalsourceid><addsrcrecordid>eNp9kE1LAzEQhoMotn78A5E9etmayWY3WQ-CFL-goGA9hzQ7sSn7oUlX6L8369arpzCZ551hHkIugM6AQnG9mWlvGqxmjDIevzKg-QGZghRZmnMpDsmUgpQp57SckJMQNpRSyQtxTCZZyUGWrJiS5XPz6btv134k99Y647A1u8S1yRPqers22uNNssAQujYk1ndN8tYbE2vb13smee3qIRiG2HztajwjR1bXAc_37yl5f7hfzp_Sxcvj8_xukRomxTYVstJUSuQrYGjNCgStViLDrJIMS-CgGVQUaFnZEgqRU8tya4xlmdQZRO6UXI1z4wlfPYatalwwWNe6xa4PKgOQVBSQy4jyETW-C8GjVZ_eNdrvFFA1-FQbNfpUg081-oyxy_2GfjX0_kJ_AiNwOwIY7_x26FX4dYiV82i2qurc_xt-AAU4h7E</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3118076158</pqid></control><display><type>article</type><title>Improving Efficiency in Healthcare: Lessons from Successful Health Policies in Chile</title><source>ScienceDirect Freedom Collection</source><creator>Espinoza, Manuel A. ; Zamorano, Paula ; Zuñiga-San Martin, Carlos ; Taramasco, Carla ; Martinez, Felipe ; Becerra, Sergio ; Letelier, Maria Jose ; Armijo, Nicolas</creator><creatorcontrib>Espinoza, Manuel A. ; Zamorano, Paula ; Zuñiga-San Martin, Carlos ; Taramasco, Carla ; Martinez, Felipe ; Becerra, Sergio ; Letelier, Maria Jose ; Armijo, Nicolas</creatorcontrib><description>Chile has made significant progress in recent decades in implementing policies to improve the efficiency of its health system with an impact on population health.
To present five case studies of successful policies whose impact has been documented.
Case study report.
First, we present a summary of the evidence supporting the policy that is changing the Chilean care model from a problem-based to a patient-centered care model. Second, we show how tele-nephrology and advanced renal care units have demonstrated significant impact on chronic kidney disease in Chile. This internationally recognized successful Chilean policy is contributing to address one of the conditions that explains the highest financial burden on the health system. Third, we present recent evidence on the effectiveness of teleoncology care in Chile. Fourth, we highlight the most recent system of epidemiological surveillance implemented in Chile, the EPIVIGILA system, which was essential to support decisions throughout the pandemic. Finally, we underline the health benefit plans implemented in recent decades to improve access to services and financial protection.
Chile has successfully implemented policies in its health system that have an impact on efficiency and population health. These experiences can be replicated in countries facing similar challenges, using the Chilean experience as a benchmark.</description><identifier>ISSN: 0188-4409</identifier><identifier>ISSN: 1873-5487</identifier><identifier>EISSN: 1873-5487</identifier><identifier>DOI: 10.1016/j.arcmed.2024.103105</identifier><identifier>PMID: 39418926</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Cancer care ; Chile ; Delivery of Health Care ; Efficiency ; Health care economics and organizations ; Health Policy ; Humans ; Kidney disease ; Multimorbidity ; Patient-Centered Care ; Population surveillance ; Telemedicine - legislation & jurisprudence</subject><ispartof>Archives of medical research, 2025-01, Vol.56 (1), p.103105, Article 103105</ispartof><rights>2024 The Author(s)</rights><rights>Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c287t-78da088e4b12efcb170db73e3d82e9141a21d0109df916750f25fccf238a313e3</cites><orcidid>0000-0001-8318-4201 ; 0000-0002-4921-518X ; 0000-0002-9857-8403 ; 0000-0001-9564-9512</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39418926$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Espinoza, Manuel A.</creatorcontrib><creatorcontrib>Zamorano, Paula</creatorcontrib><creatorcontrib>Zuñiga-San Martin, Carlos</creatorcontrib><creatorcontrib>Taramasco, Carla</creatorcontrib><creatorcontrib>Martinez, Felipe</creatorcontrib><creatorcontrib>Becerra, Sergio</creatorcontrib><creatorcontrib>Letelier, Maria Jose</creatorcontrib><creatorcontrib>Armijo, Nicolas</creatorcontrib><title>Improving Efficiency in Healthcare: Lessons from Successful Health Policies in Chile</title><title>Archives of medical research</title><addtitle>Arch Med Res</addtitle><description>Chile has made significant progress in recent decades in implementing policies to improve the efficiency of its health system with an impact on population health.
To present five case studies of successful policies whose impact has been documented.
Case study report.
First, we present a summary of the evidence supporting the policy that is changing the Chilean care model from a problem-based to a patient-centered care model. Second, we show how tele-nephrology and advanced renal care units have demonstrated significant impact on chronic kidney disease in Chile. This internationally recognized successful Chilean policy is contributing to address one of the conditions that explains the highest financial burden on the health system. Third, we present recent evidence on the effectiveness of teleoncology care in Chile. Fourth, we highlight the most recent system of epidemiological surveillance implemented in Chile, the EPIVIGILA system, which was essential to support decisions throughout the pandemic. Finally, we underline the health benefit plans implemented in recent decades to improve access to services and financial protection.
Chile has successfully implemented policies in its health system that have an impact on efficiency and population health. These experiences can be replicated in countries facing similar challenges, using the Chilean experience as a benchmark.</description><subject>Cancer care</subject><subject>Chile</subject><subject>Delivery of Health Care</subject><subject>Efficiency</subject><subject>Health care economics and organizations</subject><subject>Health Policy</subject><subject>Humans</subject><subject>Kidney disease</subject><subject>Multimorbidity</subject><subject>Patient-Centered Care</subject><subject>Population surveillance</subject><subject>Telemedicine - legislation & jurisprudence</subject><issn>0188-4409</issn><issn>1873-5487</issn><issn>1873-5487</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LAzEQhoMotn78A5E9etmayWY3WQ-CFL-goGA9hzQ7sSn7oUlX6L8369arpzCZ551hHkIugM6AQnG9mWlvGqxmjDIevzKg-QGZghRZmnMpDsmUgpQp57SckJMQNpRSyQtxTCZZyUGWrJiS5XPz6btv134k99Y647A1u8S1yRPqers22uNNssAQujYk1ndN8tYbE2vb13smee3qIRiG2HztajwjR1bXAc_37yl5f7hfzp_Sxcvj8_xukRomxTYVstJUSuQrYGjNCgStViLDrJIMS-CgGVQUaFnZEgqRU8tya4xlmdQZRO6UXI1z4wlfPYatalwwWNe6xa4PKgOQVBSQy4jyETW-C8GjVZ_eNdrvFFA1-FQbNfpUg081-oyxy_2GfjX0_kJ_AiNwOwIY7_x26FX4dYiV82i2qurc_xt-AAU4h7E</recordid><startdate>20250101</startdate><enddate>20250101</enddate><creator>Espinoza, Manuel A.</creator><creator>Zamorano, Paula</creator><creator>Zuñiga-San Martin, Carlos</creator><creator>Taramasco, Carla</creator><creator>Martinez, Felipe</creator><creator>Becerra, Sergio</creator><creator>Letelier, Maria Jose</creator><creator>Armijo, Nicolas</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8318-4201</orcidid><orcidid>https://orcid.org/0000-0002-4921-518X</orcidid><orcidid>https://orcid.org/0000-0002-9857-8403</orcidid><orcidid>https://orcid.org/0000-0001-9564-9512</orcidid></search><sort><creationdate>20250101</creationdate><title>Improving Efficiency in Healthcare: Lessons from Successful Health Policies in Chile</title><author>Espinoza, Manuel A. ; Zamorano, Paula ; Zuñiga-San Martin, Carlos ; Taramasco, Carla ; Martinez, Felipe ; Becerra, Sergio ; Letelier, Maria Jose ; Armijo, Nicolas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c287t-78da088e4b12efcb170db73e3d82e9141a21d0109df916750f25fccf238a313e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Cancer care</topic><topic>Chile</topic><topic>Delivery of Health Care</topic><topic>Efficiency</topic><topic>Health care economics and organizations</topic><topic>Health Policy</topic><topic>Humans</topic><topic>Kidney disease</topic><topic>Multimorbidity</topic><topic>Patient-Centered Care</topic><topic>Population surveillance</topic><topic>Telemedicine - legislation & jurisprudence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Espinoza, Manuel A.</creatorcontrib><creatorcontrib>Zamorano, Paula</creatorcontrib><creatorcontrib>Zuñiga-San Martin, Carlos</creatorcontrib><creatorcontrib>Taramasco, Carla</creatorcontrib><creatorcontrib>Martinez, Felipe</creatorcontrib><creatorcontrib>Becerra, Sergio</creatorcontrib><creatorcontrib>Letelier, Maria Jose</creatorcontrib><creatorcontrib>Armijo, Nicolas</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of medical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Espinoza, Manuel A.</au><au>Zamorano, Paula</au><au>Zuñiga-San Martin, Carlos</au><au>Taramasco, Carla</au><au>Martinez, Felipe</au><au>Becerra, Sergio</au><au>Letelier, Maria Jose</au><au>Armijo, Nicolas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improving Efficiency in Healthcare: Lessons from Successful Health Policies in Chile</atitle><jtitle>Archives of medical research</jtitle><addtitle>Arch Med Res</addtitle><date>2025-01-01</date><risdate>2025</risdate><volume>56</volume><issue>1</issue><spage>103105</spage><pages>103105-</pages><artnum>103105</artnum><issn>0188-4409</issn><issn>1873-5487</issn><eissn>1873-5487</eissn><abstract>Chile has made significant progress in recent decades in implementing policies to improve the efficiency of its health system with an impact on population health.
To present five case studies of successful policies whose impact has been documented.
Case study report.
First, we present a summary of the evidence supporting the policy that is changing the Chilean care model from a problem-based to a patient-centered care model. Second, we show how tele-nephrology and advanced renal care units have demonstrated significant impact on chronic kidney disease in Chile. This internationally recognized successful Chilean policy is contributing to address one of the conditions that explains the highest financial burden on the health system. Third, we present recent evidence on the effectiveness of teleoncology care in Chile. Fourth, we highlight the most recent system of epidemiological surveillance implemented in Chile, the EPIVIGILA system, which was essential to support decisions throughout the pandemic. Finally, we underline the health benefit plans implemented in recent decades to improve access to services and financial protection.
Chile has successfully implemented policies in its health system that have an impact on efficiency and population health. These experiences can be replicated in countries facing similar challenges, using the Chilean experience as a benchmark.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>39418926</pmid><doi>10.1016/j.arcmed.2024.103105</doi><orcidid>https://orcid.org/0000-0001-8318-4201</orcidid><orcidid>https://orcid.org/0000-0002-4921-518X</orcidid><orcidid>https://orcid.org/0000-0002-9857-8403</orcidid><orcidid>https://orcid.org/0000-0001-9564-9512</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0188-4409 |
| ispartof | Archives of medical research, 2025-01, Vol.56 (1), p.103105, Article 103105 |
| issn | 0188-4409 1873-5487 1873-5487 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3118076158 |
| source | ScienceDirect Freedom Collection |
| subjects | Cancer care Chile Delivery of Health Care Efficiency Health care economics and organizations Health Policy Humans Kidney disease Multimorbidity Patient-Centered Care Population surveillance Telemedicine - legislation & jurisprudence |
| title | Improving Efficiency in Healthcare: Lessons from Successful Health Policies in Chile |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T07%3A43%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Improving%20Efficiency%20in%20Healthcare:%20Lessons%20from%20Successful%20Health%20Policies%20in%20Chile&rft.jtitle=Archives%20of%20medical%20research&rft.au=Espinoza,%20Manuel%20A.&rft.date=2025-01-01&rft.volume=56&rft.issue=1&rft.spage=103105&rft.pages=103105-&rft.artnum=103105&rft.issn=0188-4409&rft.eissn=1873-5487&rft_id=info:doi/10.1016/j.arcmed.2024.103105&rft_dat=%3Cproquest_cross%3E3118076158%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c287t-78da088e4b12efcb170db73e3d82e9141a21d0109df916750f25fccf238a313e3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3118076158&rft_id=info:pmid/39418926&rfr_iscdi=true |