The health system in Chile: the nephrologist perspective

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dc.contributor.authorArdiles, Leopoldo G.
dc.contributor.authorPoblete, Hugo
dc.contributor.authorOrtiz, Mireya
dc.contributor.authorElgueta, Susana
dc.contributor.authorMaria Cusumano, Ana
dc.contributor.authorVukusich, Antonio
dc.contributor.authorMezzano, Sergio
dc.date.accessioned2024-01-10T14:22:00Z
dc.date.available2024-01-10T14:22:00Z
dc.date.issued2011
dc.description.abstractChile is a country with 17 million inhabitants, 13% of them living in rural areas, and with a per capita income of approximately US $14,500. Three percent of national income is assigned to the health budget, with a mixed public and private system, with guaranteed medical benefits from the state to cover chronic kidney disease (CKD) and renal replacement therapy (RRT). Hemodialysis has reached in 2009 a prevalence of 857 patients per million population (pmp). Peritoneal dialysis is less developed, with a prevalence of 40 patients pmp. Both therapies show good quality indexes with a patient mortality rate close to 12% per year. A centralized national renal transplantation program registered 5,949 renal transplants performed up to 2009. Renal survival at 5 years is 86% for living and 76% for cadaveric donor transplants. Organ donation is relatively low with 7.1 cadaveric donors pmp in 2009, despite legal and educational strategies to increase it. Although the country demonstrates one of the highest standards for RRT indexes in Latin America, the proportion of resources invested makes it necessary to improve early diagnosis and renal prevention policies to avoid having the growing incidence of CKD constrain the national health budget.
dc.description.funderFondecyt
dc.format.extent6 páginas
dc.fuente.origenWOS
dc.identifier.doi10.5301/JN.2011.6371
dc.identifier.issn1121-8428
dc.identifier.pubmedidMEDLINE:21360477
dc.identifier.urihttps://doi.org/10.5301/JN.2011.6371
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79837
dc.identifier.wosidWOS:000288093700003
dc.information.autorucMedicina;Ortiz A;S/I;67539
dc.issue.numero2
dc.language.isoen
dc.nota.accesoSin adjunto
dc.pagina.final154
dc.pagina.inicio149
dc.publisherWICHTIG EDITORE
dc.revistaJOURNAL OF NEPHROLOGY
dc.rightsregistro bibliográfico
dc.subjectChile
dc.subjectChronic kidney disease
dc.subjectRenal health
dc.subjectRenal replacement therapy
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleThe health system in Chile: the nephrologist perspective
dc.typeartículo
dc.volumen24
sipa.codpersvinculados67539
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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