The legal path for priority setting in Chile: a critical analysis to improve health planning and stewardship

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dc.contributor.authorEspinoza, Manuel Antonio
dc.contributor.authorCabieses, Baltica
dc.contributor.authorGoic, Carolina
dc.contributor.authorAndrade, Alejandro
dc.date.accessioned2025-01-20T17:09:31Z
dc.date.available2025-01-20T17:09:31Z
dc.date.issued2024
dc.description.abstractHealth systems have committed their path to universal health coverage using health planning to accomplish their goals of efficiency, equity and sustainability. Chile, a high-income country with a public-private mix health system, has made significant progress through several successive health policies implemented in the last 20 years which have been consistent with this approach. However, in the last 5 years, the national congress has produced several disease-specific laws, which have been mainly promoted by the civil society. These laws indicate the actions the health authority must perform to tackle the needs of the affected population, which ultimately determine the priorities of the health system. We argue that this legal pattern has become an alternative path to priority-setting, as opposed to health planning. We claim this "legal path" is a mechanism used by civil society in a context where the health authority fails to implement a robust and legitimate prioritization process. Although these laws have brought benefits to patients suffering the corresponding conditions, we highlight this approach does not guarantee improvements in equity, efficiency and health system performance. Instead, we advocate for taking back the control of the priority-setting based on health planning, through a new institutionalization of health technology assessment and quality of care.
dc.fuente.origenWOS
dc.identifier.doi10.3389/fpubh.2023.1302640
dc.identifier.eissn2296-2565
dc.identifier.urihttps://doi.org/10.3389/fpubh.2023.1302640
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/91050
dc.identifier.wosidWOS:001152240100001
dc.language.isoen
dc.revistaFrontiers in public health
dc.rightsacceso restringido
dc.subjecthealth priorities
dc.subjectChile
dc.subjecthealth planning
dc.subjecthealth legislation
dc.subjecthealth policy
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleThe legal path for priority setting in Chile: a critical analysis to improve health planning and stewardship
dc.typeartículo
dc.volumen11
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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