Shoulder surgery in Chile: how far we have come and our future challenges

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dc.catalogadorpva
dc.contributor.authorMarinis Acle, Rodrigo Ignacio de
dc.contributor.authorVidal Olate, Catalina Victoria
dc.contributor.authorCorrea Rivas, Ignacio Andrés
dc.contributor.authorContreras Fernández, Julio José
dc.contributor.authorKuroiwa Rivero, Aron Rriky
dc.contributor.authorCalvo Palma, Claudio
dc.contributor.authorLiendo Verdugo, Rodrigo Javier
dc.contributor.authorCerda, Jaime
dc.contributor.authorSoza Rex, José Francisco
dc.date.accessioned2025-04-15T17:51:00Z
dc.date.available2025-04-15T17:51:00Z
dc.date.issued2025
dc.description.abstractShoulder surgery in Chile has seen a remarkable development in the last 2 decades. From a handful of overseas-trained pioneers, Chilean shoulder surgeons now have a growing and robust society with more than 150 members with 8 fellowship programs and around 10 new fellowship-trained shoulder surgeons graduating every year. Academic activity has been steadily improving in both quality and quantity, aspiring to reach the standards of Europe and North America. State-of-the-art clinical practice is the standard in larger cities with considerable access issues in more remote areas of the country. In the broader picture, the country has a mixed public-private insurance system with a health budget that accounts for 9% of the gross domestic product (GDP).27 Although private insurance is accessible to only approximately 18% of the population, the elevated out-of-pocket cost of health care is a growing issue, especially for elective surgery. In this narrative review, we provide an overview of the development of shoulder surgery in Chile. We will discuss our health care system, surgical rates, and waiting lists issues and address the challenges along with opportunities for future developments. By discussing our strengths, limitations, opportunities, and threats, we aim to provide the reader with useful insights into global health care issues around shoulder surgery and exemplify potential solutions and barriers.
dc.format.extent8 páginas
dc.fuente.origenORCID
dc.identifier.doi10.1016/j.jse.2024.08.010
dc.identifier.eissn1532-6500
dc.identifier.issn1058-2746
dc.identifier.scopusidSCOPUS_ID:85206873297
dc.identifier.urihttps://doi.org/10.1016/j.jse.2024.08.010
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/103306
dc.information.autorucEscuela de Medicina; Marinis Acle, Rodrigo Ignacio de; 0000-0003-1888-8928; 237996
dc.information.autorucEscuela de Medicina; Vidal Olate, Catalina Victoria; 0000-0002-4700-7360; 224002
dc.information.autorucEscuela de Medicina; Correa Rivas, Ignacio Andrés; S/I; 1052480
dc.information.autorucEscuela de Medicina; Contreras Fernández, Julio José; S/I; 1157009
dc.information.autorucEscuela de Medicina; Kuroiwa Rivero, Aron Rriky; S/I; 172135
dc.information.autorucEscuela de Medicina; Calvo Palma, Claudio; S/I; 142522
dc.information.autorucEscuela de Medicina; Liendo Verdugo, Rodrigo Javier; S/I; 1052242
dc.information.autorucEscuela de Medicina; Cerda, Jaime; 0000-0003-3463-8304; 3935
dc.information.autorucEscuela de Medicina; Soza Rex, José Francisco; S/I; 1486
dc.issue.numero1
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final285
dc.pagina.inicio278
dc.publisherElsevier Inc.
dc.revistaJournal of Shoulder and Elbow Surgery
dc.rightsacceso restringido
dc.subjectShoulder surgery
dc.subjectPublic health policy
dc.subjectWaiting lists
dc.subjectBundling
dc.subjectSurgical rates
dc.subjectHealth spending
dc.subjectHealth care system
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleShoulder surgery in Chile: how far we have come and our future challenges
dc.typeartículo
dc.volumen34
sipa.codpersvinculados237996
sipa.codpersvinculados224002
sipa.codpersvinculados1052480
sipa.codpersvinculados1157009
sipa.codpersvinculados172135
sipa.codpersvinculados142522
sipa.codpersvinculados1052242
sipa.codpersvinculados3935
sipa.codpersvinculados1486
sipa.trazabilidadORCID;2025-03-03
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