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SISTEMAS SANITARIOS Y REFORMA AUGE EN CHILE Translated title: HEALTH CARE SYSTEMS AND "AUGE" REFORM IN CHILE Translated title: SISTEMAS SANITÁRIOS E REFORMA AUGE NO CHILE

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      Abstract

      A partir de la clasificación de los sistemas sanitarios en términos de su financiamiento, número de actores y consecuencias en equidad, este ensayo pretende analizar algunas de las transformaciones producidas en Chile con la reforma del sistema de salud llamada "Plan AUGE" (Acceso Universal de Garantías Explícitas). Se examinan las tareas pendientes para la conversión de un sistema que, manteniendo su carácter mixto, sea capaz de superar sus actuales consecuencias fuertemente regresivas

      Translated abstract

      Through the classification of health care systems in terms of their financing, number of stakeholders and consequences for health care equity, this essay pretends to analyze some of the changes that have taken place in Chile due to the health care reform system "AUGE" (Universal Access to Explicit Guarantees). Pending tasks are examined for conversion to the system that, while maintaining its mixed character, may be able to overcome its present strongly regressive consequences

      Translated abstract

      A partir da classificação de dois sistemas sanitários em termos de seu financiamento, número de atores e conseqüências em termos de equidade, este ensaio pretende analisar algumas das transformações produzidas no Chile com a reforma do sistema de saúde chamado "Plano AUGE" (Acesso Universal de Garantias Explícitas). São examinados as tarefas pendentes para a conversão de um sistema que, mantendo seu caráter misto, seja capaz de superar suas conseqüências fortemente regressivas

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      Most cited references 12

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      EQUITY IN THE FINANCE AND DELIVERY OF HEALTH CARE: SOME TENTATIVE CROSS-COUNTRY COMPARISONS

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        La justicia como equidad: Un reformulación

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          Ethics, economics, and public financing of health care.

           J. Hurley (2001)
          There is a wide variety of ethical arguments for public financing of health care that share a common structure built on a series of four logically related propositions regarding: (1) the ultimate purpose of a human life or human society; (2) the role of health and its distribution in society in advancing this ultimate purpose; (3) the role of access to or utilisation of health care in maintaining or improving the desired level and distribution of health among members of society, and (4) the role of public financing in ensuring the ethically justified access to and utilisation of health care by members of society. This paper argues that economics has much to contribute to the development of the ethical foundations for publicly financed health care. It focuses in particular on recent economic work to clarify the concepts of access and need and their role in analyses of the just distribution of health care resources, and on the importance of economic analysis of health care and health care insurance markets in demonstrating why public financing is necessary to achieve broad access to and utilisation of health care services.
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            Author and article information

            Affiliations
            [1 ] Universidad Diego Portales Chile
            Contributors
            Role: ND
            Journal
            abioeth
            Acta bioethica
            Acta bioeth.
            Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile (Santiago )
            1726-569X
            November 2007
            : 13
            : 2
            : 237-245
            S1726-569X2007000200012
            10.4067/S1726-569X2007000200012

            http://creativecommons.org/licenses/by/4.0/

            Product
            Product Information: SciELO Chile
            Categories
            ETHICS
            MEDICAL ETHICS
            SOCIAL SCIENCES, BIOMEDICAL

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