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¿Ges O No Ges? Esa Es La Cuestión
[Ges or not ges? That is the question]

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Author Info
Fernández Montt, René

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Abstract

Introduction and Objective: This paper present an evaluation of the health system's reform initiated during the period of the former President Ricardo Lagos (Law 19.996).In this paper we assess the probability that a given patient selects the system AUGE GES, (thatmainly consists on a guarantee offered by the State of Chile on the access, the quality, the opportunity and the financial protection of a number of pathologies) in order to receive treatment for any of the pathologies typified in the system.The information was obtained from two important private health services entities. Methods: Two Multichanged Statistical Models were used to determine the effect of the different variables on the final decision to accept or reject the attention under AUGE GES. Results: The pathologies of high cost, such as oncologic treatments, exhibit a greater probability of being provided through the AUGE GES health network. On the contrary, primary care services, including respiratory disorders have a lower likelihood of being treated via the AUGE GES, since those services have a relatively lower economic impact. Likewise, it was observed that patients from a lower socio-economic status exhibit a higher demand of AUGE health services. This fact was identified by using the Human Development Index (HDI). Conclusions: As far as public health is concerned, this methodology may be useful to identify the characterisitics of those patients voluntarily accepting or refusing the health care coverage from the AUGE GES.

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File URL: http://mpra.ub.uni-muenchen.de/2524/
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Publisher Info
Paper provided by University Library of Munich, Germany in its series MPRA Paper with number 2524.

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Date of creation: Dec 2006
Date of revision: Feb 2007
Publication status: Published in Revista Española de Economía de la Salud. 6.5(2007): pp. 361-368
Handle: RePEc:pra:mprapa:2524

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Related research
Keywords: AUGE GES freedom of choice Chilenian health reform.

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Find related papers by JEL classification:
I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

References listed on IDEAS
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  1. Martin Gaynor & Deborah Haas-Wilson, 1999. "Change, Consolidation, and Competition in Health Care Markets," Journal of Economic Perspectives, American Economic Association, vol. 13(1), pages 141-164, Winter. [Downloadable!] (restricted)
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  2. Filmer, Deon & Hammer, Jeffrey S & Pritchett, Lant H, 2000. "Weak Links in the Chain: A Diagnosis of Health Policy in Poor Countries," World Bank Research Observer, Oxford University Press, vol. 15(2), pages 199-224, August.
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