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Health in Chile’s Recent Constitutional Process: A Qualitative Thematic Analysis of Civil Proposals

Author

Listed:
  • Baltica Cabieses

    (Programa de Estudios Sociales en Salud, ICIM, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago 7610315, Chile)

  • Sophie Esnouf

    (Programa de Estudios Sociales en Salud, ICIM, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago 7610315, Chile)

  • Alice Blukacz

    (Programa de Estudios Sociales en Salud, ICIM, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago 7610315, Chile)

  • Manuel A. Espinoza

    (Departamento de Salud Pública, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago 8331150, Chile)

  • Edward Mezones-Holguin

    (Centro de Excelencia en Investigaciones Económicas y Sociales en Salud, Universidad San Ignacio de Loyola, Lima 15024, Peru)

  • René Leyva

    (Instituto Nacional de Salud Pública de México, Cuernavaca 62100, Mexico)

Abstract

(1) Background: In response to the recent political crisis in Chile, the “Agreement for Social Peace and the New Constitution’’ was approved. We aimed to analyze the health-related civil proposals uploaded to the official website for popular participation in the new constitution in Chile. (2) Methods: We carried out a qualitative thematic analysis of 126 health-related valid proposals. Moreover, we analyzed their link to the Health Goals 2030, established by the Ministry of Health of Chile and to the Sustainable Development Goals (SDGs). (3) Results: Sixteen main categories were reached. In all, they were organized into four main areas: (i) the right to health and the establishment of a universal health system; (ii) effective access to selected healthcare services; (iii) improving health outcomes for all and for the relevant subgroups; and (iv) the social determinants of health, health in all the policies, and community health. We found that these four areas were strongly linked to the Health Goals 2030 for Chile and to the SDGs. (4) Conclusions: Despite the fact that the new constitutional proposal was rejected in September 2022, the civil health-related proposals and the areas of health and healthcare were of interest to the citizens as the request showed a strong demand from the population for participation in matters of health, healthcare, and public health.

Suggested Citation

  • Baltica Cabieses & Sophie Esnouf & Alice Blukacz & Manuel A. Espinoza & Edward Mezones-Holguin & René Leyva, 2022. "Health in Chile’s Recent Constitutional Process: A Qualitative Thematic Analysis of Civil Proposals," IJERPH, MDPI, vol. 19(24), pages 1-18, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16903-:d:1005261
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    References listed on IDEAS

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    1. Baltica Cabieses & Richard Cookson & Manuel Espinoza & Gillian Santorelli & Iris Delgado, 2015. "Did Socioeconomic Inequality in Self-Reported Health in Chile Fall after the Equity-Based Healthcare Reform of 2005? A Concentration Index Decomposition Analysis," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-21, September.
    2. Juan Coss-Mandiola & Jairo Vanegas-López & Alejandra Rojas & Raúl Carrasco & Pablo Dubo & Maggie Campillay-Campillay, 2022. "Characterization of Communes with Quality Accredited Primary Healthcare Centers in Chile," IJERPH, MDPI, vol. 19(15), pages 1-13, July.
    3. Araya, R. & Rojas, G. & Fritsch, R. & Frank, R. & Lewis, G., 2006. "Inequities in mental health care after health care system reform in Chile," American Journal of Public Health, American Public Health Association, vol. 96(1), pages 109-113.
    4. Pablo Villalobos Dintrans, 2020. "Health Systems, Aging, and Inequity: An Example from Chile," IJERPH, MDPI, vol. 17(18), pages 1-9, September.
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