IDEAS home Printed from
MyIDEAS: Log in (now much improved!) to save this paper

Delivering Cost-Efficient Public Services in Health Care, Education and Housing in Chile

Listed author(s):
  • Diego Moccero


The Chilean authorities plan to raise budgetary allocations over the medium term for a variety of social programmes, including education, health care and housing. This incremental spending will need to be carried out in a cost-efficient manner to make sure that it yields commensurate improvements in social outcomes. Chile’s health indicators show that it fares relatively well in relation to comparator countries in the OECD area and in Latin America. But this is less so in the case of education, where secondary and tertiary educational attainment remain low, despite a significant increase over the years, and performance is poor on the basis of standardised test scores, such as PISA. Even though comparison with countries in the OECD area is difficult, a sizeable housing deficit has yet to be closed in Chile. To meet these various challenges, efforts will need to be stepped up to: i) narrow the disparities in performance that currently exist among schools with students from varying backgrounds through use of the “differentiated” voucher scheme and additional measures to improve the quality of teaching and management; ii) improve risk sharing among private and public health insurers, while increasing the coverage of health insurance to a broader variety of pathologies under AUGE; and iii) continue to tackle the shortage of housing, while enhancing the quality of subsidised housing units and their surrounding neighbourhoods for the poorest segments of society. This paper relates to the 2007 Economic Survey of Chile ( Pour des services publics efficients dans le domaine des soins de santé, de l'éducation et du logement au Chili Les autorités prévoient d’augmenter les dotations budgétaires à moyen terme pour divers programmes sociaux touchant notamment aux secteurs de l’éducation, de la santé et du logement. Elles doivent faire preuve d’efficience dans l’utilisation de ce surcroît de dépenses, de façon à s’assurer que les résultats sociaux s’améliorent de manière proportionnelle. Les indicateurs de santé de la population montrent que la situation est relativement bonne au Chili par rapport aux pays pris comme comparaison dans la zone OCDE et en Amérique latine. Elle est moins favorable dans le secteur de l’éducation, où les résultats dans le secondaire et le supérieur restent faibles, malgré une progression sensible au fil des années, et où la performance telle que la mesurent les notes obtenues à des tests normalisés du type PISA est peu satisfaisante. Même s’il est difficile de faire des comparaisons avec les pays de l’OCDE, le Chili doit encore faire face à une importante pénurie de logements. Pour relever ces différents défis, il lui faudra redoubler d’effort afin de : i) réduire les disparités de résultats qui existent actuellement entre les établissements publics, privés subventionnés et totalement privés grâce à l’utilisation du dispositif de chèques-éducation « différenciés » ; ii) mieux partager les risques entre les assureurs publics et les assureurs privés, tout en élargissant la couverture de l’assurance maladie à des pathologies plus diverses ; et iii) continuer à faire face à la pénurie de logements tout en améliorant la qualité des logements subventionnés au profit des catégories les plus pauvres de la société. Ce document se rapporte à l’Étude économique du Chili 2007 (

If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.

File URL:
Download Restriction: no

Paper provided by OECD Publishing in its series OECD Economics Department Working Papers with number 606.

in new window

Date of creation: 14 Apr 2008
Handle: RePEc:oec:ecoaaa:606-en
Contact details of provider: Postal:
2 rue Andre Pascal, 75775 Paris Cedex 16

Phone: 33-(0)-1-45 24 82 00
Fax: 33-(0)-1-45 24 85 00
Web page:

More information through EDIRC

No references listed on IDEAS
You can help add them by filling out this form.

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

When requesting a correction, please mention this item's handle: RePEc:oec:ecoaaa:606-en. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ()

If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

If references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

Please note that corrections may take a couple of weeks to filter through the various RePEc services.

This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.