Comparación entre sistemas de salud en países de Latinoamérica: Casos de Colombia y Chile

Abstract

Objective. To elaborate a comparative study of the health systems of Colombia and Chile. Material and methods. A documented exploration of the health systems of each of the countries was carried out; situating the general content of the system and its conformation. The collection and study of information was organized according to the following categories: managerial functions, financing, beneficiaries, benefits and / or guarantees in the provision of health services, competencies of human talent, value in the participation of users and the process in the research area. With the information collected, a characterization of each health system was elaborated in order to carry out a comparative analysis and to propose recommendations that cover the progress in the assistance of the care processes and from which each country could choose to improve its health services. Results. In both health systems the social principle is access to care, that is, everyone has access to care. Health is considered as a social right. These systems make a great difference in the context of administration and financing by the State. FOSYGA is the entity that is part of the Colombian State in charge of financing health services; resources predestined to health expenditures. In the case of the Chilean State, the Ministry of Health is the entity in charge of monitoring these resources through FONASA. For both countries the provision of health services are carried out by both public providers and private providers. Conclusions. The health systems of both countries are mixed; that is, services are offered under a public sector and a private sector. However, they are States with great differences in economic sustainability. However, their indicators of health outcomes indicate that efforts are constantly being made to achieve universal access. The comparative and conceptual analysis of each of the systems allows an increase in the acquisition of knowledge of all the functionality of their organization and in turn is an opportunity to propose a favorable and ideal situation in the execution of their health processes and which each country could opt to optimize the provision of its services.