Equidad de género en el acceso a la atención de salud en Chile

Background: In the last two decades, Chile has experienced advances in economical development and global health indicators. However, gender inequities persist in particular related to access to health services and financing of health insurance. Aim: To examine gender inequities in the access to health care in Chile. Material and methods: An analysis of data obtained from a serial national survey applied to assess social policies (CASEN) carried out by the Ministry of Planning. During the survey 45,379 and 48,107 dwellings were interviewed in 1994 and in 1998, respectively. Results: Women use health services 1.5 times more often, their salaries are 30% lower in all socioeconomic strata. Besides, in the private health sector, women pay higher insurance premiums than men. Men of less than two years of age have 2.5 times more preventive consultations than girls. This difference, although of lesser magnitude, is also observed in people over 60 years. Women of high income quintiles and users of private health insurance have a better access to preventive consultations but not to specialized care. Conclusions: An improvement in equitable access of women to health care and financing is recommended. Also, monitoring systems to survey these indicators for women should improve their efficiency (Rev Méd Chile 2003; 131: 669-678)

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Main Authors: Vega M,Jeanette, Bedregal G,Paula, Jadue H,Liliana, Delgado B,Iris
Format: Digital revista
Language:Spanish / Castilian
Published: Sociedad Médica de Santiago 2003
Online Access:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000600012
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spelling oai:scielo:S0034-988720030006000122004-12-13Equidad de género en el acceso a la atención de salud en ChileVega M,JeanetteBedregal G,PaulaJadue H,LilianaDelgado B,Iris Gender identity Health surveys Prejudice Background: In the last two decades, Chile has experienced advances in economical development and global health indicators. However, gender inequities persist in particular related to access to health services and financing of health insurance. Aim: To examine gender inequities in the access to health care in Chile. Material and methods: An analysis of data obtained from a serial national survey applied to assess social policies (CASEN) carried out by the Ministry of Planning. During the survey 45,379 and 48,107 dwellings were interviewed in 1994 and in 1998, respectively. Results: Women use health services 1.5 times more often, their salaries are 30% lower in all socioeconomic strata. Besides, in the private health sector, women pay higher insurance premiums than men. Men of less than two years of age have 2.5 times more preventive consultations than girls. This difference, although of lesser magnitude, is also observed in people over 60 years. Women of high income quintiles and users of private health insurance have a better access to preventive consultations but not to specialized care. Conclusions: An improvement in equitable access of women to health care and financing is recommended. Also, monitoring systems to survey these indicators for women should improve their efficiency (Rev Méd Chile 2003; 131: 669-678)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.6 20032003-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000600012es10.4067/S0034-98872003000600012
institution SCIELO
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country Chile
countrycode CL
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region America del Sur
libraryname SciELO
language Spanish / Castilian
format Digital
author Vega M,Jeanette
Bedregal G,Paula
Jadue H,Liliana
Delgado B,Iris
spellingShingle Vega M,Jeanette
Bedregal G,Paula
Jadue H,Liliana
Delgado B,Iris
Equidad de género en el acceso a la atención de salud en Chile
author_facet Vega M,Jeanette
Bedregal G,Paula
Jadue H,Liliana
Delgado B,Iris
author_sort Vega M,Jeanette
title Equidad de género en el acceso a la atención de salud en Chile
title_short Equidad de género en el acceso a la atención de salud en Chile
title_full Equidad de género en el acceso a la atención de salud en Chile
title_fullStr Equidad de género en el acceso a la atención de salud en Chile
title_full_unstemmed Equidad de género en el acceso a la atención de salud en Chile
title_sort equidad de género en el acceso a la atención de salud en chile
description Background: In the last two decades, Chile has experienced advances in economical development and global health indicators. However, gender inequities persist in particular related to access to health services and financing of health insurance. Aim: To examine gender inequities in the access to health care in Chile. Material and methods: An analysis of data obtained from a serial national survey applied to assess social policies (CASEN) carried out by the Ministry of Planning. During the survey 45,379 and 48,107 dwellings were interviewed in 1994 and in 1998, respectively. Results: Women use health services 1.5 times more often, their salaries are 30% lower in all socioeconomic strata. Besides, in the private health sector, women pay higher insurance premiums than men. Men of less than two years of age have 2.5 times more preventive consultations than girls. This difference, although of lesser magnitude, is also observed in people over 60 years. Women of high income quintiles and users of private health insurance have a better access to preventive consultations but not to specialized care. Conclusions: An improvement in equitable access of women to health care and financing is recommended. Also, monitoring systems to survey these indicators for women should improve their efficiency (Rev Méd Chile 2003; 131: 669-678)
publisher Sociedad Médica de Santiago
publishDate 2003
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000600012
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