Bibliographic Details
| Title: |
Financiamiento de la salud en Chile: análisis histórico y de largo plazo del sistema segmentado, 1981-2024. |
| Alternate Title: |
Long-Term health financing in Chile: a historical analysis of the segmented system, 1981-2024. |
| Authors: |
Matus-López, Mauricio1 mmatlop@upo.es, Cid Pedraza, Camilo2 |
| Source: |
Cuadernos Médico Sociales. 2026, Vol. 66 Issue 1, p5-15. 11p. |
| Subjects: |
FINANCING of public health, HISTORICAL analysis, MEDICAL care costs, HEALTH care industry, CHILEANS, HEALTH equity |
| Geographic Terms: |
CHILE |
| Abstract (English): |
The objective of this article is to present the results of reconstructing the historical series of health expenditure in Chile from the creation of the segmented model in 1981 to 2024 and to briefly analyze its evolution in a historical context. To achieve this, data were collected and digitized from primary sources: Statistical Bulletins and Public Accounts of FONASA (1989-2016; 2020-2024), Statistical Series of the Isapre System (SUPER, 1990-2024), and Public Finance Statistics (DIPRES, 2004-2025). The results show accelerated growth in private spending until the 1990s, followed by a sustained increase in public health expenditure associated with higher fiscal contributions and mandatory contributions. However, the long-term analysis reveals periods of slowdown in public spending coinciding with the expansion of private infrastructure, highlighting the persistence of segmented and unequal financing. The trajectory of health expenditure in Chile presents significant variations in proportions and rhythms, conditioned by political [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
l objetivo de este artículo es presentar los resultados de la reconstrucción de la serie histórica del gasto en salud en Chile desde la creación del modelo segmentado en 1981 hasta 2024, y analizar brevemente su evolución en contexto histórico. Para ello, se recopilaron y digitalizaron datos de fuentes primarias: Boletines Estadísticos y Cuentas Públicas de FONASA (1989-2016; 2020-2024), Series Estadísticas del Sistema Isapre (SUPER, 1990-2024) y Estadísticas de Finanzas Públicas (DIPRES, 2004-2025). Los resultados muestran un crecimiento acelerado del gasto privado hasta los años 1990, seguido por un incremento sostenido del gasto público asociado a mayores aportes fiscales y cotizaciones obligatorias. Sin embargo, el análisis de largo plazo evidencia períodos de ralentización del gasto público coincidentes con la expansión de infraestructura privada, revelando la persistencia de un financiamiento segmentado y desigual. La trayectoria del gasto en salud chileno presenta variaciones significativas en proporciones y ritmos, condicionadas por contextos políticos y económicos. Junto a este análisis, ponemos a disposición de investigadores, la series completa utilizadas, en acceso abierto. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
