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HEALTHCARE IN CHILE / CHILE HOSPITAL GUIDE

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HEALTHCARE IN CHILE / CHILE HOSPITAL GUIDE

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Postby Chile Info » Wed Nov 29, 2006 1:37 am

HEALTHCARE IN CHILE

OVERVIEW

Chile is a unitary state with a democratic government. Chile's territory is divided politically and administratively into 13 regions. In 1988 Chile had a total population of 14,821.000 inhabitants. Chile is exposed to earthquakes, landslides, droughts and floods, which have affected the population in the past decade.

The Chilean health sector is a mixed system. The public or National Health Services System (SNSS) consists of the Ministry of Health (MINSAL) and its 29 Health Services (SS) sub-agencies; the National Health Fund (FONASA); the Public Health Institute (ISP); the Central Supply Clearinghouse (CENABAST); and the ISAPRE authority. Also part of the health system is the network of primary health care (PHC) facilities under Municipal administration with the technical assistance and supervision of the SS.

Other government institutions and enterprises that provide out-patient care for their personnel are the Armed Forces and Law Enforcement, Prisons, the National Oil Company, and the University of Chile. These are not part of the SNSS and thus have administrative and managerial autonomy.

The private health sector consists of Health Institutions (ISAPRE), private insurers with which affiliation are voluntary that finance medical benefits and subsidies for occupational disability under individual or group health plans. There were 28 ISAPRES in 1998: 11 of them are closed (open to only workers from a specific company or group of companies) and 18 are open (to anyone). They provide benefits using their own or outside facilities and cover 28% of the total population. Their main source of funding is health premiums (7% compulsory, plus an additional payment and/or subsidy to cover the costs of the plan) and co-payments associated with the plan. On the other hand, Employer Mutuals (Chilean Security Association, Chilean Construction Chamber, and the Labour Security Institute) administer insurance for work-related injuries and occupational diseases. They are responsible for preventing these risks, paying for medical care and rehabilitation and providing the respective subsidies to their contributors. They have an infrastructure of hospitals and clinics with varying degrees of technical complexity and ambulatory care centres throughout the country. Also non-profit institutions Charity based health services providing ambulatory care. These include the Red Cross, the Corporation for Assistance to Burned Children, Churches of various denominations, NGO's and Employer Mutuals among others. For-profit providers include medical centres, clinics, hospitals, laboratories, pharmacies, specialised centres (radiology, dialysis, dentistry) as well as the offices of physicians and other health care therapists.

In this decade of recovery and preparation in the public health sector, to compete with and be complemented by the private sector, the hospital-centred biomedical model still prevails. This model is going through a transition toward a family health model, with a greater capacity to respond through out-patient care and openness to social participation.

The human resources in the health sector in 1997 had 7,999 physicians, 3,354 nurses, 1,242 medical technicians with a total of 9.14 physicians per 10,000 SNSS beneficiaries and 3.83 nurses per 10,000 SNSS beneficiaries. In 1996 a study on the job market for health professionals revealed that the country has sufficient numbers of medical professionals, except in some specialties such as anaesthesiology, procedure-related specialties, oncology, and child neuropsychiatry. The country has an insufficient supply of nurses, and most of these professionals are concentrated in the metropolitan region. Of the 5,817 practicing dentists, about 65% work in the metropolitan region, 30% in the SNSS; of these, 45% are specialists.

Drugs are provided free of charge to 100% of the poorest beneficiaries of the SNSS and at a lower percentage to those with higher incomes.

In terms of availability of equipment in the health sector in 1995, there were 31,579 beds in the public SNSS, 2,296 beds in the National Defence hospitals and 852 beds in other institutions, totalling 34,727 beds in the Public sub-sector. The number of private beds in profit and non-profit associations was 8,401 beds. There is no information available on the number of delivery rooms, clinical laboratories or diagnostic equipment.

In 1995, the public health system included 187 hospitals, 15 urban out-patient clinics administered by the SNSS, 215 municipally administered urban out-patient clinics, 146 rural out-patient clinics, and 1,102 rural health posts (without a permanent staff physician). Of the hospitals, 20 (11,855 beds) are high-complexity institutions; 30 are type-2 hospitals, or hospitals with several specialised departments (8,019 beds); 23 are type-3 hospitals, or hospitals that provide care in several basic specialties (4,114 beds); and 105 are operated by general practitioners (5,332 beds).

A network of emergency and pre-hospital care units operates within several health services in the Santiago metropolitan region, Valparaíso, and Viña del Mar. The pre-hospital care services are staffed by auxiliary personnel in some cases and by a physician.

In 1996, the Public Health Institute reported that the country had 128 blood banks, 58.5% public and 41.4% private.

The following connections exist between public financing and private health insurance: a) 2% State subsidy. Companies may increase their workers' contribution so that they opt for the ISAPRE health plans. This increase is tax-deductible; b) maternity leave (pre- and post-natal) is paid by the State, regardless of the beneficiary's health care affiliation; c) the State finances health benefits such as vaccines and food (through the National Supplemental Food Program); d) cross-subsidies from the public to the private sector for treatment of expensive (catastrophic) events; e) unplanned subsidies due to technical and regulatory inability to collect invoices for third party payers.

Total spending on health in 1997 was estimated at US$ 3,600 million, of which the public sub-sector accounted for US$ 2,020 million. Total spending as a proportion of GDP for that year was estimated at 5.0%, of which 2.1% was private. Of the public spending, 10.2% was direct expenditures by municipal governments. In the past five years the proportion of the GDP devoted to health grew by 15.1%. The public component increased 5.7% during the period, while the private component increased by 36.5%. In 1994, tax revenues financed 46.8% of public spending on health and the 7% withholding on workers' earnings financed the remainder. In 1995 SNSS spent a total of US$ 183 per beneficiary on preventive services, while in the private sector, the amount spent was US$ 213 for ISAPREs and US$ 432 for ISAPREs. Of the total institutional spending in the public sub-sector, 12% was for primary care.

FONASA spent 33.6% of its resources on in-patient care, 19.3% on diagnostic examinations, 17.1% on out-patient care, 13.9% on surgical procedures, 5.03% on gynecology and obstetrics procedures, 4.8% on oral health care, 1.3% haemodialysis and other benefits, 0.82% on specific protection activities, and 2.3% on environmental activities. In the ISAPRE subsystem, 46.15% of the resources were spent on out-patient care and related diagnostic services, 48.3% for medical programs, including hospital care, 2.2% on dental care and 0.35% on preventive activities.

The public health budget in 1997 was funded by worker contributions, 33%, fiscal revenues, 48%, operating income, 8%, other income, 9%, and borrowing, 2%. Of the public resources for health, 10.2% came from municipal fiscal revenues. In 1996 investment in the sector totaled US$ 112 million, which represented 6.3% of total public spending in the sector.

DIRECTORY OF HOSPITALS & CLINICS

Centro Medico Alcantara
Av. Apoquindo 3990,
Santiago,
Chile
Tel: + 56 2 207 0427

Centro Medico Irarrazaval
Av. Irarrzaval 3695,
Santiago,
Chile
Tel: + 56 2 209 0386

Centro Medico Nuestra Senora de la Paz
San Borja 122, piso 2. (Mall Paseo Estacion),
Santiago,
Chile
Tel: + 56 2 779 6615

Centro Medico San Joaquin
Av. Vicuna Mackenna 4686,
Santiago,
Chile
Tel: + 56 2 552 1900

Centro Medico San Jorge
Cruz del Sur 177 (esquina Neveria),
Santiago,
Chile
Tel: + 56 2 754 8300

Centro de Cancer Nuestra Senora de la Esperanza
Diagonal Paraguay 319,
Santiago,
Chile
Tel: + 56 2 354 6901

Clinica Alemana Temuco
Senador Estebanez 645,
Temuco, Cautin,
Chile
Tel: + 56 45 201 201
Email: clínica@calemanatemuco.cl
Website: http://www.alemanatemuco.cl/

Clinica Alemana de Santiago S.A
Av. Vitacura 5951,
Vitacura,
Santiago,
Chile
Tel: + 56 2 210 11 11
Fax: + 56 2 212 43 80

Clinica Arauco
Avda. Presidente Kennedy 5413-B,
Parque Arauco,
Santiago,
Chile
Tel: + 56 2 299 0000
Fax: + 56 2 299 0305

Clinica Avansalud Bio
Av. Jorge Alessandri No. 1315 Talcahuano,
Concepcion,
Chile
Tel: + 56 41 734 200
Fax: + 56 41 734 201

Clinica Avansalud Providencia
Av. Salvador 130,
Providencia,
Santiago,
Chile
Tel: + 56 2 366 2000
Fax: + 56 2 223 0744

Clinica Avansalud Vespucio
Serafin Zamora 190 Costado Mall Pza,
Vespucio,
La Florida,
Santiago
Chile
Tel: + 56 2 390 8800
Fax: + 56 2 390 8980

Clinica Avansalud Vina del Mar
13 Norte No. 635,
entre Av. Libertad y 1 Poniente,
Vina del Mar,
Chile
Tel: + 56 32 451 000

Clinica Cordillera Amunategui
Amunategui 465,
Santiago,
Chile
Tel: + 56 2 731 2600

Clinica Cordillera Centro de Diagnostico Nunoa
Eduardo Castillo Velasco 4890-Nunoa,
Santiago,
Chile
Tel: + 56 2 601 414

Clinica Indisa
Avenida Santa Maria 1810,
Providencia,
Santiago,
Chile
Tel: + 56 2 362 5555
Fax: + 56 2 362 0275

Clinica Las Condes
Lo Fontecilla 441,
Las Condes,
Santiago,
Chile
Tel: + 56 2 210 4000
Fax: + 56 2 217 2998

Clinica Las Condes - Medical Centre
El Puente 2082,
Lo Barnechea,
Santiago,
Chile
Tel: + 56 2 210 4000

Clinica Las Lilas
Av Elidoro Yanez 2087,
Santiago,
Chile
Tel: + 56 2 410 6100
Email: info@clinicalaslilas.cl
Website: http://www.clinicalaslilas.cl/

Clinica Las Nieves
Avenida Santa Maria,
Vitacura,
Santiago,
Chile
Tel: + 56 2 366 7800
Fax: + 56 2 366 7888

Clinica Renaca
Jardin Del Mar,
Anabaena 336,
Renaca,
Chile
Tel: + 56 32 658 435

Clinica San Carlos
Camino El Alba 12351,
Santiago,
Chile
Tel: + 56 2 754 8700

Clinica Sanatorio Aleman
Av. Pedro de Valdivia 801,
Concepcion,
Chile
Tel: 56-4-120-6000
Website: http://www.sanatorioaleman.cl/

Clinica Santa Maria
Av Santa Maria 500,
Santiago,
Chile
Tel: + 56 2 461 3000

Complejo Hospitalario San Borja Arriaran
Santa Rosa 1234,
Santiago,
Chile
Tel: 56-2-544-6000
Website: http://www.hsba.cl/

Hospital 21 de Mayo
Lib. Bdo. O'Higgins N° 450,
Tal Tal,
Antofagasta,
Chile
Tel: 56-5-561-1057

Hospital Achao
Riquelme s/n, Achao,
Chiloe,
Chile
Tel: 56-6-566-1244

Hospital Aleman
Guillermo Muennich 203,
Valparaiso,
Chile
Tel: 56-3-221-7951

Hospital Ancud
Almirante Latorre N° 301,
Ancud, Chiloe,
Chile
Tel: 56-6-562-2356

Hospital Angol
Ilabaca N° 752,
Angol, Malleco,
Chile
Tel: 56-4-571-1682

Hospital Asistencia Publica
Av. Portugal N° 125,
Santiago,
Chile
Tel: (56-2) 4633730
Fax: (56-2) 6342284
Email: vhanna@huap.cl
Website: http://usuarios.vtr.net/

Hospital Augusto Riffart
Freire N° 852,
Castro, Chiloe,
Chile
Tel: 56-6-563-2445

Hospital Barros Luco Trudeau
Gran Avenida N° 3204,
San Bernardo,
Maipo,
Chile
Tel: 56-2-394-0000

Hospital Base Carlos Van Buren
San Ignacio N° 725,
Valparaiso,
Chile
Tel: 56-3-220-4000

Hospital Base de Linares
Av. Brasil 753,
Linares,
Chile
Tel: (56-73) 563100
Fax: (56-73) 216232
Email: hoslina@entelchile.net

Hospital Clinico UC
Marcoleta 367,
Santiago,
Chile
Tel: 56-2-633-2051
Fax: 56 (2) 222 0843
Email: cpuente@med.puc.cl
Website: http://www.med.puc.cl/

Hospital Clinico Universidad de Chile
Santos Dumont 999,
Independencia,
Santiago,
Chile
Tel: + 56 678 81 34
Fax: + 56 777 13 73

Hospital Constitucion
Calle Hospital N° 200,
Constitucion, Talca,
Chile
Tel: 56-7-167-1246
Email: contihos@chilesat.net

Hospital de Ninos Vina del Mar
Limache 1667,
Vina del Mar,
Valparaiso,
Chile
Tel: (56 32)385000
Fax: (56 32)385008
Email: paraya@hospitaldeninos.cl
Website: http://www.hospitaldeninos.cl/

Hospital de Urgencia Asistencia Pública
Avenida Portugal #125,
Santiago,
Chile
Tel: 56-2-463-3730
Fax: 56-2) 6342284
Email: vhanna@huap.cl
Website: http://usuarios.vtr.net/

Hospital Dr. Leonardo Guzman
Av. Argentina 1962,
Antofagasta,
Chile
Tel: 56-5-526-1408
Fax: 56-5-526-8633
Email: fgrisolia@hospantof.cl
Website: http://www.hospantof.cl/

Hospital Fresia
San Jose 301,
Fresia, Llanquihue,
Chile
Tel: 56-6-544-1244
Fax: 56-6-544-1244
Email: hospitalfresia@yahoo.com
Website: http://www.geocities.com/

Hospital Regional de Copiapo
Merino Av. Lib. Bernardo O’Higgins s/n,
Copiapo, Atacama,
Chile
Tel: 56-5 221-3474
Fax: 56-5 221-3204
Email: eflores@hospitalcopiapo.cl
Website: http://www.hospitalcopiapo.cl/

Hospital Regional Guillermo Grant
San Martin N° 1436,
Concepcion,
Chile
Tel: 56-4-123-7445
Email: hospitalregional@ssconcepcion.cl
Website: http://www.hospitalregional.cl/

Hospital San Antonio de Putaendo
Av. Alessandri N° 186,
Putaendo, San Felipe,
Chile
Tel: 56-3-450-1010
Email: hsap@entelchile.net
Website: http://www.ssaconcagua.cl/

Hospital San Jose
San Jose No 1196,
Independencia,
Santiago,
Chile
Tel: 56-2-383-2600
Email: rrpp@hsjcdt.cl
Website: http://www.hsjcdt.cl/

Hospital San Martin de Quillota
Concepcion 1050,
Quillota,
Chile
Tel: 56-3-331-0023
Email: hospitalquillota@ssvq.cl
Website: http://www.hsmq.cl/

Hospital Universidad Catolica
Avenue Libertador Bernardo O'Higgins 340,
Santiago,
Chile
Tel: + 56 2 222 4516

Instituto de Seguridad del Trabajo
1/2 Oriente 1175,
Vina del Mar,
Valparaiso,
Chile
Tel: 56-3-226-2042
Email: infocentro@ist.cl
Website: http://www.ist.cl/

Mutual De Seguridad
El Santo 1475,
La Serena,
Chile
Tel: + 56 51 221 991
Fax: + 56 51 226 939
Chile Info
 
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