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Revista médica de Chile

versión impresa ISSN 0034-9887

Resumen

MANZANO MENDEZ, Daniel  y  GOYENECHEA HIDALGO, Matías. Analysis of health care demand subsidies and the role of private health care corporations. Rev. méd. Chile [online]. 2020, vol.148, n.10, pp.1496-1503. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872020001001496.

This work analyzes the demand subsidies to access health care and their relationship with large private corporations in Chile, through the transfer of public funds through the modality of freedom of choice (MLE) from 2000 to 2018. Therefore, we analyzed the expansion of the health market and the strengthening of health care corporations, identifying the distribution of resources according to type of health provider. We reviewed the annual reports of private health care corporations. We also analyzed billing data according to the provider through the freedom of choice modality from the year 2000 to the year 2018. We identified an increasing transformation of medical work from free exercise to become dependent on private health corporations, and an increase in public dependence on private providers to meet health demands. There is a growing capture of public funds by these holdings, using the strategy of increasing provider property concentration and a trans nationalization of the health market in Chile.

Palabras clave : Health are Economics and Organizations; Healthcare Financing; Hospitals, Proprietary.

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