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|a 368.3828
|2 22
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| 110 |
2 |
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|a Banco Mundial
|9 6648
|e autor
|
| 245 |
1 |
0 |
|a Chile health insurance issues :
|b old age and catastrophic health costs /
|c Banco Mundial.
|
| 264 |
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1 |
|a Washington, D.C. :
|b World Bank,
|c 2000
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| 300 |
|
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|a viii, 43 páginas :
|b ilustraciones
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| 336 |
|
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|2 rdacontent
|a texto
|
| 337 |
|
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|2 rdamedia
|a sin mediación
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| 338 |
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|2 rdacarrier
|a volumen
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| 490 |
0 |
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|a A World Bank country study
|x 0253-2123
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| 504 |
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|a Incluye bibliografía.
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| 505 |
0 |
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|a Summary -- Introduction -- 1. Analytic approach -- Methodological issues -- 2. Principal features of the chilean health care system -- 3. Elderly care and the effects of againg of the population on health care costs -- Health insurance for the elderly in Chile: coverage, net cost, and migration between insurers -- What are the financial implications of the aging of the population for FONASA? -- 4. Catastrophic costs -- What is catastrophic? -- Applying the various definitions to the case of Chile -- Concluding observations -- 5. Financing elderly and catastrophic health care -- Recent public programs -- Proposals developed but not yet implemented -- Other potential mechanisms for dealing with catastrophic and elderly care -- 6. Bibliography.
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| 520 |
3 |
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|a The study offers an analytic approach to fundamental questions concerning the effect of the aging population on the Chilean health system, and, to the prospects for, and the extent of financing health care for the elderly, as presumably catastrophic costs are linked to this effect. However, the study reveals that catastrophic care is not a problem primarily affecting the elderly, since interventions show that, rather the highest costly episodes occur among infants. It is specified that technological change introduced the possibility of delivering care, at very high cost, to infants who would otherwise die, or suffer congenital disorders, and it is this change which shaped the current age distribution of catastrophic care. Under the country ' s health insurance system, the largest group is covered by the public system, while a smaller group is privately insured. However, the study reveals that significant numbers of catastrophic infant events are assisted in public facilities, regardless of patient ' s affiliation. This implies that apparently the public system does assume disproportionate catastrophic burdens, where the elderly are neither the sole, nor most substantial drain on public resources, suggesting private insurance could attract the stable, elderly population, and thus mitigate the financial conditions of the public health system.
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| 541 |
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|c Donación Centro de Documentación e Información. MECON
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| 650 |
|
4 |
|a PERSONAS MAYORES
|9 5101
|
| 650 |
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4 |
|a SEGURO DE ENFERMEDAD
|9 8845
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| 651 |
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4 |
|a CHILE
|9 115
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| 653 |
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4 |
|a ANCIANOS
|
| 653 |
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4 |
|a SEGURO DE INVALIDEZ
|
| 856 |
4 |
|
|u http://hdl.handle.net/10986/14982
|y Banco Mundial
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| 942 |
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|c DOCU
|j F 368.3828 B 20004
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