Efficiency and productivity of the Chilean public health system between 2010 and 2019

Estudios originales

Published on 28 de julio de 2023 | http://doi.org/10.5867/medwave.2023.06.2682

Efficiency and productivity of the Chilean public health system between 2010 and 2019

National Health Services System production between 2010 and 2019.

Benefit group	Benefit subgroup	Weighting	Number of benefits										Variation from 2010 to 2019	AAGR
Benefit group	Benefit subgroup	Weighting	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019	Variation from 2010 to 2019	AAGR
Outpatient care	Emergency medical consult	8.3	6 988 590	7 407 075	7 410 614	6 872 428	6 608 757	6 409 931	5 963 265	6 104 234	6 160 683	6 129 827	-12.30%	-1.40%
	Other healthcare professionals consult	0.9	6 339 421	6 689 315	6 854 133	6 614 065	6 920 754	7 177 540	6 999 119	7 417 980	8 027 168	7 757 844	22.40%	2.30%
	Psychiatric consult	0.4	419 924	493 925	422 123	444 450	458 535	474 734	505 054	531 124	588 047	624 857	48.80%	4.50%
	Specialist medical consult	5.3	5 866 752	6 506 777	6 274 574	5 984 306	6 189 304	6 390 388	6 672 853	7 316 210	7 923 824	8 059 879	37.40%	3.60%
	Primary care physician consult	2.6	5 510 159	5 328 852	5 382 036	5 013 376	5 008 667	5 165 284	5 314 852	5 168 452	5 261 922	4 930 952	-10.50%	-1.20%
	Total Outpatient appointments		25 124 846	26 425 944	26.343 480	24 928 625	25 186 017	25 617 877	25 455 143	26 538 000	27 961 644	27 503 359	9.50%	1.00%
Diagnostic tests	Anatomical pathology	1.5	1 276 010	1 484 924	1 487 372	1 404 839	1 462 761	1 544 695	1 612 716	1 784 105	1 898 233	1 946 016	52.50%	4.80%
	Imaging	11.2	5 429 555	6 062 660	6 060 611	5 809 374	5 930 216	5 992 756	6 281 215	6 626 772	6 978 676	7 421 546	36.70%	3.50%
	Clinical Laboratory	14.6	56 894 704	67 041 140	70 993 639	70 121 208	75 297 607	80 029 916	84 070 257	92 752 848	101 836 625	105 714 287	85.80%	7.10%
	Total Diagnostic tests		63 600 269	74 588 724	78 541 622	77 335 421	82 690 584	87 567 367	91 964 188	101 163 725	110 713 534	115 081 849	80.90%	6.80%
Clinical and therapeutic support procedures	Cardiology	3.6	1 001 724	1 192 007	1 097 948	1 034 274	1 049 262	1 055 069	1 101 546	1 189 198	1 466 644	1 355 684	35.30%	3.40%
	Gastroenterology	0.5	102 945	115 609	112 256	103 686	111 592	115 546	121 378	147 844	168 247	176 716	71.70%	6.20%
	Gynecology and obstetrics	0.5	579 136	648 998	627 161	551 919	581 817	575 611	544 174	584 859	648 290	646 373	11.60%	1.20%
	Nuclear medicine	0.6	28 447	35 791	30 594	31 321	32 464	28 962	33 028	28 572	38 380	40 288	41.60%	3.90%
	Neurology and neurosurgery	0.2	47 978	60 714	54 619	53 601	55 508	51 480	52 529	59 442	62 205	56 270	17.30%	1.80%
	Normal childbirth	1.3	97 928	96 446	88 438	79 707	82 858	79 097	74 605	77 754	78 943	74 263	-24.20%	-3.00%
	Urology and nephrology	2.2	80 942	84 826	95 103	98 178	101 915	108 199	106 072	117 001	144 997	205 789	154.20%	10.90%
	Total clinical and therapeutic support procedures		1 939 100	2 234 391	2 106 119	1 952 686	2 015 416	2 013 964	2 033 332	2 204 670	2 607 706	2 555 383	31.80%	3.10%
Surgical procedures	Dermatology	0.6	229 635	230 869	204 773	181 721	167 852	162 720	160 512	151 773	163 845	165 107	-28.10%	-3.60%
	SP without dermatology	16	508 581	584 350	572 827	531 733	527 485	537 623	597 122	691 665	737 661	748 996	47.30%	4.40%
	Total surgical procedures		738 216	815 219	777 600	713 454	695 337	700 343	757 634	843 438	901 506	914 103	23.80%	2.40%
Days of hospitalization	Day of integral hospitalization bed	20.9	5 231 448	5 637 429	5 686 066	5 383 180	5 352 646	5 333 558	5 426 353	5 753 361	5 823 662	5 884 591	12.50%	1.30%
	Day of integral hospitalization bed in ICU	4.8	248 128	290 156	284 265	281 968	277 459	287 051	297 730	188 778	202 013	204 833	-17.40%	-2.10%
	Day of integral hospitalization bed in IMCU	4	457 234	500 367	480 410	483 602	516 239	524 824	518 502	317 409	359 663	337 373	-26.20%	-3.30%
	Total days of hospitalization		5 936 810	6 427 952	6 450 741	6 148 750	6 146 344	6 145 433	6 242 585	6 259 548	6 385 338	6 426 797	8.30%	0.90%
Total production			97 339 241	110 492 230	114 219 562	111 078 936	116 733 698	122 044 984	126 452 882	137 009 381	148 569 728	152 481 491	56.60%	5.10%
Production in equivalent units			11 275 982	13 006 912	13 578 000	13 276 785	14 033 423	14 731 841	15 365 987	16 794 689	18 242 629	18 863 967	67.30%	5.90%
Base index 2010 = 100			100	115	120	118	124	131	136	149	162	167	67.30%	5.90%
Total production (without diagnostic tests)			33 738 972	35 903 506	35 677 940	33 743 515	34 043 114	34 477 617	34 488 694	35 845 656	37 856 194	37 399 642	10.85%	1.20%
Production in equivalent units (without diagnostic tests)			2 997 035	3 246 682	3 233 087	3 049 562	3 032 882	3 028 186	3 044 205	3 213 917	3 325 658	3 345 316	11.62%	1.20%
Base index 2010 = 100 (without diagnostic tests)			100	108	108	102	101	101	102	107	111	112	11.62%	1.20%

AAGR, Average annual growth rate; ICU, Intensive care unit. IMCU, Intermediate care unit.SP, Surgical procedures.

Source: Prepared by the authors based on the monthly statistical summaries published by the Department of Health Statistics and Information.