Characterization of the expressed and effective demand for oncology services under the explicit health guarantees of the Chilean public health system

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Published on 27 de agosto de 2025 | http://doi.org/10.5867/medwave.2025.07.3070

Characterization of the expressed and effective demand for oncology services under the explicit health guarantees of the Chilean public health system

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Rates of new cases, opportunity guarantees by health problem and sex, and male/female ratio between indicators.

		Rate of new cases/1000 FONASA beneficiaries			GO rate of primary treatment according to tracer intervention/1000 FONASA beneficiaries			GO delayed/new cases*100
Health Problem	Year	Male	Female	Rate M:F	Male	Female	Rate M:F	Male	Female	Rate M:F
Cancer pain relief and palliative care	2018	1.53	1.39	1.10	1.53	1.38	1.11	0.20	0.32	0.62
	2019	1.51	1.43	1.05	1.51	1.43	1.05	0.24	0.14	1.67
	2020	1.46	1.36	1.08	1.46	1.36	1.08	0.24	0.39	0.61
	2021	1.50	1.72	0.87	1.50	1.72	0.87	0.27	0.34	0.77
	2022	1.66	1.54	1.08	1.65	1.53	1.08	0.41	0.29	1.42
Breast cancer in persons aged 15 years and older	2018	0.02	2.22	0.01	0.01	0.77	0.01	0.83	4.06	0.21
	2019	0.02	2.24	0.01	0.00	0.81	0.01	2.73	4.14	0.66
	2020	0.01	1.77	0.01	0.00	0.69	0.00	2.33	6.91	0.34
	2021	0.02	2.60	0.01	0.00	0.30	0.00	6.90	10.84	0.64
	2022	0.02	2.76	0.01	0.01	0.88	0.01	11.97	13.45	0.89
Preventive cholecystectomy for gallbladder cancer in people 35 to 49 years of age	2018	4.18	13.18	0.32	3.26	10.75	0.30	1.38	1.80	0.76
	2019	3.99	12.27	0.32	3.08	9.84	0.31	1.27	1.30	0.98
	2020	2.63	8.06	0.33	2.21	6.93	0.32	9.23	11.09	0.83
	2021	3.76	11.44	0.33	3.00	9.61	0.31	12.71	15.62	0.81
	2022	3.64	11.32	0.32	2.87	9.65	0.30	9.68	11.02	0.88
Gastric cancer	2018	0.98	1.16	0.85	0.28	0.12	2.45	1.49	1.00	1.49
	2019	0.93	1.18	0.78	0.26	0.12	2.09	1.87	1.11	1.68
	2020	0.71	0.78	0.91	0.23	0.09	2.62	7.26	7.39	0.98
	2021	0.81	1.28	0.63	0.23	0.12	1.87	9.65	9.49	1.02
	2022	0.89	1.26	0.70	0.25	0.11	2.18	7.13	6.07	1.17
Colorectal cancer in persons 15 years of age and older	2018	0.76	0.88	0.87	0.14	0.12	1.17	3.03	3.46	0.87
	2019	0.88	1.10	0.80	0.16	0.14	1.11	3.76	3.24	1.16
	2020	0.68	0.76	0.90	0.14	0.11	1.23	10.26	9.68	1.06
	2021	0.89	1.09	0.82	0.17	0.15	1.13	10.38	9.48	1.09
	2022	0.99	1.26	0.79	0.16	0.16	1.04	11.43	11.29	1.01
Lung cancer in people aged 15 years and older	2019	0.11	0.09	1.22	0.04	0.03	1.20	6.52	6.67	0.98
	2020	0.27	0.19	1.40	0.12	0.09	1.22	6.80	8.11	0.84
	2021	0.33	0.26	1.27	0.04	0.03	1.25	8.82	9.97	0.88
	2022	0.36	0.30	1.22	0.12	0.11	1.16	12.57	12.91	0.97

GO, guarantee of opportunity. H:M, male/female.

Data correspond to primary treatment timeliness guarantees by tracer intervention and delayed timeliness guarantees/new cases*100 for the country, years 2018 to 2022.

Source: Prepared by the authors of this study.

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