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Neoliberal reforms in health systems and the construction of long-lasting inequalities in health care: A case study from Chile

Rotarou, Elena S and Sakellariou, Dikaios 2017. Neoliberal reforms in health systems and the construction of long-lasting inequalities in health care: A case study from Chile. Health Policy 121 (5) , pp. 495-503. 10.1016/j.healthpol.2017.03.005

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Abstract

The aim of this article is to discuss how neoliberal policies implemented in the Chilean health system during the Pinochet regime have a lingering effect on equal access to health care today. The two-tier health system – public and private – that was introduced in the early 1980s as a means to improve efficiency and lower healthrelated costs, has led instead to inequality of access and dehumanisation of health care. Health has changed from being a right to being a marketable need, thus creating a structural disadvantage for several parts of the population – particularly the poor, the elderly, and women – who cannot afford the better-quality services and timely attention of private health providers, and thus, are not adequately protected against health risks. Despite the recent health reforms that aim at improving equity in health care access and financing, we argue that the Chilean health system is still biased against the poorer segments of the population, while it favours the more affluent groups that can afford private health care.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Subjects: R Medicine > R Medicine (General)
Uncontrolled Keywords: neoliberalism, Chile, health system, health care, public and private health care, inequalities
Publisher: Elsevier
ISSN: 0168-8510
Date of First Compliant Deposit: 10 March 2017
Date of Acceptance: 10 March 2017
Last Modified: 11 May 2018 17:43
URI: http://orca.cf.ac.uk/id/eprint/98848

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