OECD - OECD Reviews of Public Health: Chile

This report was prepared by Michele Cecchini, Ian Forde, Rie Fujisawa, Emily Hewlett and Sabine Vuik, with contributions from Sahara Graf and Ruth Aston. The authors also wish to thank Stefano Scarpetta, Mark Pearson, Francesca Colombo and Driss Ouakrim from the OECD Directorate of Employment, Labour and Social Affairs, and Jonathan Brooks and Celine Griner from the Directorate for Trade and Agriculture, for their comments. Thanks also go to Lucy Hulett for editorial input and to Lukasz Lech and Duniya Dedeyn for logistical assistance. The completion of this report would not have been possible without the generous support of Chilean authorities.

This report has benefited from the expertise and material received from many health officials, health professionals, patient groups and other health experts that the OECD review team interviewed during a research mission in Chile in May 2017. These included Minister Dr. Emilio Santelices; Dr Carmen Castillo, former Minister of Health; Dr Jaime Burrows, former Vice-Minister of Public Health; Directors at the Ministry of Health Directors at the Fondo Nacional de Salud (FONASA); Directors at the Asociacin de Instituciones de Salud Previsional (Isapres); Directors at Central Nacional de Abastecimiento (CENABAST); and the Directors at the Junta Nacional de Auxilio Escolar y Becas (JUNAEB). Particular thanks go to individuals at the Divisin de Planificacin Sanitaria (DIPLAS), to the Divisin de Polticas Pblicas Saludables y Promocin (DIPOL), to the Divisin de Prevencin y Control de Enfermedades (DIPRECE), to the Divisin de Atencin Primaria (DIVAP), and to all at the Ministry of Health. Thanks also go to those from the Ministry of Finance, the Ministry of Agriculture, and the Ministry of Social Development who met with the OECD team.

The team would also like to thank the following associations or organisations for meeting with the review team: Alianza de Agrupaciones de Pacientes; Colegio Mdico de Chile; a number of specialists in genomics including the Sociedad Chilena de Gentica; Cmara de Innovacin Farmacutica; the President of the Agrupacin de Mdicos de Atencin Primaria; the President of the Corporacin Nacional de Consumidores y Usuarios (CONADECUS); Mdicos sin marca; and Dr Ricardo Uauy and Dr Camila Corvaln of the Universidad de Chile.

Our thanks also go to Cristbal A. Cuadrado Nahum, from the Universidad de Chile and Cristina Gutierrez from the Ministry of Health of Mexico, for acting as peer reviews for this report. A draft summary of the report and of the key recommendations were discussed at the 2017 meeting of the OECD Expert Group on the Economics of Public Health. Authors would like to thank all the participants for their review and comments.

This report has benefited from the comments of the Chilean authorities and experts who reviewed earlier drafts; the authors particular thanks go to the numerous Chilean experts who took the time to provide thoughtful and detailed feedback at the review stage. In particular, this includes Sergio Becerra Puebla, Silvia Castillo Taucher, Patricio Gonzlez Hormazabal, Marcela Lagos Lucero, Juan Lecaros Urza, Carolina Neira Ojeda, Tomas Labbe Atenas, Melanie Paccot Burnens, Andrea Pardo Vargas, Gabriel Repetto Lisboa, Juvenal Rios Leal, Solena Terrazas Martins, and Ricardo Verdugo Salgado from the Ministry of Health. Finally, the review team is especially thankful to Cristian Herrera and Lucy Kuhn from the Ministry of Health, who supported the undertaking of this review, including for their help in setting up the visit of OECD officials to Chile, coordinated comments on earlier drafts, and stewardship of the review in its later stages, and to Marcelo Soto from the Chilean Delegation to the OECD for assistance with the final stages of the review.