SciELO - Scientific Electronic Library Online

vol.72 issue3Validez y reproducibilidad de un cuestionario de frecuencia de consumo de calcio para mujeres entre 30 y 50 años: Validation and reproducibility of a calcium frequency of consumption questionnaire for 30 through 50 year-old womenAssociation of lifestyle and overweight in medical residents at a national hospital author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO


Anales de la Facultad de Medicina

Print version ISSN 1025-5583


BARAHONA-URBINA, Planck  and  RODRIGUEZ, Fernando. Influence of sanitary policies on health care cost containment in Chile. An. Fac. med. [online]. 2011, vol.72, n.3, pp.197-204. ISSN 1025-5583.

Introduction: The literature on economics proposes different provider payment mechanisms at hospitals in order to obtain incentives in health care cost containment. Objectives: To analyze the theoretical foundations of implemented cost restraint instruments, payment associated to diagnosis (PAD), and payment for valued assistance (PFV) during the last two decades and their effectiveness on the Chilean sanitary system. Design: Econometric and non parametric analysis. Setting: Chile. Materials: Data from Chile’s Ministry of Health and the National Health Fund was used. Interventions: Application of time series methodology, data envelopment analysis and multinomial logit model to detect whether payment mechanisms have had the desired effect on cost containment. Main outcome measures: Effects of hospital payment system. Results: Results have shown that the second payment system, in addition to not creating incentives in average stays reduction nationally it has neither generated higher levels of efficiency. Conclusions: The first payment system had a positive effect in curbing resources use. The second mechanism of payment generated neither incentives in the reduction of average stay in the country nor higher levels of efficiency. That is to say, not only more resources are used but also it is possible that the system is acting in a wicked way making difficult to take measures that favors efficiency.

Keywords : Prospective payment; payment associated to diagnosis; payment for valued assistance.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License