1. Health Care Systems in a global perspective Margarita Mondaca A. Karolinska Institut Margarita.mondaca@ki.se

2. Chile: a country of contrasts…

3. CHILEUGANDASWEDEN Population20 mill.30mill9 mill GDP44 (203 mil USD)62 (17mill USD)22 (456 mill USD) % of GDP used in Health 5.37.28.9 Life expectancy at birth 75/8149/5179/83

4. How does the HCS works in Chile? Public Sector : 70% of the population Private sector: 20 % (14 companies) None ensurence:10%

5. Public Sector 7% of the salary Primary Service Attention – Over 2000 heath care centers providers Secondary and tertiary attention – 200 hospitals Infrastructure investments and network coordination Administration of the largest Health insurance alternative

6. Vigilance of Public Health Control and regulations at the national level Medicines and food regulations International Collaborations National protocols Certification of health care providers standars Certification of specialties

7. Health Priorities Aging Chronic diseases (cardiovascular, diabetes, Mental health, cancer) Life styles (obesity, tobacco, STD) Lack of resources

9. Private sector 7% of the salary plus extra insurance if: – Catastrophe diseases – Chance to get pregnant – Aging associated diseases Private and Public infrastructure Concentration of specialties Access according to salary

10. Challenges Thank you!