The health insurance market: lessons on the conflict between equivalence and solidarity

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cepal.bibLevelSección o Parte de un Documento
cepal.callNumberLC/G.2549-P
cepal.docTypeRevistas
cepal.physicalDescriptiongráficos., tablas.
cepal.topicEngHEALTH
cepal.topicEngFINANCING AND EXTERNAL DEBT
cepal.topicEngMORTALITY AND HEALTH
cepal.topicSpaSALUD
cepal.topicSpaFINANCIAMIENTO Y DEUDA EXTERNA
cepal.topicSpaMORTALIDAD Y SALUD
cepal.workareaEngSOCIAL DEVELOPMENT
cepal.workareaEngSTATISTICS
cepal.workareaEngPOPULATION AND DEVELOPMENT
cepal.workareaSpaDESARROLLO SOCIAL
cepal.workareaSpaESTADÍSTICAS
cepal.workareaSpaPOBLACIÓN Y DESARROLLO
dc.contributor.authorUthoff, Andras
dc.contributor.authorCampusano, Rolando
dc.contributor.authorSánchez, José Miguel
dc.coverage.spatialEngCHILE
dc.coverage.spatialSpaCHILE
dc.date.accessioned2014-01-02T18:46:09Z
dc.date.available2014-01-02T18:46:09Z
dc.date.issued2012-12
dc.descriptionIncludes bibliography
dc.description.abstractHealth-care systems are highly diverse, sometimes even sharing few basic aspects of design. In developing countries, demographic profiles, poverty, the labour market and public finances are such that a comprehensive approach to solidarity -combining contributory and non-contributory mechanisms- is essential. In 1981, Chile redesigned the contributory component of its system by means of private health-insurance companies. The rationale of private, individual insurance runs counter to the ethical imperatives of contracts based on social rights. In Europe, this dilemma has been tackled using risk-levelling mechanisms that resolve the conflict between accessibility, efficiency and selection. In Chile, competitive health insurance companies (Isapres) coexist with a solidarity-based State alternative, the National Health Fund (FONASA). The Isapres engage in aggressive risk selection. The challenge for health policy is to integrate the two systems to balance the principles of equivalence and solidarity.
dc.formatTexto
dc.format.extentpáginas. 141-159
dc.format.mimetypeapplication/pdf
dc.identifier.unSymbolLC/G.2549-P
dc.identifier.urihttps://hdl.handle.net/11362/11608
dc.language.isoeng
dc.physicalDescriptiongrafs., tabls.
dc.physicalDescriptionp. 141-159
dc.relation.isPartOfCEPAL Review
dc.relation.isPartOfNo108
dc.relation.isPartOfSeriesCEPAL Review
dc.relation.translationLanguagespa
dc.relation.translationRecordEl mercado de seguros de salud: lecciones sobre el conflicto entre equivalencia y solidaridad
dc.relation.translationUrihttps://hdl.handle.net/11362/11564
dc.rights.coarDisponible
dc.subject.unbisEngHEALTH
dc.subject.unbisEngHEALTH INSURANCE
dc.subject.unbisEngHEALTH SERVICES
dc.subject.unbisEngFINANCING
dc.subject.unbisEngSOLIDARITY
dc.subject.unbisEngRISK
dc.subject.unbisEngRIGHT TO HEALTH
dc.subject.unbisEngPUBLIC SECTOR
dc.subject.unbisEngPRIVATE SECTOR
dc.subject.unbisEngCASE STUDIES
dc.subject.unbisSpaSALUD
dc.subject.unbisSpaSEGURO DE ENFERMEDAD
dc.subject.unbisSpaSERVICIOS DE SALUD
dc.subject.unbisSpaFINANCIACION
dc.subject.unbisSpaSOLIDARIDAD
dc.subject.unbisSpaRIESGO
dc.subject.unbisSpaDERECHO A LA SALUD
dc.subject.unbisSpaSECTOR PUBLICO
dc.subject.unbisSpaSECTOR PRIVADO
dc.subject.unbisSpaESTUDIOS DE CASOS
dc.titleThe health insurance market: lessons on the conflict between equivalence and solidarity
dc.type.coarartículo
dspace.entity.typePublication
relation.isAuthorOfPublication54c8a15c-d38e-4fe0-a2f0-04a0128d0b86
relation.isAuthorOfPublication8bf9e0f4-a4e2-462d-9943-b72b7c0a92bf
relation.isAuthorOfPublication23de58d0-f54c-4256-8e65-d01c699efda5
relation.isAuthorOfPublication.latestForDiscovery54c8a15c-d38e-4fe0-a2f0-04a0128d0b86
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