Abstract
ABSTRACTObjective:determine the prevalence of Effective Universal Coverage of Diabetes Mellitus Type 2 in Chile and its relation with the variables: Health Care Coverage of Diabetes Mellitus Type 2; Average of diabetics with metabolic control in 2011-2013; Mortality Rate for Diabetes Mellitus; and Percentage of nurses participating in the Cardiovascular Health Program. Method:cross-sectional descriptive study with ecological components that uses documentary sources of the Ministry of Health. It was established that there is correlation between the Universal Effective Coverage of Diabetes Mellitus Type 2 and the independent variables; it was applied the Pearson Coefficient, being significant at the 0.05 level. Results:in Chile Universal Health Care Coverage of Diabetes Mellitus Type 2 (HbA1c<7% estimated population) is less than 20%; this is related with Mortality Rate for Diabetes Mellitus and Percentage of nurses participating in the Cardiovascular Health Program, being significant at the 0.01 level. Conclusion:effective prevalence of Universal Health Coverage of Diabetes Mellitus Type 2 is low, even though some regions stand out in this research and in the metabolic control of patients who participate in health control program; its relation with percentage of nurses participating in the Cardiovascular Health Program represents a challenge and an opportunity for the health system.
Highlights
Definition of Universal Health Coverage: “system capacity to respond to the health needs of a population, which includes providing infrastructure, human resources, health technologies, and financing”(1)
The member states of the World Health Organization (WHO) committed to reach this Coverage in 2005, are convinced that all people should have access to the health services they need, without the risk of economic loss or impoverishment[2]. Chile addressed this Coverage with strategies such as the Explicit Health Guarantees Regime (EHGR), contained in the law EHGR N° 19966(3), which standardizes the care of prioritized pathologies, guaranteeing access, quality, opportunity and financial support to the patients who suffer from those pathologies
The same dependent variable has an average (17.80%) that differs from that indicated in Table 2, since the national values were extracted from the Health Statistics and Information Department (HSID) reports and not according to the calculation of the regional average
Summary
Definition of Universal Health Coverage: “system capacity to respond to the health needs of a population, which includes providing infrastructure, human resources, health technologies (including medicines), and financing”(1). In order to respond to the needs of population, it is essential that (prestaciones en salud garantizadas) guaranteed health benefits be timely and good quality, that is to say, they must allowed to move from Universal Coverage to Effective Coverage, since universal health coverage is not in itself a guarantee of efficacy and efficiency of care provided[4], it is better understood as the coverage of health services and protection against financial risks and it is still far from the goal of universal coverage[4] For this reason, it is necessary to develop researches that design indicators for the evaluation of policy progress of universal health coverage[4]. Effective coverage is a part of a potential health gain, offered to the population through the health system[5], it considers a particular intervention or service, and determines that they are necessary to produce the desired effect on the patient’s health[7]
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