ArticleCadernos de saude publica2026
[Universalization of primary health care: "heart" of health reform in Chile].
Article in Cadernos de saude publica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
The proposal for the universalization of primary health care (PHC) has become the main strategy of the Chilean government (2022-2026) for reform of the healthcare system under the values of equity in access, quality of care, and financial protection. The article identifies and analyzes strategies related to the universalization of PHC with regards to operationalization, reform, and measures to expand and qualify access to PHC. A case study was carried out with a qualitative approach based on interviews with key actors during on-site visits complemented by documental analysis. The implementation of the universalization of PHC is supported by an advisory council and commissions that seek to ensure political pluralism with a view to governability. It was initiated through pilot projects currently in 21 "pioneer communes". The following strategies to expand and qualify access to PHC stand out: extended office hours at health centers; remote demand management system; guidelines for the comprehensive management of chronic conditions with "care by pairs" and a "consensual care plan"; "citizen dialogues" and mapping of community assets to strengthen social participation. After the defeat of the proposed Constitution in 2022 and in a context conditioned by political conflicts, low governability, and the neoliberal directives of previous public policies in Chile, the universalization of PHC emerged as possible, consensual, and without substantial resistance, gaining prominence in the face of the impossibility of structural reforms in the healthcare system, which remains polarized.
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