2016, Number 5
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salud publica mex 2016; 58 (5)
Hospital performance in a segmented and unequal health system: Chile 2001-2010
Cid C, Herrera CA, Prieto L
Language: Spanish
References: 25
Page: 553-560
PDF size: 260.52 Kb.
ABSTRACT
Objective. To analyze the differences in health outcomes
by hospital characteristics, focusing on ownership: public,
private not-for-profit (PNFP) and private for-profit (PFP).
Materials and methods. We used a discharged patient
dataset of Chilean hospitals for the period 2001-2010 with
a total of 16 205 314 discharges in 20 public, six PNFP and
15 PFP hospitals. We selected a subsample of two medical
conditions: myocardial infarction and stroke. We used probit
regression analyses with mortality rates as dependent variable,
ownership status as the key explanatory variable, and
control variables which included patients’ health status and
socioeconomic level, and hospital characteristics.
Results.
Private hospitals showed lower risk of death relative to
public hospitals: 1.3% in PNFP, 0.7% in PFP and 3.5% in public
hospitals.
Conclusions. The analysis shows the inequities
that exist between public hospitals and the private sector.
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