IADR Abstract Archives
Coverage Analysis of the “GES 60”: Still Not Enough
Objectives: To estimate the coverage of the program for the year 2019 of the FONASA beneficiaries and their territorial variability disaggregated by Health Service (HS), sex and type of provider (public or purchase of services).
Methods: An observational, ecological, cross-sectional study was carried out, using secondary data from public sources (DEIS, FONASA). Coverage, understood as the ratio between the population that receives the guarantee and the population that should receive it, expressed as percentage, was estimated using the “dental discharges” as the numerator and the 60-year-old population affiliated to FONASA as the denominator. Total national coverage and by sex was estimated, stratified for each SS.
Results: The coverage of the program in the public health sector was 22.8% in 2019. The lowest coverage was observed in Arica HS (5.3%) and the highest in Arauco HS (37.9%). National coverage was significantly higher (p-value = 0.001) in women (27.1%) than in men (17.9%). Purchase of services from external providers totaled 12.2% of the dental discharges, this proportion being heterogeneous between SS with an inverse relationship between "Purchase of services" and "Coverage".
Conclusions: Despite its universal character and being implemented for more than 12 years, the GES 60 program has very low coverage throughout the country, being insufficient to solve the high burden of morbidity of elderly Chileans. There is wide territorial variability of the coverage, presenting differences by sex, being greater in women, and with a tendency to decrease as the proportion of purchase of services increases. Thus, the scope and objectives should be reconsidered and, if possible, adjusted according to the current challenges and expectations of this group.
Methods: An observational, ecological, cross-sectional study was carried out, using secondary data from public sources (DEIS, FONASA). Coverage, understood as the ratio between the population that receives the guarantee and the population that should receive it, expressed as percentage, was estimated using the “dental discharges” as the numerator and the 60-year-old population affiliated to FONASA as the denominator. Total national coverage and by sex was estimated, stratified for each SS.
Results: The coverage of the program in the public health sector was 22.8% in 2019. The lowest coverage was observed in Arica HS (5.3%) and the highest in Arauco HS (37.9%). National coverage was significantly higher (p-value = 0.001) in women (27.1%) than in men (17.9%). Purchase of services from external providers totaled 12.2% of the dental discharges, this proportion being heterogeneous between SS with an inverse relationship between "Purchase of services" and "Coverage".
Conclusions: Despite its universal character and being implemented for more than 12 years, the GES 60 program has very low coverage throughout the country, being insufficient to solve the high burden of morbidity of elderly Chileans. There is wide territorial variability of the coverage, presenting differences by sex, being greater in women, and with a tendency to decrease as the proportion of purchase of services increases. Thus, the scope and objectives should be reconsidered and, if possible, adjusted according to the current challenges and expectations of this group.