Performance of a national primary care chronic disease screening strategy in Chile: a mixed-methods analysis

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dc.article.number1110
dc.catalogadoraba
dc.contributor.authorZamorano, Paula
dc.contributor.authorVarela Yuraszeck, Teresita Inés
dc.contributor.authorSalvatierra Matzner, Isidora
dc.contributor.authorTéllez, Álvaro
dc.contributor.authorMartínez Pérez, Mayra Alicia
dc.contributor.authorIlabaca, Juan
dc.contributor.authorHuidobro, Diego G.
dc.date.accessioned2025-08-25T21:42:05Z
dc.date.available2025-08-25T21:42:05Z
dc.date.issued2025-08-20
dc.date.updated2025-08-24T00:03:52Z
dc.description.abstractIntroduction The continuous increase in chronic non-communicable diseases requires strengthening primary care preventive strategies. In Chile, preventive health screening is a national strategy focused on identifying adults with risk factors, including hypertension, diabetes, and dyslipidemia, among others. It is broadly implemented in primary care and has associated performance resources. Objective To evaluate the performance of Chile’s primary care preventive health screening for adults and describe healthcare professionals' perceptions regarding its implementation. Methods: A parallel convergent mixed-methods study was conducted. The quantitative component employed a retrospective cohort study to assess individuals between 15 and 64 years old who received a preventive health screening in primary care during 2023. Data analysis focused on access and waiting times of the screening pathways. The qualitative component consisted of an online survey to evaluate participants' perceptions of the screening pathways' performance. Results A total of 36,207 adult individuals received a preventive health screening during 2023, of which 61.5% were reported as completed. Screenings with the highest completion rates (between 99% and 80.1%) were those performed during the check-up day: high blood pressure, overweight and obesity, alcohol consumption, and smoking. Access to the second and third steps declines abruptly, with rates between 61.4% and 39.3%, including breast and cervical cancer screenings. The lowest access was to dyslipidemia and diabetes mellitus type two screening. Mean waiting times range from 16 to 179 days. The shortest times were from the screening to the first measure of the high blood pressure study and the pap smear test (16 and 18 days, respectively). The longest times were for diagnostic cardiovascular diseases (129 to 179 mean days). Qualitative findings identified that providers perceived that individuals are frequently lost when the screening pathway requires multiple steps, and highlighted the need to develop screening pathway protocols and implement strategies to manage the screening pathway proactively. Conclusion This is the first evaluation of Chile’s preventive health screening, demonstrating high implementation but dramatically low completion rates of diagnostic actions after the screening. The policy urgently needs to ensure active follow-up throughout the diagnostic pathway, which can lead to early diagnosis and prevent avoidable complications of cardiovascular disease and cancer.
dc.fechaingreso.objetodigital20258-08-25
dc.format.extent11 páginas
dc.fuente.origenBiomed Central
dc.identifier.citationBMC Health Services Research. 2025 Aug 20;25(1):1110
dc.identifier.doi10.1186/s12913-025-13104-x
dc.identifier.issn1472-6963
dc.identifier.urihttps://doi.org/10.1186/s12913-025-13104-x
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/105270
dc.information.autorucEscuela de Medicina; Varela Yuraszeck, Teresita Inés; S/I; 149031
dc.information.autorucDepartamento de Ciencias de la Salud; Salvatierra Matzner, Isidora; S/I; 222172
dc.information.autorucEscuela de Medicina; Téllez, Álvaro; 0000-0003-1667-6243; 99828
dc.information.autorucEscuela de Psicología; Martínez Pérez, Mayra Alicia; S/I; 146627
dc.information.autorucEscuela de Medicina; Huidobro, Diego G.; 0000-0003-1964-7640; 16671
dc.issue.numero1
dc.language.isoen
dc.nota.accesocontenido completo
dc.revistaBMC Health Services Research
dc.rightsacceso abierto
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectPreventive health check-up
dc.subjectScreening pathways
dc.subjectNon-communicable chronic diseases
dc.subjectPrimary care
dc.subjectHealth system performance
dc.subjectChile
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titlePerformance of a national primary care chronic disease screening strategy in Chile: a mixed-methods analysis
dc.typeartículo
dc.volumen25
sipa.codpersvinculados149031
sipa.codpersvinculados222172
sipa.codpersvinculados99828
sipa.codpersvinculados146627
sipa.codpersvinculados16671
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