Disparity in access to orthopedic surgery between public and private healthcare insurance: a nationwide population-based study

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dc.article.number458
dc.catalogadorpva
dc.contributor.authorLira Salas, María Jesús
dc.contributor.authorPino Pommer, Paula
dc.contributor.authorVidal Olate, Catalina Victoria
dc.contributor.authorMery I., Pamela
dc.contributor.authorIrarrázaval, Sebastián
dc.contributor.authorCerda, Jaime
dc.contributor.authorVergara Leyton, Jorge
dc.date.accessioned2025-05-16T15:16:40Z
dc.date.available2025-05-16T15:16:40Z
dc.date.issued2025
dc.date.updated2025-05-11T00:04:14Z
dc.description.abstractBackground This study aimed to evaluate if access to orthopedic surgery differs by healthcare coverage in a country with a dual healthcare system adjusted by age, sex, and urgent and elective conditions. We hypothesize that differential access would exist according to the type of healthcare coverage. This difference would accentuate when analyzing access to elective orthopedic surgery. Methods A cross-sectional, population-based design was used to investigate orthopedic surgery rates in Chile in 2018. The rates of orthopedic surgeries provided under the private and public healthcare systems were calculated per 1,000 inhabitants based on data collected from the Hospital Discharge Registry provided by the Chilean Ministry of Health. ICD-10 diagnoses were classified as urgent or elective, categories into which the public/private surgery rates were also sorted. Results The overall rate of orthopedic surgery was 7.54 per 1000 inhabitants in 2018. Patients covered under private insurance had an orthopedic surgery rate 2.23 times higher than patients within the public system (p-value < 0.001). This difference became more accentuated when sorting by elective surgeries, with private healthcare having a rate 2.97 times higher than public healthcare (p-value < 0.001). In the multivariate analysis, significant differences were observed in the rates of orthopedic surgery, being higher in the private system, elective surgeries, and older adults. No significant differences were observed according to sex (p-value 0.270). Conclusions In Chile, access disparity to orthopedic surgical care existed between private and public healthcare systems, elective surgeries, and older age groups. Disparity in access became greater when separately analyzing the rates of elective and urgent orthopedic surgeries. Level of evidence III.
dc.fechaingreso.objetodigital2025-05-11
dc.format.extent6 páginas
dc.fuente.origenBiomed Central
dc.identifier.citationBMC Musculoskeletal Disorders. 2025 May 10;26(1):458
dc.identifier.doi10.1186/s12891-025-08295-7
dc.identifier.issn1471-2474
dc.identifier.urihttps://doi.org/10.1186/s12891-025-08295-7
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/104338
dc.information.autorucEscuela de Medicina; Lira Salas, María Jesús; 0000-0001-8512-1052; 195663
dc.information.autorucEscuela de Medicina; Pino Pommer, Paula; 0000-0001-8626-926X; 156255
dc.information.autorucEscuela de Medicina; Vidal Olate, Catalina Victoria; 0000-0002-4700-7360; 224002
dc.information.autorucEscuela de Medicina; Mery I., Pamela; S/I; 1010281
dc.information.autorucEscuela de Medicina; Irarrázaval, Sebastián; 0000-0002-1215-1709; 12853
dc.information.autorucEscuela de Medicina; Cerda, Jaime; 0000-0003-3463-8304; 3935
dc.information.autorucEscuela de Medicina; Vergara Leyton, Jorge; S/I; 66502
dc.issue.numero1
dc.language.isoen
dc.nota.accesocontenido completo
dc.publisherSpringer Nature
dc.revistaDisparity in access to orthopedic
dc.rightsacceso abierto
dc.rights.holderThe Author(s)
dc.rights.licenseAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectDisparity
dc.subjectOrthopedic surgery
dc.subjectHealthcare insurance
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleDisparity in access to orthopedic surgery between public and private healthcare insurance: a nationwide population-based study
dc.typeartículo
dc.volumen26
sipa.codpersvinculados195663
sipa.codpersvinculados156255
sipa.codpersvinculados224002
sipa.codpersvinculados1010281
sipa.codpersvinculados12853
sipa.codpersvinculados3935
sipa.codpersvinculados66502
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