Inequalities in the Age of Universal Health Coverage: Young Chileans with Diabetes Negotiating for Their Right to Health

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dc.contributor.authorGonzalez-Aguero, Marcela
dc.contributor.authorChenhall, Richard
dc.contributor.authorBasnayake, Prabhathi
dc.contributor.authorVaughan, Cathy
dc.date.accessioned2025-01-23T19:57:20Z
dc.date.available2025-01-23T19:57:20Z
dc.date.issued2020
dc.description.abstractWhile universal health coverage (UHC) has been praised as a powerful means to reduce inequalities and improve access to health globally, little has been said about how patients experience and understand its implementation locally. In this article, we explore the experiences of young Chileans with type 1 diabetes when seeking care in Santiago, within Chile's UHC program, which sought to improve people's access to health care. We argue that the implementation of UHC, within a structurally fragmented health system, did not lead to the promised equitable health care delivery. Although UHC aimed to equitably provide universal care, locally it materialized in heterogeneous configurations forcing individuals into positions of precarity and generating new inequalities. Furthermore, for the young people in the study, UHC intersected with their health insurance and socioeconomic status, impacting on the health care they could access, consequently making diabetes care and management a difficult challenge.
dc.fuente.origenWOS
dc.identifier.doi10.1111/maq.12555
dc.identifier.eissn1548-1387
dc.identifier.issn0745-5194
dc.identifier.urihttps://doi.org/10.1111/maq.12555
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/100734
dc.identifier.wosidWOS:000496554200001
dc.issue.numero2
dc.language.isoen
dc.pagina.final226
dc.pagina.inicio210
dc.revistaMedical anthropology quarterly
dc.rightsacceso restringido
dc.subjectuniversal health coverage
dc.subjecthealth insurance
dc.subjecthealth reform
dc.subjectchronic illness
dc.subjectethnography
dc.subject.ods03 Good Health and Well-being
dc.subject.ods05 Gender Equality
dc.subject.odspa03 Salud y bienestar
dc.subject.odspa05 Igualdad de género
dc.titleInequalities in the Age of Universal Health Coverage: Young Chileans with Diabetes Negotiating for Their Right to Health
dc.typeartículo
dc.volumen34
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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