Inclusive health for people with disabilities in Chile: a national health system assessment

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dc.article.number22
dc.catalogadorpva
dc.contributor.authorRodríguez Gatta, Danae Harmonia
dc.contributor.authorPiriz Tapia, Constanza
dc.contributor.authorTagle Schmidt, Elvira
dc.contributor.authorLuna Benavides, Jimena Elvira
dc.contributor.authorVivar Jara, Daniel
dc.contributor.authorMoreno Celis, Rodrigo
dc.contributor.authorTobar Carrizo, Gonzalo
dc.contributor.authorVilaró Cáceres, Judit
dc.contributor.authorHeydt, Phyllis
dc.contributor.authorBanks, Lena M.
dc.contributor.authorKuper, Hannah
dc.date.accessioned2025-03-24T16:33:40Z
dc.date.available2025-03-24T16:33:40Z
dc.date.issued2025
dc.date.updated2025-02-23T01:04:14Z
dc.description.abstractBackground Globally, one in six people have disabilities. They often experience health inequities and many of them arise from system-level failures. This study aimed to assess the inclusion of people with disabilities in the health system of Chile and define recommendations for improvement on the basis of the evidence. Methods A health system assessment was conducted between June and November 2023 following the Missing Billion Disability-Inclusive Health Systems Framework and System Level Assessment Toolkit. The assessment was led by the Ministry of Health and conducted by a task team, including organizations of people with disabilities. Mixed methods were used to collect data on nine system-level and service delivery components for a set of 33 indicators, including through a health policy review, systematic review, key informant interviews and a scoping review. Scores were assigned to indicators, components and the overall health system. With this assessment, key recommendations were developed and agreed upon on the basis of a prioritization analysis of impact and feasibility during workshops. Results The Chilean health system was assessed to have a low progress towards disability-inclusive health. Among system-level components, intermediate progress has been made in governance, health financing and data and evidence. However, progress in leadership on disability seems low. Among service delivery components, the accessibility of health facilities and rehabilitation and assistive technology showed the best results. However, there were notable gaps in the autonomy and awareness and ability to afford care by people with disabilities, and the capacity of human resources to support this group. The task team defined priority actions in governance, leadership, and human resources. Conclusions Short-term actions for the country should involve foundational governance on inclusive health, strengthened leadership of people with disabilities, and mandatory training of healthcare workers to improve healthcare access among this population. Future reassessments should be conducted to monitor and evaluate progress on effective healthcare coverage and health status among people with disabilities.
dc.fechaingreso.objetodigital2025-02-23
dc.format.extent17 páginas
dc.fuente.origenBiomed Central
dc.identifier.citationHealth Research Policy and Systems. 2025 Feb 20;23(1):22
dc.identifier.doi10.1186/s12961-024-01241-4
dc.identifier.issn1478-4505
dc.identifier.urihttps://doi.org/10.1186/s12961-024-01241-4
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/102961
dc.information.autorucS/I; Rodríguez Gatta, Danae Harmonia; S/I; 1084538
dc.information.autorucEscuela de Ingeniería; Luna Benavides, Jimena Elvira; S/I; 211317
dc.issue.numero1
dc.language.isoen
dc.nota.accesocontenido completo
dc.revistaHealth Research Policy and Systems
dc.rightsacceso abierto
dc.rights.holderThe Author(s)
dc.rights.licenseAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectHealth policy and systems research
dc.subjectPeople with disabilities
dc.subjectDisability-inclusive health
dc.subjectChile
dc.subject.ddc300
dc.subject.deweyCiencias socialeses_ES
dc.subject.ods16 Peace, justice and strong institutions
dc.subject.odspa16 Paz, justicia e instituciones solidas
dc.titleInclusive health for people with disabilities in Chile: a national health system assessment
dc.typeartículo
dc.volumen23
sipa.codpersvinculados1084538
sipa.codpersvinculados211317
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