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Overuse of Health Care in the Emergency Services in Chile

Author

Listed:
  • Ximena Alvial

    (Departamento de Ingeniería Industrial, Universidad de Santiago de Chile, Santiago 9170124, Chile)

  • Alejandra Rojas

    (Escuela de Obstetricia y Puericultura, Universidad de Santiago de Chile, Santiago 9170022, Chile)

  • Raúl Carrasco

    (Facultad de Ingeniería, Ciencia y Tecnología, Universidad Bernardo O’Higgins, Santiago 8370993, Chile
    Facultad de Ingeniería, Universidad Andres Bello, Santiago 7500971, Chile)

  • Claudia Durán

    (Departamento de Ingeniería Industrial, Universidad Tecnologica Metropolitana, Santiago 7800002, Chile)

  • Christian Fernández-Campusano

    (Departamento de Ingenierías Multidisciplinares, Universidad de Santiago de Chile, Santiago 9170022, Chile)

Abstract

The Public Health Service in Chile consists of different levels of complexity and coverage depending on the severity and degree of specialization of the pathology to be treated. From primary to tertiary care, tertiary care is highly complex and has low coverage. This work focuses on an analysis of the public health system with emphasis on the healthcare network and tertiary care, whose objectives are designed to respond to the needs of each patient. A review of the literature and a field study of the problem of studying the perception of internal and external users is presented. This study intends to be a contribution in the detection of opportunities for the relevant actors and the processes involved through the performance of Triage. The main causes and limitations of the excessive use of emergency services in Chile are analyzed and concrete proposals are generated aiming to benefit clinical care in emergency services. Finally, improvements related to management are proposed and the main aspects are determined to improve decision-making in hospitals, which could be a contribution to public health policies.

Suggested Citation

  • Ximena Alvial & Alejandra Rojas & Raúl Carrasco & Claudia Durán & Christian Fernández-Campusano, 2021. "Overuse of Health Care in the Emergency Services in Chile," IJERPH, MDPI, vol. 18(6), pages 1-18, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:3082-:d:518769
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    References listed on IDEAS

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    3. Jolanta Klukowska-Röetzler & Maria Eracleous & Martin Müller & David S. Srivastava & Gert Krummrey & Osnat Keidar & Aristomenis K. Exadaktylos, 2018. "Increased Urgent Care Center Visits by Southeast European Migrants: A Retrospective, Controlled Trial from Switzerland," IJERPH, MDPI, vol. 15(9), pages 1-13, August.
    4. Gema Ibanez-Sanchez & Carlos Fernandez-Llatas & Antonio Martinez-Millana & Angeles Celda & Jesus Mandingorra & Lucia Aparici-Tortajada & Zoe Valero-Ramon & Jorge Munoz-Gama & Marcos Sepúlveda & Eric R, 2019. "Toward Value-Based Healthcare through Interactive Process Mining in Emergency Rooms: The Stroke Case," IJERPH, MDPI, vol. 16(10), pages 1-22, May.
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    Cited by:

    1. Juan Coss-Mandiola & Jairo Vanegas-López & Alejandra Rojas & Pablo Dubó & Maggie Campillay-Campillay & Raúl Carrasco, 2023. "Accreditation of Quality in Primary Health Care in Chile: Perception of the Teams from Accredited Family Healthcare Centers," IJERPH, MDPI, vol. 20(3), pages 1-16, January.
    2. Hugo O. Garcés & Claudia Durán & Eduardo Espinosa & Alejandro Jerez & Fredi Palominos & Marcela Hinojosa & Raúl Carrasco, 2022. "Monitoring of Thermal Comfort and Air Quality for Sustainable Energy Management inside Hospitals Based on Online Analytical Processing and the Internet of Things," IJERPH, MDPI, vol. 19(19), pages 1-23, September.
    3. Maggie Campillay-Campillay & Ana Calle-Carrasco & Pablo Dubo & Jorge Moraga-Rodríguez & Juan Coss-Mandiola & Jairo Vanegas-López & Alejandra Rojas & Raúl Carrasco, 2022. "Accessibility in People with Disabilities in Primary Healthcare Centers: A Dimension of the Quality of Care," IJERPH, MDPI, vol. 19(19), pages 1-14, September.
    4. Juan Coss-Mandiola & Jairo Vanegas-López & Alejandra Rojas & Raúl Carrasco & Pablo Dubo & Maggie Campillay-Campillay, 2022. "Characterization of Communes with Quality Accredited Primary Healthcare Centers in Chile," IJERPH, MDPI, vol. 19(15), pages 1-13, July.

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