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A resilient health system? Well-child visits before and after COVID-19 in Chile
Indexado
WoS WOS:001454513300001
Scopus SCOPUS_ID:105001262512
DOI 10.3389/FPED.2025.1497358
Año 2025
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Introduction Childhood is a critical period where access to medical controls and health policies can severely affect health equity.Objectives Analyzed to subnational Chile health system's resilience in the face of the COVID-19 pandemic regarding child health. The focus of the research was to assess the performance of Chile Crece Contigo's social policy, specifically the Well-Child Visit Program, which provides health checks to one million children annually through the primary health network.Methods Using a subnational post-pandemic recovery rate, a regression analysis with municipal controls was performed to observe recovery facilitators. A percentage based on the total child population was obtained for the commune of each country and year of study (2015-2022). Data was collected from the Monthly Statistical Reports (REM) of the Ministry of Health, the Socioeconomic Characterization Survey (CASEN), and the National Institute of Statistics of Chile (INE).Results Recovery rate at the national level was -3.2%. However, when examining the subnational reality, it was found that 66% of Chilean municipalities are unable to reach pre-pandemic figures and are also territorially concentrated in certain regions of the country. The analysis revealed that municipalities with the worst recovery rate results had negative health expenditure per population.Conclusions Examining this phenomenon through a subnational lens invites contemplation on the importance of contextualizing it within the theoretical framework of health system resilience. The child health system's capacity must build knowledge based on developing public policies, governance, financing, and coordination in the territories to overcome the crisis.

Revista



Revista ISSN
Frontiers In Pediatrics 2296-2360

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Disciplinas de Investigación



WOS
Pediatrics
Scopus
Sin Disciplinas
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Acevedo, Carolina - Universidad Católica de Temuco - Chile

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Financiamiento



Fuente
Fondo Nacional de Desarrollo Científico y Tecnológico
Fondo Nacional de Desarrollo Cientifico y Tecnilogico (FONDECYT)

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Agradecimientos



Agradecimiento
The author(s) declare that financial support was received for the research and/or publication of this article. Fondo Nacional de Desarrollo Cientifico y Tecnilogico (FONDECYT) N degrees 11230798.
The author(s) declare that financial support was received for the research and/or publication of this article. Fondo Nacional de Desarrollo Cientifico y Tecnilogico (FONDECYT) N\u00B011230798.

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