世界卫生组织初级卫生保健特别方案的评价：智利案例研究

Chile case study Evaluation of the WHO Special Programme on Primary Health Care: Chile case study ISBN978-92-4-010746-5(electronic version)ISBN978-92-4-010747-2 (print version) © World Health Organization 2025 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0IGOlicence (CCBY-NC-SA3.0IGO;https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, providedthework is appropriately cited, as indicated below. In any use of this work, thereshould be no suggestion that WHO endorsesany specific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then youmust license your work under the same or equivalent Creative Commons licence. If you createa translation of this work, youshould add the following disclaimer along with the suggested citation:“This translation was not created by the World HealthOrganization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English editionshall be the binding and authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of theWorld Intellectual Property Organization (http://www.wipo.int/amc/en/mediation/rules/). Suggested citation.Evaluation of the WHO Special Programme on Primary Health Care: Chile case study. Geneva: WorldHealth Organization;2025. Licence:CCBY-NC-SA3.0IGO. Cataloguing-in-Publication (CIP) data.CIP data are available athttp://iris.who.int. Sales, rights and licensing.To purchase WHO publications, seehttps://www.who.int/publications/book-orders. To submitrequests for commercial use and queries on rights and licensing, seehttps://www.who.int/copyright. Third-party materials.If you wish to reuse material from this work that is attributed to a third party, such as tables, figuresor images, it is your responsibility to determine whether permission is needed for that reuse and toobtain permission from thecopyright holder. The risk of claims resulting from infringement of any third-party-owned component in the work rests solelywith the user. General disclaimers.The designations employed and the presentation of the material in this publication do not imply theexpression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area orof its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps representapproximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed orrecommended by WHO in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, thenames of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by WHO to verify the information contained in this publication. However, thepublished material is being distributed without warranty of any kind, either expressed or implied. The responsibility for theinterpretation and use of the material lies with the reader. In no event shall WHO be liable for damages arising from its use. In line with theWHO Evaluation Policy 2018(EB143(9)), this publication contains an independent evaluation report by theWHO Evaluation Office. It does not reflect the views or policies of WHO. WHO/DGO/EVL/2024.5 Contents Acronymsiv 1.Purpose1 2.Methods and approach1 3.2Pan American Health Organization/WHO Country Office Chile structure, strategy and workstreams in relationto health systems, Primary Health Care approach and Universal Health Coverage53.3 Direct support received by Chile from the WHO Special Programme on Primary Health Care since 20207 4. Key findings 4.1 Design of the WHO Special Programme on Primary Health Care–Relevance and coherence84.2 Implementation–Efficiency and effectiveness of the Special Programme on Primary Health Care114.3 Gender, equity and human rights considerations144.4 Lessons learned and best practices related to advancing selected Primary Health Care levers in Chile14 5.Conclusions and opportunities for future Special Programme on Primary Health Care support to Chile17 5.1 Conclusions175.2 Opportunities for the Special Programme on Primary Health Care to support Chile’s Primary Health Careagenda18 6. References 7. Annexes List of tables Table 1: Chile country profile3Table 2 Overview of SP-PHC financial support to Chile 2020–2023 via the UHC-P13 Acronyms APSAtención Primaria de SaludFONASAFondo Nacional de Salud (NationalHealth Fund)GNIgross national incomeGPWGeneral Programme of WorkISAPRESInstituciones de Salud Previsional (private insuranceinstitutions)KIskey informantsKIIskeyinformant interviewsMAISModelo de Atención Integral en salud (In