Chile Region

Medium HALE and Life Expectancy
High Gap between HALE and Life Expectancy

Final Longevity Progressiveness Ranking:#29

Final Longevity Progressiveness Score: 0.636

Practical Recommendation Summary: In order to improve public health and increase HALE policy should response to the obesity epidemic. Government of Chile should take actions for further development of epidemiological surveillance, costing strategy, stronger data governance.

Practical Recommendations (Full):
● Promotion a healthy lifestyle. Alcohol consumption, junk food, smoking are a challenge for the government and local Health Authorities, as those behavioural factors are factors that contribute to increase in the level of chronic diseases and increase the probability of premature death. The promotion of a healthy lifestyle with initialisation of programmes targeted on the reduction of the harmful impact of bad habits on the health status.
● Providing additional programmes for monitoring and managing epidemics. Hot climate and the existence of certain types of insects can bring epidemics. Establishment of modern laboratories with up-to-date equipment is one of the initiatives that can be undertaken to solve this critical issue.
● Improve engagement of the population in the process of healthcare to increase health awareness. People are not so concerned about their health status, which can be a consequence of low development of health screening and preventive medicine.
● Providing additional insurance for the unsecured layers of the population. Socioeconomic inequality results in inequalities in life expectancy across different regions and population groups in Chile. Affordable private insurance and high costs on specific treatments and medicine lead to worsening of public health.
● Even distribution of medicines and progressive equipment among the regions. It is a well known Chilean problem with the irrational distribution of drugs, other pharmaceutical products and healthcare facilities. Search for progressive ways of treatments and drug discovery can help doctors and specialist to provide advanced services to boost the population’s health status. Financing of R&D and utilizing 3D-printing, cloud data storage, eHealth can make medications more effective and accessible.

SWOT Analysis

Strengths:
● Chile has a complex two-level system that consists of the public level that provides a basic set of services that can’t be paid by some layers of the population and private insurances schemes.
● Relatively low level of cigarette consumption.
● The system also provides additional immunization and the supplementary food programme.
● Public sector covers 76.3% of the population that is a relatively good indicator.
● People usually spend 5% of income on health that is not dramatic.

Weaknesses:
● At present, the health system is fragmented concerning both financing and delivery of services, with unequal availability of resources for serving.
● Out-of-pocket spending are high, 38% of total health expenditures.
● The quality of healthcare in Chile is unsustainable and vary regionally.
● Modern equipment is only in hospitals in big cities, remote area is less supplied.
● State hospitals are usually crowded with long waiting periods.

Opportunities:
● Medical treatment is affordable and of high-quality in both private and public sectors for residents and expats.
● The quality of medicine in big cities is high.
● Private hospitals provide a standard of care with good equipment and well-trained, usually, overseas, staff.
● Public costs can be partly put in reimbursement of spendings on drugs.
● Improved hygiene and sanitation conditions, universal hospital delivery coverage, the creation of outpatient care facilities and a decrease in diseases.

Threats:
● The country has a rugged and mountainous topography and is vulnerable to natural disasters, such as earthquakes and tsunamis.
● Ageing population.
● Poverty and low level of disposable income: 4% of the population faced the necessity to spend 30% of income on the treatments
● Climate and flora and fauna can be the reason for epidemics - diseases that can take a lot of life - so vaccination is an issue.
● Neoplasms and diseases of the circulatory system are key reasons for death in older ages.

SWOT Conclusions

Strengths Analysis:
● The life expectancy is high - 79,1 year as a result of the compound impact of the decrease in child mortality, increase in healthcare coverage, development infrastructure, and technological advancement in medical treatment.
● Alcohol consumption among adults is lower than the OECD average.
● Starting from 2005 there was set a benefit basket under the public healthcare system that is guaranteed by the government.
● Chile’s healthcare system is accessible in case of provision of the basic set of services.
● Chile’s healthcare system is robust and functioning well enough.
● Chile’s government implement programmes starting from school interventions and ending with labeling food.

Weaknesses Analysis:
● There is a negative trend in rising alcohol consumption
● Male smoking in Chile is higher than female smoking, 28.2% of Chilean males 20.9% of Chilean females were daily smokers in 2016.
● The low rate of screening in obesity, cardio and cancer situation that brings high mortality from this factors.
● Decreasing share of the older age group in age structure.
● Limited access to healthcare services in remote areas causes a disparity in healthcare status and self-reported well being across the country
● Unmet public check-up goals: in 2016 21.1% of the population received an adult blood glucose tests check, still not meeting the 25% goal for coverage.
● Chile is vulnerable to a wide range of severe natural disasters such as earthquakes, air pollution and wastes.