Explicit health guarantees program for gastric cancer in chile: analysis of mortality and structural changes
DOI:
https://doi.org/10.31052/1853.1180.v29.n2.41798Keywords:
Gastric cancer, Public policy, Health plans and programs, Time series studies, ChileAbstract
Objective: To analyze the variation in gastric cancer mortality rates in Chile following the implementation of the Explicit Health Guarantees Program within the Chilean Healthcare System, from its introduction in 2006 to 2022.
Metodology: A quantitative, analytical, retrospective cross-sectional study was conducted. A secondary analysis of gastric cancer mortality rates between 2000 and 2022 was performed. The technique used involved time series analysis with structural changes, using Chow statistical test. All deaths with gastric cancer as the primary cause were included.
Results: A structural change in the time series of standardized mortality due to gastric cancer in the population was identified through annual observations from 2000 to 2022, with a Chow test = 25.62; p-value of 1.572e-5; at a significance level of 0.05. It was identified in the year 2012.
Conclusion: Following the implementation of the Explicit Health Guarantees Program in 2006, a structural change in mortality analysis was observed, specifically related to gastric cancer, in the year 2012. Screening, coverage, access, and health promotion measures contributed to the reduction in mortality between 2012 and 2022.
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Ministerio de Salud. Guías Clínicas AUGE-GES. [Internet]. Santiago: Ministerio de Salud; [actualizado en 2022; citado el 20 de junio de 2023]. Disponible en: https://www.minsal.cl/auge-ges/
Ministerio de Salud de Chile. Garantías Explícitas en Salud (GES). [Internet]. Santiago, Chile: Ministerio de Salud; c2021 [citado el 14 de junio de 2023]. Disponible en: https://www.minsal.cl/garantias-expl%C3%ADcitas-en-salud-ges/
Ley Número 19.966. Establece Garantías en Salud. Diario Oficial de la República de Chile. 29 de julio de 2004.
Figueroa-González G, López-Köstner F, Soto-Pérez JC, Ferreccio C. Gastric cancer in Chile: trends in incidence and mortality (1988-2006). Rev Med Chil. 2011;139(6):743-750. DOI: 10.4067/S0034-98872011000600005.
Ministerio de Salud. Vigilancia Epidemiológica del Cáncer en Chile: Informe 2018. Santiago: Ministerio de Salud; 2020.
Ministerio de Salud de Chile. Guía Clínica AUGE-GES de Cáncer Gástrico. Santiago: Ministerio de Salud; 2016.
World Health Organization. Global Health Observatory (GHO) data: Cancer. Geneva: World Health Organization. [Internet]. 2022. [citado el 14 de junio de 2023]. Disponible en: http://www.who.int
Csendes Atila, Figueroa Manuel. Situación del cáncer gástrico en el mundo y en Chile. Rev. Chil Cir [Internet]. 2017. [citado 27 de Junio de 2023]; 69(6): 502-507. Disponible en: http://dx.doi.org/10.1016/j.rchic.2016.10.014.
Chow GC. Tests of equality between sets of coefficients in two linear regressions. Econométrica. 1960;28(3):591-605.
Medina L Ernesto, Kaempffer R Ana M. Mortalidad del adulto en Chile. Rev. méd. Chile [Internet]. 2000 [citado 05 de junio de 2023]; 128(10): 1144-1149. Disponible en: http://dx.doi.org/10.4067/S0034-98872000001000011.
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