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Análisis de la gobernanza en la implementación del modelo comunitario de salud mental en Chile

Bibliographic Data

ID14968734
AuthorsAlberto Minoletti (University of Chile, corresponding author), Rafael Sepúlveda (University of Chile), Rafael Sepúlveda Jara (0000-0003-2816-9724), Mauricio Gómez (Subsecretaría de Salud Pública, Ministerio de Salud, Gobierno de Chile, Santiago, Chile.), Olga Toro (University of Chile), Matías Irarrázabal (Hospital Clínico de la Universidad de Chile), Rose Diaz (0000-0002-1709-5806, Subsecretaría de Redes Asistenciales, Ministerio de Salud, Gobierno de Chile, Santiago, Chile.), Rodrigo Diaz (0000-0001-8046-2229, Subsecretaría de Redes Asistenciales, Ministerio de Salud, Gobierno de Chile, Santiago, Chile), Rodrigo Dı́az (0000-0003-2112-4996, Pan American Health Organization (Cuba)), Viviana Hernandez (0000-0003-4890-3519, Subsecretaría de Salud Pública, Ministerio de Salud, Gobierno de Chile, Santiago, Chile.), Susana Chacón (Subsecretaría de Redes Asistenciales, Ministerio de Salud, Gobierno de Chile, Santiago, Chile.)
Year2018
Volume42
Pagese131-e131
Publication date2018-01-01
Open AccessYes
TypeARTICLE
VenueRevista Panamericana de Salud Pública (JOURNAL)
Journal identifiersISSN: 1020-4989 • E-ISSN: 1680-5348
PublisherPan American Health Organization (PUBLISHER • US)
DOI10.26633/rpsp.2018.131
PMID31093159
OpenAlexW2893437276
LanguageES
Citations received8
References cited12

This article describes and analyzes the role of governance in the development of the Chilean community mental health model. It describes and analyzes five dimensions of governance: 1) the implementation of a series of strategies to encourage the participation of users of mental health services has yielded limited results; 2) the implementation of three national mental health plans with the same strategic vision over the course of three decades has helped increase access to community care for people with mental illness and diminish the role of psychiatric hospitals; 3) the lack of a mental health law remains a challenge, although a series of laws and decrees has partially compensated for this; 4) financial resource allocation regulations, human resources education, and technical guidelines have helped improve access and the quality of care; and 5) the gradual development of a mental health information system has provided knowledge, primarily on access rates, treatment gaps, and geographical inequities. The Chilean experience confirms the importance of implementing a set of governance strategies and mechanisms to promote the development and operation of mental health services. The type of governance strategies and mechanisms can vary from country to country, depending on the context and windows of opportunity

Business · Context (archaeology · Corporate governance · Economics · Geography · Latin Americans · Mental health · Mental health care · Political science · Psychiatry · Quality (philosophy · Welfare economics · Law · Medicine · Mental Health Treatment and Access · Psychology Research and Bibliometrics · Public Health and Social Inequalities · Finance

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Citations per year1.33
Citation span2020 - 2026 (7)
Highly citedNo

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