Inequalities in the Age of Universal Health Coverage

Young Chileans with Diabetes Negotiating for Their Right to Health

Bibliographic Data

ID7885389
AuthorsMarcela González‐agüero (0000-0002-0738-4399, School of Nursing Pontificia Universidad Católica de Chile, corresponding author), Richard Chenhall (0000-0002-0943-0483, Melbourne School of Population and Global Health The University of Melbourne), Prabhathi Basnayake (Nossal Institute for Global Health, Melbourne School of Population and Global Health The University of Melbourne), Cathy Vaughan (0000-0003-3988-8222, Gender and Women's Health Unit, Melbourne School of Population and Global Health The University of Melbourne)
Year2020
Volume34
Issue2
Pages210-226
Publication date2020-06-01
Open AccessYes
TypeARTICLE
VenueMedical Anthropology Quarterly (JOURNAL)
Journal identifiersISSN: 0745-5194 • E-ISSN: 1548-1387
PublisherWiley (PUBLISHER • GB)
DOI10.1111/maq.12555
PMID31637732
OpenAlexW2981441912
LanguageEN
Citations received2
References cited34

While universal health coverage (UHC) has been praised as a powerful means to reduce inequalities and improve access to health globally, little has been said about how patients experience and understand its implementation locally. In this article, we explore the experiences of young Chileans with type 1 diabetes when seeking care in Santiago, within Chile's UHC program, which sought to improve people's access to health care. We argue that the implementation of UHC, within a structurally fragmented health system, did not lead to the promised equitable health care delivery. Although UHC aimed to equitably provide universal care, locally it materialized in heterogeneous configurations forcing individuals into positions of precarity and generating new inequalities. Furthermore, for the young people in the study, UHC intersected with their health insurance and socioeconomic status, impacting on the health care they could access, consequently making diabetes care and management a difficult challenge

Economic growth · Economics · Environmental health · Health care · Health equity · Inequality · Negotiation · Population · Precarity · Right to health · Social science · Socioeconomic status · Sociology · Chronic Disease Management Strategies · Diabetes Management and Education · Gender Studies · Healthcare Systems and Reforms · Medicine

Tools

Open DOISci-Hub