Health Care : Current Reviews

Identification of inequality in territorial distribution of primary care physicians and their relationship with community health indicators in Chile

2^nd Annual Congress and Medicare Expo on Primary Care & General Pediatrics

September 19-20, 2016 Phoenix, USA

German Camilo Bass Del Campo

University of Chile, Chile

Posters & Accepted Abstracts: Health Care: Current Reviews

Abstract:

Introduction: Chile does not have a national policy for human resources of primary healthcare and parameters, which causes its equitable distribution and therefore, the necessary impact on community health for various populations cannot obtained. Objectives: Aim of this study is to analyze the spatial distribution of primary care physicians in the communes of Chile and to estimate the association between the rate of medical hours per commune and some indicators of community health. Methods: An ecological design type of comparison group was used. The distribution of the availability of medical community hours was determined. A correlation analysis was performed to estimate the association between the rate of doctors and some indicators of processes and health outcomes. Finally, the distribution of medical hours every 10,000 persons for overall adjusted mortality rate is modeled. Results: We show that the territorial distribution of physicians is uneven: an average of 3.11 days equivalent rate per 10,000 people in the large communes, and 2.23 for small communities is observed. In the correlation analysis, there is a statistically significant association with most of the outcome variables. In addition, an inverse relationship, which would imply a 20% decrease in overall mortality rate adjusted for each increase in a day equivalent per 10,000 people is observed. Conclusions: The uneven territorial distribution of primary care physicians in Chile is necessary to advance the construction of a national policy to improve the quality of care that is provided to the community with high levels of resoluteness and user satisfaction.

Biography :

Germán Camilo Bass Del Campo is a Specialist in Family Medicine at the University of Concepcion, Master of Public Health and Health Administration of the Catholic University of Chile. He is the past President and current Secretary General of the National Association of Primary Care Physicians of Chile and Professor at the School of Public Health at the University of Chile. He also works in a Center for Primary Health Care Public Health System Chile.

Email: camilobass@gmail.com