WINTER TERM IN CHILE Thomas Bossert, Ph.D. September 5, 2017
Field Study on Health Systems and Family Medicine • Chile has important innovations to study: • Current issues in health systems and health reform and politics • Implementation of family medicine, public private partnerships; hospital services in private and public sectors, incorporating indigenous populations • Chileans join the course : • 3-8 residents in family medicine at Universidad Católica • Faculty members from Universidad Concepción • HSPH alumni
Innovations in Health System Policies • National Health Insurance and Universal Coverage • Innovative approach to priority setting and benefits packages (AUGE) • Politics of changing policies including a visit to the Congress in Valparaiso and meeting with the Health Commission members.
Innovations in Implementing Policies • Public Private Partnerships (ANCORA clinics – now a Harvard Business School case) • How municipal governments manage the decentralized primary care systems in urban and rural settings. • The challenges of implementing a “family medicine” approach in primary care clinics • The challenges of both public and private hospitals in Santiago • The challenges in rural health care in the Aconcagua Valley, including innovative program with indigenous population (Mapuche)
Interviews and Field Visits • We will interview with key officials: • The current Minister and other officials of Ministry of Health and Superintendencia • Association of physicians • Association of private clinics and hospitals • Academic observers and researchers from key university programs • Visits to : • Congress in Valparaiso • Municipal governments • Clinics (ANCORA and others) and hospitals in urban and rural areas.
Practicum and Independent Projects • One week of independent work individually or in groups (sometimes with Chilean Residents in Family Medicine) • Can be used for the practicum requirement for MPH or independent study • Many topics are available: • Family medicine programs • Tobacco legislation • Obesity problems and policies • Evaluation of public private partnerships • Politics of health policies • Decentralization and municipal services • Your special interest applied to Chilean reality
This is a special year! • This is the 15th Anniversary Year of the course • We plan to have a reunion here at HSPH for students who have been on earlier courses to meet together and with the new class. • In Chile we will also have a reunion with the Chilean residents who attended earlier courses. • This is a Presidential election year and if no one wins a majority in November then the runoff will be decided when we are in Chile.
Summer in Winter Term • January in Chile is like July in US Hiking in the Andes
Santiago • Beautiful historic city with parks, Spanish and Paris-like architecture but also “Sanhatten” skyscrapers and bohemian district of nightclubs • Safest city in the Americas • Close to Viña del Mar sea coast • Nearby vineyards with wine tasting and tours
Spanish? Costs? • Spanish? • Not a requirement! • Many sessions are in English • Will try to have at least half the class with good Spanish to help in translation and will do sequential translations if needed. • Costs? • Flight – $1000 – 1300 (subsidized at about $200) • Hotel – @ $25-35/ night (2 sharing rooms) (subsidized at $100 per week) • Food – comparable to Boston • $300 deposit used for buses for long trips, one weekly dinner together, and gifts to people who help us a lot • Dates: January 2-19, 2018
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