WINTER TERM IN CHILE Thomas Bossert, Ph.D. September 5, 2017 Field - - PowerPoint PPT Presentation

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