Page 177 - GHES-2-4

Global Health Economics and
Sustainability
Evaluation of mental health law in Chile

Table 13. Curative sick leaves processed (N and %) by ICD‑10 group and type of resolution in 2022
ICD‑10 group Processed Authorized Rejected Reduced % Authorized % Rejected and reduced
N % N % N % N %
A00 – B99 79,512 4.2 66,683 5.8 5,455 1.3 7,374 2.5 83.9 16.1
C00 – D48 42,473 2.3 32,322 2.8 6,420 1.5 3,731 1.3 76.1 23.9
COVID 260,490 13.9 239,500 20.9 14,209 3.3 6,781 2.3 91.9 8.1
D50 – D89 1,792 0.1 1,098 0.1 415 0.1 279 0.1 61.3 38.7
E00 – E90 10,653 0.6 7,415 0.6 1,523 0.4 1,715 0.6 69.6 30.4
F00 – F99 457,038 24.4 91,519 8.0 253,366 58.2 112,153 38.5 20.0 80.0
G00 – G99 51,899 2.8 31,763 2.8 12,518 2.9 7,618 2.6 61.2 38.8
H00 – H59 20,018 1.1 14,878 1.3 2,403 0.6 2,737 0.9 74.3 25.7
H60 – H95 19,516 1.0 13,257 1.2 2,719 0.6 3,540 1.2 67.9 32.1
I00 – I99 26,687 1.4 17,897 1.6 5,182 1.2 3,608 1.2 67.1 32.9
J00 – J99 237,813 12.7 184,244 16.0 18,440 4.2 35,129 12.1 77.5 22.5
K00 – K93 105,581 5.6 85,438 7.4 8,171 1.9 11,972 4.1 80.9 19.1
L00 – L99 12,271 0.7 8,416 0.7 1,820 0.4 2,035 0.7 68.6 31.4
M00 – M99 232,099 12.4 114,116 9.9 60,732 14.0 57,251 19.7 49.2 50.8
N00 – N99 45,829 2.4 33,861 2.9 4,573 1.1 7,395 2.5 73.9 26.1
O00 – O99 32,247 1.7 22,427 2.0 5,823 1.3 3,997 1.4 69.5 30.5
Other diagnoses 76,710 4.1 72,674 6.3 3,083 0.7 953 0.3 94.7 5.3
P00 – P96 301 0.0 207 0.0 49 0.0 45 0.0 68.8 31.2
Q00 – Q99 2,573 0.1 1,671 0.1 592 0.1 310 0.1 64.9 35.1
R00 – R99 36,755 2.0 26,892 2.3 5,066 1.2 4,797 1.6 73.2 26.8
S00 – T98 115,680 6.2 76,972 6.7 21,539 5.0 17,169 5.9 66.5 33.5
V01 – Y98 3,034 0.2 2,439 0.2 314 0.1 281 0.1 80.4 19.6
Z00 – Z99 3,486 0.2 2,794 0.2 564 0.1 128 0.0 80.1 19.9
Source: Superintendence of Health, Sick Leaves Master File.

(compared to those with restricted coverage) increase in 5.6 pp. For 2022 (Tables A8 and A9), more plans with
the coverage of MH consultations compared to 2021. In restricted coverage are used, with high coverage in
contrast, higher average coverage is observed in plans Colmena, especially for women.
without restricted coverage than those with restricted Concerning curative sick leave, in 2021 (Table A10), the
coverage. In plans without coverage constraints, psychiatry proportion of women on sick leave for mental disorders is
consultations (adult and pediatric) show higher coverage always higher than that of men in sick leaves processed,
for women (excluding clinical psychology).
authorized, rejected, and reduced. In 2022 (Table A11), the
By 2022, medical consultations by telemedicine (Tables same phenomenon occurs. Nonetheless, the proportion of
A5 and A6) plans without restricted coverage show an women in sick leaves processed, authorized, rejected, and
increase in the coverage of consultations by MH in 2021 reduced increased, where the more significant growth in
compared to plans with restricted coverage. The increase rejected sick leaves stands out.
in coverage is not as significant in favor of women as in the
case of face-to-face consultations, suggesting that coverage 4. Discussion
is always higher for men (by a minimal difference of 0.6 In terms of its financing system, enacting the new 21,331
pp) in MH consultations by telemedicine (except for adult law establishes a premise that makes perfect sense from the
psychiatry teleconsultations). UHC perspective: MH and physical health services must
For 2021, the most critical MH bed day (Table A7) in have the same financial coverage, eliminating the coverage
expenditure (psychiatry hospitalization bed day) shows constraints that existed in the health plans of Chile’s private
a lower financial coverage for women of approximately health-care system. The new law effectively sells new health

Volume 2 Issue 4 (2024) 11 https://doi.org/10.36922/ghes.3408