Page 179 - GHES-2-4

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

an increased coverage in plans without coverage constraints References
in MH concerning those with restricted coverage; however, Biblioteca del Congreso Nacional. (2021). Ley 21.331 Sobre
differences maintain a lower effective coverage in MH “Reconocimiento y Protección de los Derechos de las
services concerning physical health services. Personas en la Atención de Salud Mental”. Available from:
Regarding sick leaves, the practice of refusing and https://www.bcn.cl/leychile/navegar?idNorma=1159383
reducing sick leaves for mental disorders increased, [Last accessed on 2024 Oct 16].
further deepening the gap concerning other diagnostic Charlson, F., Van Ommeren, M., Flaxman, A., Cornett, J.,
groups. Notably, medical consultations by telemedicine Whiteford, H., & Saxena, S. (2019). New WHO prevalence
have allowed significant increases in coverage, including estimates of mental disorders in conflict settings:
for MH. A systematic review and meta-analysis. The Lancet,
394(10194):240-248.
The differences by gender show that there is less https://doi.org/10.1016/S0140-6736(19)30934-1
financial coverage for women than for men regarding
th
MH services. Furthermore, women experience a higher INJUV. 10 National Youth Survey, 2022.
proportion of rejected and reduced sick leaves than men. Jo, E., Seo, K., Nam, B., Shin, D., Kim, S., Jeong, Y., et al. (2023).
Deterioration of mental health in children and adolescents
Law 21,331 works toward the WHO recommendations during the COVID-19 pandemic. Soa Chongsonyon
in this area; however, a significant gap remains between Chongsin Uihak, 34(1):21-29.
the effective financial coverage of MH services compared https://doi.org/10.5765/jkacap.220041
to physical health services and the resolution of sick leaves
for mental disorders versus other diagnostic groups. Li, S., Xu, Y., Zheng, L., Pang, H., Zhang, Q., Lou, L., et al. (2022).
Sex difference in global burden of major depressive disorder:
Acknowledgments Findings from the global burden of disease study 2019. Front
Psychiatry, 13:789305.
None.
https://doi.org/10.3389/fpsyt.2022.789305
Funding Ministry of Health, National Plan of MH 2017-2025.
Available from: https://www.repositoriodigital.minsal.cl/
None.
handle/2015/889 [Last accessed on 2024 Oct 16].
Conflict of interest O’Connor, K., Wrigley, M., Jennings, R., Hill, M., & Niazi, A.
(2021). Mental health impacts of COVID-19 in Ireland and
The author declares that he has no competing interests
the need for a secondary care mental health service response.
Author contributions Irish Journal of Psychological Medicine, 38(2):99-107.
https://doi.org/10.1017/ipm.2020.64
This is a single-authored article.
OECD Health Statistics. (2023). Available from: https://www.
Ethics approval and consent to participate oecd.org/en/data/datasets/oecd-health-statistics.html [Last
accessed on 2024 Oct 16].
Not applicable.
PAHO-WHO. La Carga de los Trastornos Mentales en la Región
Consent for publication de las Américas 2018. Available from: https://iris.paho.org/
bitstream/handle/10665.2/49578/9789275320280_spa.pdf
Not applicable. [Last accessed on 2024 Oct 16].

Availability of data Prince, M., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M.,
et al. (2007). No health without mental health. The Lancet,
Not applicable. 370(9590):859-877.
https://doi.org/10.1016/S0140-6736(07)61238-0
Further disclosure
Superintendencia de Salud. (2021a). Circular IF/Nº 396. Available
The manuscript content is displayed on the author’s from: https://www.superdesalud.gob.cl/normativa/circular-
institutional website (Superintendence of Health if-n396 [Last accessed on 2024 Oct 16].
of Chile website: https://www.superdesalud.gob.cl/ Superintendencia de Salud. (2021b). Estudio de las Coberturas
biblioteca-digital/evaluacion-de-la-ley-21-331-de- Financieras de Salud Mental en Isapres Abiertas año 2020.
salud-mental-en-chile-cobertura-financiera-y-licencias- Documento de Trabajo. Available from: https://www.
medicas-en-isapres-abiertas/). superdesalud.gob.cl/app/uploads/2021/11/articles-20494_

Volume 2 Issue 4 (2024) 13 https://doi.org/10.36922/ghes.3408