Page 181 - GHES-2-4

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

Appendix

Table A1. Average effective financial coverage (%) of face‑to‑face medical consultations by Isapre and gender (2021)

Health service Sex Colmena Cruz Vida Nueva Banmédica Consalud Whole
blanca Tres Masvida system
General medicine consultation F 61.9 66.1 55.4 57.3 58.7 63.4 60.5
M 70.4 72.6 62.9 64.2 65.5 66.4 67.0
Dermatology specialty medical consultation F 55.2 60.6 57.1 47.5 55.3 60.2 56.0
M 60.5 65.1 60.7 56.5 58.8 62.7 60.7
Ophthalmology specialty medical consultation F 55.7 63.2 59.5 57.7 56.6 66.7 59.9
M 60.7 66.2 62.3 63.9 59.5 68.6 63.5
Otolaryngology specialty medical consultation F 57.2 64.3 61.5 56.6 59.5 63.6 60.5
M 63.0 68.0 64.5 62.6 62.8 66.3 64.5
Specialty medical consultation in adult neurology F 52.7 58.6 56.4 45.8 53.7 58.4 54.3
M 57.7 61.8 59.8 56.2 56.9 59.4 58.6
Specialty medical consultation in adult psychiatry F 21.5 28.0 30.3 21.7 28.2 33.3 27.2
M 22.5 36.3 35.2 28.3 32.0 35.8 31.7
Specialty medical consultation in pediatric and F 21.3 30.8 26.7 21.3 25.9 32.4 26.4
adolescent psychiatry M 17.7 32.9 28.7 21.8 27.8 36.0 27.5
Specialty medical consultation in internal medicine F 54.2 58.4 56.9 50.2 54.5 57.7 55.3
M 61.9 63.9 61.6 60.5 59.5 61.0 61.4
Specialty medical consultation in obstetrics and F 62.0 66.9 62.3 60.6 62.4 67.5 63.6
gynecology M 58.9 64.2 54.5 60.3 56.2 66.2 60.0
Specialty medical consultation in pediatrics F 61.2 67.0 62.2 58.5 61.9 66.9 62.9
M 61.6 67.4 62.8 59.1 62.2 67.2 63.4
Specialty medical consultation in traumatology and F 57.1 62.5 62.3 52.1 59.8 63.6 59.6
orthopedics M 63.2 66.8 65.3 61.3 63.2 66.2 64.3

Urology specialty medical consultation F 57.2 64.3 62.9 57.6 61.2 66.2 61.6
M 63.3 68.0 65.3 64.0 64.4 67.9 65.5
Specialty medical consultation in emergency medicine F 50.3 59.9 35.5 51.7 46.3 59.9 50.6
M 53.1 62.0 44.2 52.7 52.8 49.4 52.3
Clinical psychologist consultation (45 sessions) F 26.1 30.3 30.6 26.7 31.9 25.3 28.5
M 27.8 41.1 33.2 32.3 35.3 26.3 32.7
Source: Superintendence of Health, Claims Services Master File.

Table A2. Average effective financial coverage (%) of telemedicine medical consultations, by Isapre and gender (2021)

Health service Sex Colmena Cruz Vida Nueva Banmédica Consalud Whole
blanca tres masvida system
General medicine teleconsultation F 68.3 78.9 58.6 57.0 60.4 73.9 66.2
M 76.7 82.2 65.4 72.5 67.0 75.5 73.2
Dermatology specialty medical teleconsultation F 63.4 76.5 64.7 54.6 64.2 67.8 65.2
M 67.0 78.3 69.5 64.2 67.6 68.9 69.2
Teleconsultation of medical specialty in adult neurology F 57.0 63.7 62.2 52.4 59.3 63.0 59.6
M 65.9 67.8 64.2 57.9 62.2 65.5 63.9
(Cont’d...)

Volume 2 Issue 4 (2024) 15 https://doi.org/10.36922/ghes.3408