BACKGROUND: The place of death has changed and coverage of medical attention at death varies according to the development level of countries. AIM: To assess the evolution of coverage of medical attention of the last disease and place of death as indicators of health care quality and development level, in the sixth region of Chile. MATERIAL AND METHODS: We analyzed the Chilean death certificate data bases for the period 1990--2003. We performed linear regression analysis of death year with place of death and medical attention at death, comparing the sixth region and the rest of Chile. RESULTS: The population under study corresponds to 1,102,896 death records, from 1990 to 2003. Proportion of deaths at home decreased in sixth region and increased in the rest of our country. Deaths at home for individuals under 15 years of age, decreased. Deaths in places different from home or hospital increased progressively in elderly people. The same happened among adolescents, probably related to the high proportion of deaths due to trauma. CONCLUSIONS: Coverage of attention of diseases that cause death improved. Place of death varies according to age. There is a remarkable increase in the access of children to hospitals, for the treatment of severe diseases. These results indicate that Chilean healthcare system quality has improved.
BACKGROUND: The place of death has changed and coverage of medical attention at death varies according to the development level of countries. AIM: To assess the evolution of coverage of medical attention of the last disease and place of death as indicators of health care quality and development level, in the sixth region of Chile. MATERIAL AND METHODS: We analyzed the Chilean death certificate data bases for the period 1990--2003. We performed linear regression analysis of death year with place of death and medical attention at death, comparing the sixth region and the rest of Chile. RESULTS: The population under study corresponds to 1,102,896 death records, from 1990 to 2003. Proportion of deaths at home decreased in sixth region and increased in the rest of our country. Deaths at home for individuals under 15 years of age, decreased. Deaths in places different from home or hospital increased progressively in elderly people. The same happened among adolescents, probably related to the high proportion of deaths due to trauma. CONCLUSIONS: Coverage of attention of diseases that cause death improved. Place of death varies according to age. There is a remarkable increase in the access of children to hospitals, for the treatment of severe diseases. These results indicate that Chilean healthcare system quality has improved.
Authors: Katja Seitz; Joachim Cohen; Luc Deliens; Andrea Cartin; Celina Castañeda de la Lanza; Emanuel A Cardozo; Fernando Ci Marcucci; Leticia Viana; Luís F Rodrigues; Marvin Colorado; Victor R Samayoa; Vilma A Tripodoro; Ximena Pozo; Tania Pastrana Journal: J Glob Health Date: 2022-04-30 Impact factor: 7.664
Authors: Katja Seitz; Luc Deliens; Joachim Cohen; Emanuel Adrian Cardozo; Vilma A Tripodoro; Fernando Cesar Iwamoto Marcucci; Luís Fernando Rodrigues; Lea Derio; Miguel Antonio Sánchez-Cárdenas; Valentina Salazar; Victor Rolando Samayoa; Ximena Pozo; Diane A Dykeman-Sabado; Celina Castañeda de la Lanza; Nineth Carolina Baltodano Algaba; Gabriela Píriz Alvarez; Leticia Viana; Tulio González; Tania Pastrana Journal: Rev Panam Salud Publica Date: 2021-12-16