Keywords
Patient Rights
Information Sources
Health Literacy
Categories
How to Cite
Abstract
Introduction: The Explicit Health Guarantees Plan (GES) is crucial to the Chilean healthcare system, providing equitable access to treatment and diagnosis for various diseases, including cervical cancer (CaCu). Users' knowledge of this plan directly influences their access to care and the exercise of their rights. Significant gaps in knowledge and sources of information have been observed.
Objective: To investigate knowledge and sources of information regarding the GES in relation to CaCu among users of the polyclinic of the Cervical Pathology Unit of the Copiapó Regional Hospital during 2023.
Methods: A quantitative, descriptive, cross-sectional design was used, with a convenience sample of 40 women admitted to the GES, who were given a 39-question questionnaire. The data were analyzed using Stata 15.0®.
Results: The majority of participants were 49 years old on average, resided in Copiapó, and were affiliated with FONASA. Sixty-five percent were in the follow-up stage and received information mainly from doctors and midwives. Although 80% were familiar with the concept of CaCu and 55% claimed to be familiar with the GES, 75% did not identify the stages it covers. Even so, 72.5% indicated that the deadlines had been met. Regarding complaints, 70% knew they could file them, but did not know where to do so, and only 17.5% said they would file complaints.
Conclusions: This study highlights the importance of strengthening the dissemination and understanding of the GES, ensuring that beneficiaries fully understand their rights and the stages of the care process.
References
1. Sampson EA. Progreso, retos y la equidad en Plan AUGE (Acceso Universal con Garantías Explícitas en Salud) (2005-2020). Rev Estud. 2022;(44). Disponible en: https://archivo.revistas.ucr.ac.cr/index.php/estudios/article/view/51191/51056
2. Duran M. Marco regulatorio de la Ley GES. MINSAL; 2020. Disponible en: https://www.ssbiobio.cl/public/docs/GES_85_SSBB.pdf
3. International Agency for Research on Cancer. Cancer Today [Internet]. Lyon: Agencia Internacional para la Investigación sobre el Cáncer; 2024. Disponible en: https://gco.iarc.who.int/today/en
4. Alvear-Vega S, Acuña San-Martín M. Determinantes sociales que influyen en el acceso en Chile al Plan GES, según CASEN 2017. Rev Médica, Chile: 2022; 150: 70-77. Disponible en: https://www.scielo.cl/pdf/rmc/v150n1/0717-6163-rmc-150-01-0070.pdf
5. Alvear-Vega S, Vargas-Garrido H. Social determinants of the non-use of the explicit health guarantees plan (the GES plan). BMC Health Serv Res. 2023; 23:1129. Disponible en: https://repositorio.utalca.cl/repositorio/server/api/core/bitstreams/ced26dae-e5a1-448c-acef-68f129028cb7/content
6. Urrutia S MT, Villegas R N, Poupin B L. GARANTÍAS EXPLICITAS EN SALUD: CONOCIMIENTO Y FUENTES DE INFORMACIÓN EN UN GRUPO DE MUJERES DEL PROGRAMA AUGE CÁNCER CÉRVICO UTERINO. Rev Chil Obstet Ginecol. Chile: 2010; 75(4): 221-226. Disponible en: https://www.scielo.cl/pdf/rchog/v75n4/art02.pdf
7. Núñez J, Moya P, Monsalves MJ, Landaeta M S. Nivel de Conocimiento de Salud Oral y Utilización de GES Odontológico en Puérperas Atendidas en una Clínica Privada, Santiago, Chile. Int J Odontostomatol. 2013;7(1):39-46. Disponible en: https://www.scielo.cl/pdf/ijodontos/v7n1/art07.pdf
8. Piñeda Galaz JC. NIVEL DE CONOCIMIENTOS EN SALUD ORAL DE LAS EMBARAZADAS DE LA COMUNA DE LA CISTERNA, REGIÓN METROPOLITANA, 2018. Finis Terrae. Chile: 2018. Disponible en: https://repositorio.uft.cl/server/api/core/bitstreams/327eddad-ec41-4b82-8cb8-a5ef35a8df26/content
9. Pelayo-Alonso R, Martínez-Álvarez P, Cagigas-Villoslada MJ, Cobo-Sánchez JL, Palacio-Cornejo CM. Grado de incumplimiento terapéutico en función del nivel de alfabetización en salud en pacientes en hemodiálisis Enferm Nefrol. 2021 Abr-Jun;24(2):175-82 Disponible en: https://scielo.isciii.es/pdf/enefro/v24n2/2255-3517-enefro-24-02-175.pdf
10. Núñez MDL, Batista MA. Factores que influyen en la satisfacción de usuarios de los servicios de salud. Saluta. Panamá: 2020;(2):71-88. Disponible en: https://portal.amelica.org/ameli/journal/327/3274429006/html/
11. Henríquez J. Limitaciones al acceso de las Garantías Explicitas en Salud (GES). CEPCHILE. Chile; 2017. Disponible en: https://static.cepchile.cl/uploads/cepchile/2022/09/pder458_jhenriquez.pdf
12. Sandoval Sandoval KI. Incumplimiento de las garantías de oportunidad dentro de las Garantías Explícitas en Salud (GES) en patologías oncológicas en el sistema de salud público de Chile [Internet]. PUC; 2025. Disponible en: https://doi.org/10.7764/tesisUC/MED/105525
13. Fernández-González L, Bravo-Valenzuela P. Effective interventions to improve the health literacy of cancer patients [Internet]. ECANCER. Chile; 10 de octubre de 2019. Disponible en: http://ecancer.org/en/journal/article/966-effective-interventions-to-improve-the-health-literacy-of-cancer-patients
14. Holden CE, Wheelwright S, Harle A, Wagland R. The role of health literacy in cancer care: A mixed studies systematic review. PLOS ONE. 2021;16(11):e0259815. Disponible en: https://journals.plos.org/plosone/article/file?type=printable&id=10.1371/journal.pone.0259815
15. Aguilar R. Análisis sobre retrasos GES en 21 problemas de salud relacionados con cáncer en Chile 2018-2024. [Internet]. IPSUSS; 2024. Disponible en: https://ipsuss.cl/ipsuss/site/docs/20240806/20240806110404/analisis_ipsuss_le_cancer.pdf
16. CIPS. Cánceres con más atrasos en Chile. UDD. Chile; 2025. Disponible en: https://gobierno.udd.cl/cips/files/2025/04/canceres-con-mas-atrasos-en-chile.pdf
17. Ghorbanian Zolbin M, Huvila I, Nikou S. Health literacy, health literacy interventions and decision-making: a systematic literature review. Journal of Documentation. 2022;78(7):405-428. Disponible en: https://www.emerald.com/jd/article-pdf/78/7/405/2711835/jd-01-2022-0004.pdf
18. WHO. The 9th Global Conference on Health Promotion, Shanghai 2016 [Internet]. Disponible en: https://www.who.int/teams/health-promotion/enhanced-wellbeing/ninth-global-conference/health-literacy
19. Ryman C, Warnicke C, Hugosson S, Zakrisson AB, Dahlberg K. Health literacy in cancer care: A systematic review. Eur J Oncol Nurs. 2024;70:102582. Disponible en: https://www.sciencedirect.com/science/article/pii/S1462388924000802
20. Paes NF, Neves CTD, Demartini KTM, Salles MM, Souza GBD, Giordani F. Letramento Funcional em Saúde e Fatores Associados em Pacientes com Câncer de um Hospital Universitário. Rev Bras Cancerol [Internet]. Brasil: 2024; 70(1). Disponible en: https://rbc.inca.gov.br/index.php/revista/article/view/4497
21. Fernández-González L, Bravo-Valenzuela P. Effective interventions to improve the health literacy of cancer patients [Internet]. Ecancer. 2019. Disponible en: http://ecancer.org/en/journal/article/966-effective-interventions-to-improve-the-health-literacy-of-cancer-patients.
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