Healthcare in CHILE Private sector healthcare
• Private sector healthcare spending has doubled in the last 10 years • Private clinics have increased their number of outpatient centers and increased their number of beds, mainly due to three factors: 1) Increase in the number of patients seeking medical attention 2) Aging Chilean population 3) State-of-the-art technology available for diagnosis and treatment • Private clinics are interested in healthcare solutions in, for example: digitalization, diagnostics technology, patient infrastructure, recycling, Process and Administration Systems
16/02/2018 Footer text 3 The big players in private healthcare
• Clínica Santa María • Employs 640 doctors • Number of hospital beds: 327 • Medical center of Providencia offers high complecity treatment • Investment of 50 million USD has been made for expansion, including 100 hospital beds. • 20% of the amount is allocated for technology and they are very much open for new partnerships and technology alliances e.g. digitalization, diagnostics technology, patient infrastructure, recycling, Process and Administration Systems.
16/02/2018 Footer text 4 The big players in private healthcare
• Clínica Las Condes • Employs up to 700 doctors or medical specialists • New medical centre opened in 2017 to Peñalolén, Santiago • Plans to increase the number of hospital beds to 497 from 310, including increasing the number of ER beds from 32 (2016) to 46 by 2020 • Undergone vast expansions in the past decade. Excecuting plan of doubling capacity between 2010-2019. • Ranks 134 in world hospitals • High complexity treatment available
Infrastructure development
16/02/2018 Footer text 5 The big players in private healthcare
• Clínica Alemana • Altogether in all its medical centers, Clinica Alemana has 400 hospital beds, 22 operating rooms in 200.000 square meters. • Employs up to 1000 doctors or medical specialists • Completed expansion of 90 new hospital beds to a total tally of 371 in 2017 • Are looking to invest further 45 million USD to new diagnostic equipment, new operation rooms and hospital beds • High complexity treatment available
16/02/2018 Footer text 6 The big players in private healthcare
• Clínica Indisa • Number of doctors and medical specialists: 571 • Total number of hospital beds: 271 • Invested in the beginning of the 2010’s 64 million USD in expansion doubling their capacity
16/02/2018 Footer text 7 Teletón – Charity healthcare organization
• Teletón is a Chilean charity organization specialized in healthcare of the disabled, particularly disabled children • Active with its current name from 1978 • Providing support, assistance and treatment to the disabled across the whole country • Attends over 85% of the under 20-year-olds with disability in Chile • Over 300.000 medical and therapeutic procedures annually • With 3000 new patients every year, Teletón is also looking into investing in new healthcare technology. Particular intetrest in distance healthcare and digital solutions
16/02/2018 Footer text 8 State Investments in Healthcare
• The spend in public healthcare has been increasing gradually and steadily through the past decades • Chile’s annual healthcare expenditure totals approximately 7.3% of GDP (2017) • Health spending (in real terms) in Chile grew consistently at close to 6% per year between 2010 and 2016, the fastest rate of growth among OECD countries • Although health spending has increased rapidly in Chile in recent years, it still remains lower than in most other OECD countries on a per capita basis and as a share of GDP
16/02/2018 Footer text 9 Spend in Healthcare, total (% of GDP)
(WHO, 2018)
16/02/2018 Footer text 10 Spend in Healthcare – Private vs. Public
~22 Billion USD/ 1200 USD per Capita
16/02/2018 Footer text 11 HOSPITAL DE COCHRANE
• Population benefitting of the hospital: 5.004 • Area: 5.033 m2 • Investment: $4,0 MUSD • Empresa constructora: Besalco S.A. • Stage: In execution • Advanced: 0%
16/02/2018 Footer text 12 Public hospital projects in process or planning
• HOSPITAL COMUNITARIO Y FAMILIAR MAKEWE • Población beneficiaria: 10.260 • Superficie: 2.241 m2
• HOSPITAL DE CURACAUTÍN Población beneficiaria: 15.178 • Superficie: 6.921 m2
• HOSPITAL DE HUASCO • Población beneficiaria: 8.535
16/02/2018 Footer text 13 Public hospital projects in process or planning
• de Alto Hospicio 157.231 En licitación • 2 Hospital de La Serena 608.155 En licitación • 3 Hospital Claudio Vicuña de San Antonio 166.269 En licitación • 4 Hospital Provincial Marga Marga 485.627 En licitación • 5 Hospital Bi-provincial Quillota Petorca 320.547 En licitación • 6 Hospital Barros Luco Trudeau 991.100 En licitación • 7 Hospital Provincial de Curicó 284.366 En licitación • 8 Hospital Base de Linares 267.628 En licitación • 9 Hospital de Ñuble 328.139 En licitación • 10
16/02/2018 Footer text 14 Public hospital projects in process or planning
• Hospital Las Higueras 285.247 En licitación • 11 Hospital de Angol 112.332 En licitación • 12 Hospital de Padre Las Casas 383.039 En licitación • 13 Hospital de Quellón 32.000 En licitación • 14 Hospital de Villarrica 98.910 Por licitar • 15 Hospital de Casablanca 30.617 En diseño • 16 Hospital de Melipilla 133.732 En diseño • 17 Hospital Sótero del Río 1.581.785 En diseño • 18
16/02/2018 Footer text 15 Public hospital projects in process or planning
• Hospital de Puente Alto 1.581.785 En diseño • 19 Hospital de Cauquenes 57.387 En diseño • 20 Hospital de Lonquimay 11.163 En diseño • 21 Hospital de Ancud 74.364 En diseño • 22 Hospital de Buin 123.887 En estudio • 23 Hospital de Lebu
16/02/2018 Footer text 16 Registration of the medical devices
• To apply the registry, you must complete the SDM/005: Medical Device Registration Required for Medical Devices Under Control- form, which is available on the website www.ispch.cl. Once completed this form it must be presented in Section Sales of the ISPCH in duplicate (original and copy), together with the documents requested in the same form and make the appropriate fee in cash. (Office Hours Monday through Friday from 8:30 to 13:00 pm) The documents requested on the form are: - Certificate of Conformity Assessment issued by a certifying body authorized by the Public Health Institute of Chile = ISPCH. - Certificate for export purposes granted by the appropriate Health Authority, duly consularizado. - Document issued by the Manufacturer, which recognizes the applicant company as a distributor of their products, if applicable. - Certificate of Quality Management System for Manufacturing (eg, ISO 13485, ISO 9001 or equivalent). The verification of compliance for medical devices that are binding under control, is currently carried out by certifying agencies authorized by the Institute of Public Health. These agencies verify the conformity of the products according to specific technical standards. They also do an evaluation of the documentation accompanying the device, as outlined in Regulation DS 825/98 Article 21.
16/02/2018 Footer text 17 Common health issues in Chile
• Despite its relative progression in many health related aspects, Chile struggles with various distinctive health issues • In Chile 40% of the population is overweight with up to 32,8% of women and 24,8% of men being considered obese. Obesity prevalence with both women and men is and has been steeply on the rise for decades and has been addressed by authorities, unsuccessfully • Chile’s rates of childhood obesity are particularly alarming, as 23.4% of children in Chile under the age of 10 were overweight and 10.8% obese • In relation, Chile has the highest percentage of diabetes in Latin America with 11%, and the number is steadily on the rise. Diabetes alone accounts for over 10% of the national healthcare spending • Aging population structure has an inevitable effect on health issues and their proportional prevalence in the population. In 2030 1/3 of chilean population will be over 60 years, and it is estimated that people over the age of 65 are almost seven times more likely to have diabetes than people between the ages of 25 and 44
16/02/2018 Footer text 18 General Information – Healthcare system
• Medical facilities in Chile are some of the best in South America, especially in Santiago, where healthcare standards are very high • Chilean healthcare is divided into two main systems: FONASA and ISAPRE • FONASA (Fondo Nacional de Salud) is the national health care system • Private health insurance from private insurance companies is called Instituciones de Salud Previsional, better known by the abbreviation ISAPRE. • In principle, all workers and pensioners under FONASA are mandated to pay 7% of income for health insurance. Accounts for 69% of the population (2017). • Isapre participants pay on average 9.2% of their income toward health insurance. Accounts for 23% of the population (2017)(missing 8% either uninsured or insured by profession at the state’s service).
16/02/2018 Footer text 19 General Information – Population Structure
• Total population of 18 205 882 (2016) • Age structure: (2016) - 0-14 years: 20.27% (male 1,825,115/female 1,751,977) - 15-24 years: 15.45% (male 1,391,522/female 1,335,933) - 25-54 years: 43.17% (male 3,804,037/female 3,816,114) - 55-64 years: 10.6% (male 880,014/female 990,969) - 65 years and over: 10.51% (male 776,340/female 1,078,093) • Life Expectancy: female 81.9 years and male 75.7 years (2016) • Infant Mortality Rate: 6.7 deaths/1,000 live births
16/02/2018 Footer text 20 Thank You
Contact: Maria Ala-Kaila Head of Business Finland in Chile
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