Una radiografía del sistema de salud de Puerto Rico

El Departamento de Salud Federal ha llevado a cabo, en enero del 2017 una evaluación del sistema de salud en Puerto Rico, y sus conclusiones son muy reveladoras.

El estudio se consigue en este link.

Aquí están los hallazgos más importantes:

  • Gastamos en salud tanto como en Estados Unidos (ajustando por el ingreso ): ambos gastamos el 17% de nuestro ingreso en salud
    • PR = $3,000 por persona al año
    • US = $9,400
  • Tenemos la misma cantidad de infraestrutura de salud: cantidad de camas y de médicos per capita
  • Tenemos la misma cubierta de seguro que en US, un poco más, de hecho, (PR:94% US:88%);
  • Pero el seguro público cubre al doble de personas en PR (PR =50% vs US:20%).
  • Los indicadores de salud en PR son similares a los de US, excepto por la morbilidad cardiaca, asma y baja calidad de los nacimientos.

LOS DATOS DE ASPE

  • Per capita, total health expenditures for the Commonwealth’s population were $3,065 in 2014, compared to $9,403 on the U.S. mainland.
Healthcare Infraestructure
  • Beds per 1,000 pop:
    • PR = 2.56
    • US = 2.91
  • According to the Association of American Medical Colleges (AAMC), Puerto Rico had 8,195 active physicians who engaged in patient care in 2014
  • Physicians per 100,000 inhabitants
    • PR = 230
    • US 234
  • the number of physicians actually appears to have increased as a share of the population between 2012 and 2014. the discrepancy is likely due to a faster decrease in the overall population than that of physicians
  • Puerto Rico has less than half the rates of
    • emergency physicians;
    • neurosurgeons;
    • orthopedists and hand surgeons;
    • plastic surgeons; and
    • ear, nose, and throat specialists,

compared to the availability of these providers on the U.S. mainland.

Insurance Coverage
  • Health Coverage:
    • PR = 94%
    • US = 88%
  • Medicaid / CHIP
    • PR = 50%
    • US 20%
  • Seguro privado
    • PR =34%
    • US = 60%
  • Unlike Medicaid programs in the mainland U.S., federal funding for Puerto Rico’s Medicaid program is capped.
Health Indicators

•        In 2015, life expectancy was similar for residents of Puerto Rico (79.25 years) and the U.S. mainland (79.68 years).

  • Puerto Ricans are twice as likely to suffer from coronary heart disease as the general U.S. population. Rates of myocardial infarction, asthma, and high blood pressure are also higher in Puerto Rico than on the U.S. mainland.

•        Puerto Rico has a higher infant mortality rate than the U.S. mainland (7.57 per 1,000 in 2015 compared to 5.87 per 1,000),

  • Puerto Rico has a premature birth rate well above the average for the U.S. mainland (11.8 percent in Puerto Rico versus 9.6 percent on the mainland)
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