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Chile se une a la Alianza por la Atención Primaria: liderazgo regional en la transformación del sistema de salud
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Chile se incorporó oficialmente a la Alianza por la Atención Primaria de Salud en las Américas, una iniciativa conjunta de la OPS, el Banco Mundial y el BID. Esta decisión refuerza el compromiso del país con un modelo de salud más equitativo, resolutivo y centrado en fortalecer el primer nivel de atención.
Un paso firme hacia una salud más accesible y sostenible
En el marco de la 78.ª Asamblea Mundial de la Salud, celebrada en Ginebra, el Ministerio de Salud de Chile anunció su ingreso formal a la Alianza por la Atención Primaria de Salud en las Américas. Esta alianza regional, impulsada por la Organización Panamericana de la Salud (OPS), el Banco Mundial y el Banco Interamericano de Desarrollo (BID), busca transformar los sistemas de salud de la región a través del fortalecimiento estratégico del primer nivel de atención.
El anuncio no solo marca un hito político, sino que sienta las bases para una transformación estructural. Como parte de este proceso, Chile estableció una Mesa Consultiva Nacional que actuará como órgano técnico para alinear la cooperación internacional con los objetivos de salud pública del país.
“Una población saludable mejora el desempeño económico, la capacidad de aprendizaje y reduce los costos asociados a la enfermedad”, afirmó la ministra de Salud de Chile, Ximena Paz Aguilera Sanhueza, durante la ceremonia. La OPS celebró esta incorporación como una muestra del compromiso chileno con una atención centrada en las personas, equitativa y con enfoque territorial.
¿Qué es la Alianza por la Atención Primaria en las Américas?
La Alianza por la Atención Primaria de Salud en las Américas fue lanzada en diciembre de 2023 con el objetivo de movilizar inversiones, fortalecer capacidades técnicas y acelerar reformas orientadas a consolidar la atención primaria como eje de los sistemas sanitarios.
Hasta la fecha, 10 países se han vinculado a esta estrategia, y Chile se convierte en el tercero en formalizar un acuerdo operativo. A través de una estructura descentralizada, la Alianza facilita la cooperación entre ministerios de salud y entidades multilaterales para desarrollar planes nacionales, promover la innovación y optimizar el uso de recursos financieros.
Banco Mundial: invertir en atención primaria es clave para el desarrollo
El Banco Mundial, como socio fundador de la Alianza, destaca que el fortalecimiento de la atención primaria es esencial para alcanzar la cobertura sanitaria universal, reducir desigualdades y mejorar el desempeño de los sistemas de salud, especialmente en contextos de alta demanda y recursos limitados.
Esta visión está alineada con los Objetivos de Desarrollo Sostenible (ODS), en particular el ODS 3, que promueve salud y bienestar para todas las personas. Para el organismo, priorizar el primer nivel de atención no solo mejora los resultados en salud, sino que también protege financieramente a las familias y aumenta la eficiencia global del sistema.
El BID impulsa salud como bien público regional
Desde el Banco Interamericano de Desarrollo, el enfoque ha sido complementar la asistencia técnica con soluciones financieras innovadoras. Según Javier Guzmán, jefe de la Unidad de Salud del BID, la adhesión de Chile es un paso relevante para consolidar sistemas sanitarios más resilientes, con redes de atención bien articuladas y personal capacitado.
El BID apuesta por la atención primaria como una estrategia costo efectiva, capaz de reducir la carga sobre hospitales de alta complejidad, mejorar el acceso en zonas remotas y responder con agilidad a crisis sanitarias. A través de préstamos, donaciones y asistencia técnica, el banco promueve reformas en gobernanza, gestión digital y talento humano.
La Mesa Consultiva: nuevo modelo de gobernanza para Chile
Uno de los elementos más innovadores del ingreso chileno a la Alianza es la creación de una Mesa Consultiva Nacional, concebida como un mecanismo permanente de coordinación interinstitucional. Este espacio buscará:
- Alinear los planes nacionales con los lineamientos de cooperación internacional.
- Coordinar acciones entre organismos técnicos, financieros y gubernamentales.
- Evitar duplicidades y mejorar el impacto territorial de las intervenciones.
- Impulsar el monitoreo y evaluación de los resultados en salud.
La OPS subrayó que este modelo permite avanzar hacia una planificación estratégica más integrada y con resultados sostenibles en el tiempo.
¿Puede Chile convertirse en un referente regional?
El ingreso de Chile no solo tiene implicaciones para su sistema de salud, sino también para el resto de la región. La experiencia del país que combina capacidad institucional, enfoque preventivo y voluntad política puede ser un modelo replicable para otros países latinoamericanos con brechas similares.
En particular, la capacidad resolutiva del primer nivel de atención, la articulación de redes integradas y la digitalización de procesos son elementos clave para reducir la fragmentación, mejorar los indicadores y avanzar hacia la equidad en salud.
Además, la Mesa Consultiva puede servir como instrumento para adaptar buenas prácticas internacionales a los contextos locales, respetando la diversidad territorial y sociocultural.
Un compromiso estratégico con la salud pública
La adhesión de Chile a la Alianza por la Atención Primaria de Salud en las Américas representa un paso decidido hacia la consolidación de un sistema de salud más accesible, eficiente y centrado en las personas. Al integrar gobernanza técnica, cooperación financiera y planificación nacional, el país fortalece su capacidad de respuesta frente a los desafíos actuales y futuros.
En un momento en que América Latina enfrenta presiones demográficas, epidemiológicas y fiscales, experiencias como la chilena abren camino a una nueva generación de reformas sanitarias centradas en la atención primaria como base de sistemas sostenibles y equitativos.
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