Innovations in People-Centered Care for Chronic Conditions - Chile’s Story of Integration of Mental Health and Noncommunicable Disease Services at Primary Healthcare - Policy Note

Jul 19, 2026

Upload by Rowan

Policy note documenting how Chile integrates mental health services into primary healthcare to strengthen universal access and improve chronic noncommunicable disease outcomes. Prepared by the World Bank, it systematizes innovations supported through collaboration with the Ministry of Health, municipalities, and academic teams, based on meetings and interviews on Chile’s health system organization and pilot programs. The document highlights effective strategies, ongoing challenges, and transferable lessons for other countries seeking culturally appropriate policy adjustments and stronger network coordination.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages55

Reading Time2 h 19 min

AccessFree to download

Executive Summary

Chile in perspective

Country Context

Health Status

Health System Structure and Features

Current Restructuring in Universalization of Health, Mental Health, and Chronic Noncommunicable Diseases

Examples of Innovations for Improvement in Public Health Outcomes

MH Network pilot redesign. DIVAP: Pirque's example

Center for Innovation in Health ANCORA UC

“Multimorbidity Patient-Centered Care Model" (MACEP)

Clan project

ECO Barrio Solidario para la Infancia

Comprehensive intervention to reduce stigma in PHC

Lessons Learned

Bibliography

Public Disclosure Authorized Public Disclosure Authorized Innovations in People-Centered Care for Chronic Conditions Chile’s Story of Integration of Mental Health and Noncommunicable Disease Services at Primary Healthcare Policy Note Authors Rialda Kovacevic Carolina Traub Mayra Martínez Francisca Corona Contents Foreword .......................................................................................................................................................3 Acknowledgments .........................................................................................................................................5 Abbreviations and Acronyms ........................................................................................................................7 Executive Summary .......................................................................................................................................8 Chile in perspective .....................................................................................................................................10 Country Context ..........................................................................................................................................10 Health Status ...............................................................................................................................................12 Health System Structure and Features........................................................................................................13 a. Legal Framework .................................................................................................................................13 b. Organization, Financing, and Policy ....................................................................................................15 i. General Health System ........................................................................................................................15 ii. Primary Health Care and Models of Service Delivery ..........................................................................17 iii. Mental Health Network .......................................................................................................................20 Current Restructuring in Universalization of Health, Mental Health, and Chronic Noncommunicable Diseases .......................................................................................................................................................24 a. Universalization of Primary Healthcare in Chile ..................................................................................24 b. Mental Health (MH) ............................................................................................................................25 c. Non-Communicable Diseases ..............................................................................................................29 Examples of Innovations for Improvement in Public Health Outcomes .....................................................32 MH Network pilot redesign. DIVAP: Pirque's example...............................................................32 Center for Innovation in Health ANCORA UC ..................................................................................36 “Multimorbidity Patient-Centered Care Model" (MACEP) .............................................................37 Clan project ........................................................................................................................................41 ECO Barrio Solidario para la Infancia: A multisectoral approach to children and adolescent MH..............................................................................................................................................................43 Comprehensive intervention to reduce stigma in PHC, FONDECYT Project...............

FAQs

What is the main purpose of this policy note on Chile’s health system?

It documents Chile’s innovative response to chronic noncommunicable diseases by integrating mental health into primary healthcare, highlighting strategies that strengthen PHC and improve network coordination.

Which partners and stakeholders supported the work described in the note?

The World Bank coordinated with teams from the Ministry of Health, Chilean municipalities, and members of the academia, using meetings and interviews to identify PHC organization, programs, and challenges.

What kinds of innovations are presented as examples of improving public health outcomes?

The note describes multiple initiatives, including mental health network pilot redesign, innovation centers, patient-centered multimorbidity care models, multisectoral programs for children and adolescents, and stigma-reduction interventions in primary healthcare.

Jul 19, 2026

Upload by Rowan