Rich clinic, poor clinic: looking for efficiency, public hospitals in Chile go head-to-head with private providers.

Latin TradeVol. 10 Nbr. 12, December 2002

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Rich clinic, poor clinic: looking for efficiency, public hospitals in Chile go head-to-head with private providers.

Only a few years ago, the wine-growing areas of Puente Alto were as country as country gets, an Andean hamlet whose primary landmark is a high bridge over a narrow stream prone to floods from melting snow. The Dr. Sotero del Rio hospital, a five-story Spanish colonial structure, slightly crumbling from wear-and-tear, was originally built as a sanitarium for this once-rural community.

Since then, the surrounding area has exploded with growth, turning Puente Alto into a sprawling lower-class suburb of the capital Santiago, r...

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