In Chile, there are four bills to legalize euthanasia, an act which public surveys report as supported by most of the population. At the legislative, healthcare and social level, there is an active debate about euthanasia, the rights of terminally ill patients and the context of Palliative Care (PC) in the country. Chilean literature on euthanasia focuses mainly on the ethical analysis of the act itself but does not address the moral legitimacy of the legalization of this practice. This distinction is relevant since the probity of a particular action does not determine the moral legitimacy of its implementation at a public policy level. One aspect of this dimension is the potential negative impact of the legalization of physician-assisted death (PAD) on the development of PC services. This issue is particularly relevant in Chile, where PC provision is currently suboptimal and mostly restricted to cancer patients. This paper analyses available evidence on the potential impairment of PC development after PAD legalization. PF-07104091 Although the analysis of evidence has some limitations, this concern is not supported by the available evidence. However, any project about PAD legalization must contemplate a factual commitment with the development of minimum PC provision, according to international recommendations.The financial coverage granted by law in Chile for patients with psoriatic arthritis who require biological treatment is of paramount importance and a great advance. However physicians must be knowledgeable about the advantages and limitations of this therapy. The challenge of clinicians is to choose the drug with the greater odds of achieving therapeutic success, with less adverse events and lower costs for our health system. This article aims to help doctors to select the best biological treatment for a specific patient, trying to optimize its effectiveness, minimizing adverse effects, always looking for an efficient use of resources.

Lack of compliance with medication prescription is common among older adults and hamper an adequate management of chronic conditions.

To study the association between health literacy and medication adherence in older adults with chronic diseases in Temuco, Chile.

The Health Literacy survey for Spanish-speaking Adults, MiniMental examination and the Morisky-Green test to assess compliance with medication prescription were applied to 119 older adults aged 60 to 88 years.

All participants had an adequate global cognitive performance; 24% had inadequate literacy, and 42% did not comply with medication prescription. There was a significant correlation between health literacy and medication adherence.

Health literacy influences medication adherence in Chilean older adults.

Health literacy influences medication adherence in Chilean older adults.

There are no reference values for the Difficulties in Emotion Regulation Scale (DERS-E) for the Chilean population.

To elaborate reference values for the interpretation of the DERS-E for the Chilean population.

The Difficulties in Emotion Regulation Scale was answered by participants from the general population (1,153 heterosexual men and women and 467 gay and lesbian individuals) and a group of 351 participants with emotional complaints. Receiver operating characteristic (ROC) curves were used to obtain the reference values. A concordance index was determined, and the odds ratio was calculated to evaluate the probability of having mental health problems comparing participants with emotional complaints with those from the general population.

The DERS-E cut-off score was 73 points for the Chilean population. No differences were detected for emotional regulation difficulties between men and women or by sexual orientation. Age had a weak association with emotional regulation difficulties.

DERS-E has an adequate diagnostic capacity, allowing to differentiate between those who have high or low emotional regulation difficulties.

DERS-E has an adequate diagnostic capacity, allowing to differentiate between those who have high or low emotional regulation difficulties.

Continuous improvement, quality of care, and patient satisfaction demand the implementation of coordinated actions from all the healthcare personnel. They also require collaboration, management skills and attention to different dimensions to improve problems due to the lack of resources such as specialists, medical technology and infrastructure.

To design and implement a model of indicators to evaluate the performance of hospitals.

The methodology used in this research included a review of the literature, data collection, conducting interviews, defining objectives and indicators, proposing a model of indicators, validating the set of indicators, implementing the indicators in a hospital, and analyzing the results.

The proposed model of 95 indicators was implemented in a hospital in Ecuador. The results indicate that 37 indicators meet the standard, 19 need to be reviewed, 10 show non-compliance and need serious improvements, and the remaining 29 were not informed by the hospital under study.

The defined indicators are aimed to improve the performance of a hospital, are easily interpreted, can be measured without spending large amounts of money, and do not need excessive efforts to collect data, mainly if they are supported by information systems.

The defined indicators are aimed to improve the performance of a hospital, are easily interpreted, can be measured without spending large amounts of money, and do not need excessive efforts to collect data, mainly if they are supported by information systems.

Tuberculosis (TB)/HIV coinfection has a high mortality rate.

To describe socio-epidemiological characteristics of tuberculosis (TB)-HIV coinfection, and aspects associated with its prevalence, from 2005 to 2018.

Analysis of the registry of the tuberculosis control and elimination program of three public health services of metropolitan Santiago. The variables considered were TB/HIV coinfection, age, sex, location of tuberculosis, bacteriological confirmation, incarceration, commune of residence, country of origin and effectiveness of the tuberculosis therapy.

We analyzed 7507 TB cases, of whom 12% corresponded to cases of coinfection. The number of coinfections doubled in the last 6 years. In 2018, 45% of coinfection cases occurred in migrants. Of the total cases evaluated, 53% were successfully treated and 28% died.

The remarkable increase in TB/HIV coinfection, urgently demands new prevention and control strategies, aimed at the most vulnerable groups.

The remarkable increase in TB/HIV coinfection, urgently demands new prevention and control strategies, aimed at the most vulnerable groups.