{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T12:17:23Z","timestamp":1788524243961,"version":"build-2803163510"},"reference-count":38,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>O artigo analisa a resposta do sistema de sa\u00fade chileno \u00e0 COVID-19 no per\u00edodo de 2020 a 2023, destacando momentos da trajet\u00f3ria (segundo o contexto epidemiol\u00f3gico e sociopol\u00edtico) e as principais medidas. Por fim, traz reflex\u00f5es acerca das oportunidades e dos limites da resposta \u00e0 epidemia para a indu\u00e7\u00e3o de reformas nesse sistema. Realizou-se estudo de caso abrangendo revis\u00e3o bibliogr\u00e1fica, an\u00e1lise documental e 19 entrevistas semiestruturadas com atores institucionais relevantes. Os resultados indicam que, em meio \u00e0 instabilidade pol\u00edtica, houve investimentos em capacidades sanit\u00e1rias nacionais. As medidas adotadas evidenciaram a relev\u00e2ncia do sistema p\u00fablico de sa\u00fade, com gest\u00e3o centralizada de leitos hospitalares pelo Minist\u00e9rio da Sa\u00fade, al\u00e9m de pol\u00edticas de vigil\u00e2ncia em sa\u00fade de forma integrada \u00e0 aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade (APS). A manuten\u00e7\u00e3o das capacidades adquiridas e a recupera\u00e7\u00e3o da aten\u00e7\u00e3o \u00e0 sa\u00fade que fora reprimida foram desafios do momento seguinte, tendo fortalecido na agenda processos de universaliza\u00e7\u00e3o do sistema de sa\u00fade via extin\u00e7\u00e3o de copagamentos e APS universal.<\/jats:p>","DOI":"10.1590\/0102-311xpt278525","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T11:49:29Z","timestamp":1788522569000},"source":"Crossref","is-referenced-by-count":0,"title":["Sistema de sa\u00fade do Chile: resposta sanit\u00e1ria e desafios frente \u00e0 COVID-19"],"prefix":"10.1590","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4238-1388","authenticated-orcid":false,"given":"Isabel Domingos Martinez dos","family":"Santos","sequence":"first","affiliation":[{"name":"Universidade Federal Fluminense,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0090-2341","authenticated-orcid":false,"given":"Suelen Carlos de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz, Fiocruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7163-9280","authenticated-orcid":false,"given":"Alex Alarc\u00f3n","family":"Hein","sequence":"additional","affiliation":[{"name":"Universidad de Chile,  Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","series-title":"Panorama social de Am\u00e9rica Latina y el Caribe, 2022. 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