ABSTRACT
Chile has a mix of both private and publicly financed healthcare. Currently, about 75" of Chileans receive care through the public system and 25" receive private care. While the Acceso Universal con Garantías Explícitas (AUGE) system represents the macro-level reform of the Chilean Health System, the establishment of the self-managed hospitals, represents the meso-level reform. Following the methodology of the balanced scorecard (BSC), the Ministry of Health (MOH) and the Ministry of Finance (MOF) established a set of indicators and defined 75" compliance with some indicators as the threshold measure to maintain an institution's status as a self-managed hospital. The 48 indicators relate to four management and healthcare dimensions: clinical management, financial sustainability, operational efficiency, and quality of services. The success story of the Institute of Neurosurgery was based on the application of a two-pronged approach, involving transformations of both a cultural and technical nature.
