Chile: Purchasing & Payment Systems

Chile’s performance measurement and management system has actionable steps, clear data feedback, and transparency. In 2002, Chile established Health Goals as the basis for a pay-for-performance scheme whereby providers received bonus payments for meeting specified targets. This system was supplemented by the Primary Health Care Activity Indicators established in 2005. The indicators primarily address prevention and care processes, with a few related to continuity and care standards across 12 diseases. Data transfer is standardized across the country; data for these indicators are recorded in electronic records that are collected daily by the Medical and Statistic Orientation Office at each facility, transferred to the Monthly Statistical Register, and subsequently sent to the territorial Health Service and the Ministry of Health. Findings are returned to the municipalities to set quarterly targets and are also available online. Additionally, various stakeholders meet annually to discuss any necessary changes to indicators or targets.1


  1. Ahumada A, Herrera CA, Tadiri E, Ratcliffe H. Measuring primary health care system performance using a shared monitoring system in Chile [Internet]. Primary Health Care Performance Initiative. [cited 2017 Aug 16]. Available from: