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Experiencia comparada europea y el reto de la descentralización sanitaria/Comparative European Experience and the Decentralization Health Challenge

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  • BLÁZQUEZ-FERNÁNDEZ, CARLA

    ()
    (Universidad de Cantabria, Facultad CC.EE., Avenida de los Castros, s/n., 39005 Santander, España.)

  • CANTARERO-PRIETO, DAVID

    ()
    (Universidad de Cantabria, Facultad CC.EE., Avenida de los Castros, s/n., 39005 Santander, España.)

  • PASCUAL-SÁEZ, MARTA

    ()
    (Universidad de Cantabria, Facultad CC.EE., Avenida de los Castros, s/n., 39005 Santander, España.)

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    Abstract

    El trabajo analiza las principales características de los modelos de descentralización sanitaria en Europa prestando especial atención a los determinantes de resultados en salud y gasto. Con datos de la OECD Healht Data, se propone un modelo de panel explicativo de su comportamiento y evolución. Los resultados muestran que la renta es estática y dinámicamente el factor más importante en la explicación del volumen de gasto sanitario, mientras que otros factores de demanda y de oferta así como el grado de descentralización o tipo de sistema sanitario, son menos importantes. Mientras, en resultados en salud la descentralización tiene un efecto más dispar frente al resto de factores. This paper analyzes the main characteristics of European health care decentralization models with special attention to the determinants of health outcomes and expenditures and proposes using panel data models, and data from OECD Health Data, an econometric model explaining their behaviour and evolution. The results show that income is the most important factor in explaining the volume of health expenditure both statically and dynamically, while other factors of demand and supply and the degree of decentralization or type of health system, despite also influence are less important. Instead, in health outcomes fiscal decentralization has a more mixed against other factors

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    Bibliographic Info

    Article provided by Estudios de Economía Aplicada in its journal Estudios de Economía Aplicada.

    Volume (Year): 32 (2014)
    Issue (Month): (Mayo)
    Pages: 841-860

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    Handle: RePEc:lrk:eeaart:32_2_15

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    Related research

    Keywords: Descentralización; gasto sanitario; renta; resultados en salud; Unión Europea ; Decentralization; Health Expenditure; Income; Health Outcomes; European Union.;

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    References

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    1. Parkin, David & McGuire, Alistair & Yule, Brian, 1987. "Aggregate health care expenditures and national income : Is health care a luxury good?," Journal of Health Economics, Elsevier, Elsevier, vol. 6(2), pages 109-127, June.
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    4. Nadir Habibi & Cindy Huang & Diego Miranda & Victoria Murillo & Gustav Ranis & Mainak Sarkar & Frances Stewart, 2003. "Decentralization and Human Development in Argentina," Journal of Human Development and Capabilities, Taylor & Francis Journals, Taylor & Francis Journals, vol. 4(1), pages 73-101.
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    8. Di Matteo, Livio, 2000. "The determinants of the public-private mix in Canadian health care expenditures: 1975-1996," Health Policy, Elsevier, Elsevier, vol. 52(2), pages 87-112, June.
    9. Dolores Jimenez Rubio, 2011. "The impact of decentralization of health services on health outcomes: evidence from Canada," Applied Economics, Taylor & Francis Journals, Taylor & Francis Journals, vol. 43(26), pages 3907-3917.
    10. Vincenzo Atella & Giorgia Marini, 2007. "Is Health Care Expenditure Really a Luxury Good? Re-assessment and New Evidence Based on OECD Data," Rivista di Politica Economica, SIPI Spa, SIPI Spa, vol. 97(2), pages 87-120, March-Apr.
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