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La financiación sanitaria en el periodo 2002-2006

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  • Julián García Cabello
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    Abstract

    RESUMEN El objetivo del trabajo consiste en obtener y analizar los resultados del modelo de FS tanto en el año base como en el periodo 2002-2006, desde la perspectiva de su adecuación a los principios de suficiencia, equidad y autonomía financiera, respondiendo entre otras a las siguientes cuestiones: • ¿Qué incrementos de recursos y que financiación por habitante han obtenido las CCAA tanto en el año base como en la evolución del sistema? • ¿Está proporcionado suficientes recursos para cubrir la evolución de las necesidades y del gasto? • ¿Ha mejorado la suficiencia y la equidad respecto del modelo anterior de FS? • Es excesivo el nivel del gasto sanitario y el ritmo de su crecimiento? ¿De persistir esa dinámica podrá financiarse sin dificultades? • ¿Qué conclusiones podemos obtener de cara a la reforma del SFA? En cuanto a la metodología, partiendo de los datos oficiales publicados hemos obtenido la financiación resultante del modelo, la población (protegida y equivalente), y el gasto sanitario de todas las CC.AA. . En base a esos datos se han calculado también los indicadores necesarios para el análisis. Asimismo se estudia la aplicación de las garantías, las obligaciones de gasto mínimo, y los efectos del Acuerdo de FS de septiembre de 2005. Como conclusión general podemos señalar que el modelo de FSA actual ha mejorado la suficiencia del mismo y la autonomía financiera de las CC.AA.. Pero no la equidad, debido fundamentalmente al crecimiento de la población, a la ausencia de mecanismos de actualización de las necesidades y recursos en el SFA, y a la ineficacia de las asignaciones de nivelación. De cara a la próxima reforma del SFA, en el ámbito de la FSA sería preciso incrementar su montante actual, como mínimo consolidado todos los recursos que aporta el Acuerdo de 2005, modificar los criterios de reparto por otros que midan mejor las necesidades, mejorar la suficiencia dinámica ajustando con más eficacia los recursos a la evolución de aquellas, mantener la garantía del crecimiento con el PIB, y establecer unas asignaciones de nivelación más operativas. ABSTRACT The purpose of this report is to obtain and to analyze the Health Financing Model (HFM), both in the reference year and on 2002-2006 period, with the perspective of its adjustment to the sufficiency, financial autonomy and equity principles, trying to answer among others the following questions: • What increases of resources and that financing by inhabitant have obtained the CCAA in the year base and on the evolution of the system? • Are proportionate sufficient resources to cover the evolution with the necessities and the cost? • Have the sufficiency and equity improved regarding the old model? • Are the level of the sanitary cost and the rate of its growth excesive? to persist that dynamics, it will be able to finance without difficulties? • Which conclusions can we reach with a view to the reform del HFM? Concerning methodology, based on the published official data, we have obtained the resulting financing of the model, the population (protected and equivalent), and the sanitary cost of all the CC.AA. Based to those data have also calculated the necessary indicators for the analysis. Also it is studied the application of the guarantees, the obligations of minimum cost, and the effects in the Agreement of FS of September of 2005. As general conclusion, we can indicate that the present model of HFM has improved the sufficiency of the same one and the financial autonomy of the CC.AA. But not equity, due fundamentally to the growth of the population, the absence of mechanisms of update of the needs and resources in the HFM, and to the inefficiency of the allocations of leveling. With a view to the next reform of the HFM, in the field of the HFM it would be precise to increase its present post, at least consolidating all the resources that the Agreement of 2005 contributes, to modify the distribution criteria by others that measure better the necessities, to improve the dynamic sufficiency fitting with more effectiveness the resources to the evolution of those, to maintain the guarantee of the growth with the G IP, and to establish more operative allocations of leveling.

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    Bibliographic Info

    Article provided by Universidades Públicas de Andalucía in its journal Revista de Estudios Regionales.

    Volume (Year): 04 (2009)
    Issue (Month): ()
    Pages: 405-432

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    Handle: RePEc:rer:articu:v:04:y:2009:p:405-432

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    Related research

    Keywords: Financiación autonómica; Financiación sanitaria; Regional financing; Health regional financing;

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