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El impacto de los servicios sanitarios sobre la salud

This paper reviews what has increased medical-care spending bought in terms of health benefits with longitudinal data from the U.S and, more limited, from Spain. Health services contribution to health has been positive in average, especially during the last 50 years for the U.S and the last 30 years for Spain. This contribution differs among countries and is much greater for some diseases (cardiovascular) than for others (cancer). Benefits from health care interventions can be valued on basis on the social willin gness to pay, observed or declared on the process of establishing health policy priorities. 30.000 euros per Quality Adjusted Life Year could provide an efficiency threshold for financing publicly health services in Spain: Consensus and legitimacy of the political process of establishing health priorities becomes, however, more important than any approximate number. Attention is paid finally to bridging the gap between efficacy (the possibilities given by innovation and resources devoted to health care) and effectiveness (the distance to the frontier) of the everyday working of a health system with its inappropriate care and limited application of the existing knowledge.

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Paper provided by Department of Economics and Business, Universitat Pompeu Fabra in its series Economics Working Papers with number 752.

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Date of creation: May 2004
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Handle: RePEc:upf:upfgen:752
Contact details of provider: Web page: http://www.econ.upf.edu/

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  1. David M. Cutler & Robert S. Huckman, 2002. "Technological Development and Medical Productivity: The Diffusion of Angioplasty in New York State," NBER Working Papers 9311, National Bureau of Economic Research, Inc.
  2. Fogel, Robert W., 1993. "Economic Growth, Population Theory, and Physiology: The Bearing of Long-Term Processes on the Making of Economic Policy," Nobel Prize in Economics documents 1993-1, Nobel Prize Committee.
  3. Ernst Fehr & Simon Gaechter, 2003. "Altruistic Punishment in Humans," Microeconomics 0305006, EconWPA.
  4. Cutler, David & Huckman, Robert, 2003. "Technological Development and Medical Productivity: The Diffusion of Angioplasty in New York State," Scholarly Articles 2664291, Harvard University Department of Economics.
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