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

Carla Blázquez-Fernández (), David Cantarero () and Marta Pascual ()

Estudios de Economia Aplicada, 2014, vol. 32, No 2, 860 pages

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

Keywords: Descentralización; gasto sanitario; renta; resultados en salud; Unión Europea; Decentralization; Health Expenditure; Income; Health Outcomes; European Union. (search for similar items in EconPapers)
JEL-codes: I1 H7 (search for similar items in EconPapers)
Date: 2014
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