<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-04-18T04:11:03Z</responseDate><request verb="GetRecord" identifier="oai:www.recercat.cat:10230/336" metadataPrefix="didl">https://recercat.cat/oai/request</request><GetRecord><record><header><identifier>oai:recercat.cat:10230/336</identifier><datestamp>2025-12-25T01:07:15Z</datestamp><setSpec>com_2072_6</setSpec><setSpec>col_2072_452953</setSpec></header><metadata><d:DIDL xmlns:d="urn:mpeg:mpeg21:2002:02-DIDL-NS" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" xsi:schemaLocation="urn:mpeg:mpeg21:2002:02-DIDL-NS http://standards.iso.org/ittf/PubliclyAvailableStandards/MPEG-21_schema_files/did/didl.xsd">
   <d:Item id="hdl_10230_336">
      <d:Descriptor>
         <d:Statement mimeType="application/xml; charset=utf-8">
            <dii:Identifier xmlns:dii="urn:mpeg:mpeg21:2002:01-DII-NS" xsi:schemaLocation="urn:mpeg:mpeg21:2002:01-DII-NS http://standards.iso.org/ittf/PubliclyAvailableStandards/MPEG-21_schema_files/dii/dii.xsd">urn:hdl:10230/336</dii:Identifier>
         </d:Statement>
      </d:Descriptor>
      <d:Descriptor>
         <d:Statement mimeType="application/xml; charset=utf-8">
            <oai_dc:dc xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:dc="http://purl.org/dc/elements/1.1/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
               <dc:title>El impacto de los servicios sanitarios sobre la salud</dc:title>
               <dc:creator>Ortún Rubio, Vicente</dc:creator>
               <dc:creator>Meneu, Ricardo</dc:creator>
               <dc:creator>Peiró, Salvador, 1956-</dc:creator>
               <dc:subject>cost-benefit of health care interventions</dc:subject>
               <dc:subject>welfare loss of inappropiate utilization of health care services</dc:subject>
               <dc:subject>social willingness to pay</dc:subject>
               <dc:subject>effectiveness</dc:subject>
               <dc:subject>efficiency</dc:subject>
               <dc:subject>spain</dc:subject>
               <dc:subject>Labour, Public, Development and Health Economics</dc:subject>
               <dc:description>This paper reviews what has increased medical-care spending bought in terms of health benefits&#xd;
with longitudinal data from the U.S and, more limited, from Spain. Health services contribution&#xd;
to health has been positive in average, especially during the last 50 years for the U.S and&#xd;
the last 30 years for Spain. This contribution differs among countries and is much greater for&#xd;
some diseases (cardiovascular) than for others (cancer). Benefits from health care interventions&#xd;
can be valued on basis on the social willin gness to pay, observed or declared on the process of&#xd;
establishing health policy priorities. 30.000 euros per Quality Adjusted Life Year could provide&#xd;
an efficiency threshold for financing publicly health services in Spain: Consensus and&#xd;
legitimacy of the political process of establishing health priorities becomes, however, more&#xd;
important than any approximate number. Attention is paid finally to bridging the gap between&#xd;
efficacy (the possibilities given by innovation and resources devoted to health care) and&#xd;
effectiveness (the distance to the frontier) of the everyday working of a health system with its&#xd;
inappropriate care and limited application of the existing knowledge.</dc:description>
               <dc:date>2017-07-26T10:50:46Z</dc:date>
               <dc:date>2017-07-26T10:50:46Z</dc:date>
               <dc:date>2004-05-01</dc:date>
               <dc:date>2017-07-23T02:08:32Z</dc:date>
               <dc:type>info:eu-repo/semantics/workingPaper</dc:type>
               <dc:relation>Economics and Business Working Papers Series; 752</dc:relation>
               <dc:rights>L&amp;apos;accés als continguts d&amp;apos;aquest document queda condicionat a l&amp;apos;acceptació de les condicions d&amp;apos;ús establertes per la següent llicència Creative Commons</dc:rights>
               <dc:rights>http://creativecommons.org/licenses/by-nc-nd/3.0/es/</dc:rights>
               <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
            </oai_dc:dc>
         </d:Statement>
      </d:Descriptor>
   </d:Item>
</d:DIDL></metadata></record></GetRecord></OAI-PMH>