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                  <mods:namePart>Ortún Rubio, Vicente</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Meneu, Ricardo</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Peiró, Salvador, 1956-</mods:namePart>
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                  <mods:dateIssued encoding="iso8601">2017-07-26T10:50:46Z2017-07-26T10:50:46Z2004-05-012017-07-23T02:08:32Z</mods:dateIssued>
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               <mods:abstract>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.</mods:abstract>
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               <mods:accessCondition type="useAndReproduction">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 http://creativecommons.org/licenses/by-nc-nd/3.0/es/ info:eu-repo/semantics/openAccess</mods:accessCondition>
               <mods:subject>
                  <mods:topic>cost-benefit of health care interventions</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>welfare loss of inappropiate utilization of health care services</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>social willingness to pay</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>effectiveness</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>efficiency</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>spain</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Labour, Public, Development and Health Economics</mods:topic>
               </mods:subject>
               <mods:titleInfo>
                  <mods:title>El impacto de los servicios sanitarios sobre la salud</mods:title>
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               <mods:genre>info:eu-repo/semantics/workingPaper</mods:genre>
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