2026-04-19T19:21:30Zhttps://recercat.cat/oai/requestoai:recercat.cat:10230/3362025-12-25T01:07:15Zcom_2072_6col_2072_452953
El impacto de los servicios sanitarios sobre la salud
Ortún Rubio, Vicente
Meneu, Ricardo
Peiró, Salvador, 1956-
cost-benefit of health care interventions
welfare loss of inappropiate utilization of health care services
social willingness to pay
effectiveness
efficiency
spain
Labour, Public, Development and Health Economics
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.
2017-07-26T10:50:46Z
2017-07-26T10:50:46Z
2004-05-01
2017-07-23T02:08:32Z
info:eu-repo/semantics/workingPaper
Economics and Business Working Papers Series; 752
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http://creativecommons.org/licenses/by-nc-nd/3.0/es/
info:eu-repo/semantics/openAccess