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Evolution of public hospitals expenditure by healthcare area in the Spanish National Health System: the determinants to pay attention to

机译:西班牙国家卫生系统中按医疗保健领域分列的公立医院支出的演变:需要关注的决定因素

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摘要

BackgroundIn Spain, hospital expenditure represents the biggest share of overall public healthcare expenditure, the most important welfare system directly run by the Autonomous Communities (ACs). Since 2001, public healthcare expenditure has increased well above the GDP growth, and public hospital expenditure increased at an even faster rate. This paper aims at assessing the evolution of need-adjusted public hospital expenditure at healthcare area level (HCA) and its association with utilisation and ‘price’ factors, identifying the relative contribution of ACs, as the main locus of health policy decisions.
机译:背景信息在西班牙,医院支出占公共医疗总支出的最大份额,这是自治区(AC)直接运营的最重要的福利系统。自2001年以来,公共医疗保健支出的增长远远超过GDP的增长,公立医院支出的增长速度甚至更快。本文旨在评估在医疗保健领域(HCA)需要调整的公立医院支出的演变及其与利用率和“价格”因素的关联,确定AC的相对贡献,将其作为卫生政策决策的主要场所。

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