Public healthcare expenditure in Spain: Measuring the impact of driving factors

被引:20
作者
Blanco-Moreno, Angela [1 ,2 ]
Urbanos-Garrido, Rosa M. [3 ]
John Thuissard-Vasallo, Israel [4 ]
机构
[1] Spanish Minist Finance & Publ Adm, Madrid, Spain
[2] Univ Complutense Madrid, Pozuelo De Alarcon 28223, Spain
[3] Univ Complutense Madrid, Dept Publ Finance, Pozuelo De Alarcon 28223, Spain
[4] Spanish Minist Hlth, Madrid, Spain
关键词
Health expenditure; Driving factors; Death related costs; AGE;
D O I
10.1016/j.healthpol.2013.03.012
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objectives: To assess the impact of demography, health status, death related costs and some macroeconomic variables on the evolution of health expenditure. Methods: We follow the methodology used by the Ageing Working Group (AWG) of the European Union to simulate expenditure projections on the basis of healthcare expenditure profiles for age sex population groups. We estimate the profiles using data from Hospital Discharges Statistics and the Spanish National Health Survey. Results: The differences between the compression of morbidity scenario and the expansion of morbidity scenario range from 1.35 to 1.57 points of GDP in 2060. The overestimation of healthcare expenditure when death related costs are ignored ranges from 0.04 to 0.11 percentage points, depending on the health status hypothesis. Moreover, the effect of death related cost diminishes as health status improves. Conclusions: Our results support the fact that intensity of healthcare use, instead of ageing, is the main driver of health expenditure. Thus, the concern of keeping expenditure under control should be focused on factors such as the population's health status, economic growth and development, new technologies and medical progress, and the organization and management of the healthcare system. (C) 2013 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:34 / 42
页数:9
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