Evolución de la equidad interterritorial en el acceso a los servicios sanitarios entre las CCAA españolas (1987-2003) y su relación con la evolución del gasto sanitario público
ISSN: 0210-2633, 2340-9037
Year of publication: 2008
Issue Title: Desigualdad, equidad y eficiencia en salud y en servicios sanitarios
Issue: 75
Pages: 167-190
Type: Article
More publications in: Cuadernos económicos de ICE
Abstract
The debate about territorial equity access to the basic public services is permanently open in Spain. In the case of the sanity public services, the assumption of responsibility by the Autonomous Communities (AC) (2002), together with the growth and the heterogeneity in the sanitary public service expenses can to have effects in the access equality to the services. In this article, with the national Surveys of health data, we studied the access to five basic sanitary services from 1987 to 2003. The results point to, during the analyzed period, important inequalities take place in the access to the different sanitary services in function of the AC residence and that this inequality is not decreasing with the time. A significant correlation has also been obtained among the access inequality to the publics sanitary services and the sanitary expense in each AC in those sanitary services whose access decision depends exclusively on the patient, although this correlation disappears when the services should be recommended by a physician