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health bubble has doubled in 10 years spendinghealth, while the GDP decreases by the crisis

XXXII Conference of the Association of economy of health(AES)

-the health bubble has led the creationdisproportionate of hospitals and health centres, which did not correspond to thepopulation growth

– the Mezzogiorno European will precipitate a decrease held accountable for theexpenditure on health, as well as a series of reforms for years ”

-are necessary measures clinical reduction of ‘ fat ’,ones that suppress the resources, both material and human, thatThere are plenty in the public health system

-to avoid linear cuts and get along with oneorganizational maturity, the deficit reductions, needs better managementpublic that not dualice society

Bilbao, may 2012.- the economic crisis which iscurrently facing Spain it began with the trigger of the bubblereal estate, which has become a huge bill to the entire financial systemSpanish. However, it is not for nothing the only bubble that has been exploited in thistime, the Spanish public health system is another of these bubbles,It is also about to exploit. Professor Vicente Ortún, Dean of theFaculty of Economics and business at the Universitat Pompeu Fabra,in his speech closing the 33rd days of economy of health, it hasensured that the health bubble has led the disproportionate creationhospitals and health centres, which did not correspond to the growth ofthe population. ten years ago, with a public health much lessoversize, not dying people ”, the professor has been added inEconomy.

to him, considers that the European MezzogiornoIt will precipitate held accountable a decline in health spending, as well as a series of reformsthat, he said, they are outstanding for years. In this sense, theEconomist has ensured that it is not the same invention to innovation,still this ultimate reality the actually practice, which encourages progress.According to Ortún, is not to invent new things, if not innovate in whichWe already have and do so with common sense, i.e., listening to the needspeople’s ”.

reforms of the welfare state

health is not the same as welfare, so the impactthe crisis in health is not the same as the impact of the crisis in thehealth services ”. It’s forceful Ortún has shown noting thatthe problem isn’t in the welfare State, if not in the form of Statewelfare that suits the needs of Spain. Finland spentterribly bad when the USSR fell as its economy depended almostexclusively of trade with this ”, has pointed out the professor in economics.However, thanks to a policy of sustainability of the welfare Statethen applied to alleviate the difficult situation, the Scandinavian Statestoday are a clear example that a welfare State with one is compatiblecompetitive economy at the international level.

However, Ortún has ensured that it is now the time ofcorrect the inequities and inefficiencies of the welfare State in Spain ofso consolidation is compatible with the improvement of productivity. Isseeks to establish the restriction of supply so that the value isgiven the marginal productivity of one intervention exceed its costsocial, not why load the welfare state ”, explained Professorin economy.

said in his speech, Dr. Ortún such‘ restrictions ’ pose both clinics and public policy actions.Specifically, spoke of clinical measures of reduction of ‘ fat ’, which arethose that suppress the resources, both material and human, left overin the public health system. To do so, has considered that it is necessary areallocation and reduction of the gap between cost and effectiveness, as well aspolicies of planning and selective funding, as well as someregulated prices to guide towards innovation that interests.

improve the inefficiencies

as he has assured the Professor, is spent in Spain inmedications about 2,000 euros a year per pensioner, when their pension notit exceeds 360 euros. If offered 10% of what you save inmedications such pension, insurance that would save 90%, and improve thequality of the pensioner who has decided to do ”, has been proposed with humor theProfessor Ortún. For the teacher is only an example of the inefficiencies of thepublic health sector which should be corrected, since it not only requires it thedrastic reduction in the collection of the State, if not the viability of their ownSystem.

has closed his XXXII closing speech ofHealth Economics by saying that, to avoid linear cuts and get,with an organizational maturity, deficit reductions (magnified by)(tax/GDP elasticities and benefits social/GDP) is required onebest policy, so as to avoid not dualized society ”.

on the AES

the Association of economy of health (AES) was establishedformally in 1985, although aunque ya already had been developing activities, basically thecelebration of an annual Conference, since 1980. It was created to bring togethervoluntarily to all those professionals, whatever their origin,dedicated to the health economics or interested in it. More areasfrequent specialization of the partners include: hospital management,Health Administration. Public health, economic evaluation and pharmacy.