array:24 [
  "pii" => "S021391110771988X"
  "issn" => "02139111"
  "doi" => "10.1157/13101038"
  "estado" => "S300"
  "fechaPublicacion" => "2007-03-01"
  "aid" => "71988"
  "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
  "copyrightAnyo" => "2007"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "fla"
  "cita" => "Gac Sanit. 2007;21:124-31"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2836
    "formatos" => array:3 [
      "EPUB" => 122
      "HTML" => 2183
      "PDF" => 531
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0213911107719891"
    "issn" => "02139111"
    "doi" => "10.1157/13101039"
    "estado" => "S300"
    "fechaPublicacion" => "2007-03-01"
    "aid" => "71989"
    "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Gac Sanit. 2007;21:132-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2732
      "formatos" => array:3 [
        "EPUB" => 163
        "HTML" => 2135
        "PDF" => 434
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>"
      "titulo" => "Influence of available resources on medical practitioners&#8217; decision-making process and practice&#58; study of a reference hospital emergency department"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "132"
          "paginaFinal" => "135"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Juan Vi&#241;as Salas, Ram&#243;n Casals Garrig&#243;, Ana M&#46; Jim&#233;nez Vilchez, Pere Godoy"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Juan"
              "apellidos" => "Vi&#241;as Salas"
            ]
            1 => array:2 [
              "nombre" => "Ram&#243;n"
              "apellidos" => "Casals Garrig&#243;"
            ]
            2 => array:2 [
              "nombre" => "Ana M&#46;"
              "apellidos" => "Jim&#233;nez Vilchez"
            ]
            3 => array:2 [
              "nombre" => "Pere"
              "apellidos" => "Godoy"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107719891?idApp=WGSE"
    "url" => "/02139111/0000002100000002/v1_201301241548/S0213911107719891/v1_201301241548/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0213911107719878"
    "issn" => "02139111"
    "doi" => "10.1157/13101037"
    "estado" => "S300"
    "fechaPublicacion" => "2007-03-01"
    "aid" => "71987"
    "copyright" => "Sociedad Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n Sanitaria"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Gac Sanit. 2007;21:114-23"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3458
      "formatos" => array:3 [
        "EPUB" => 124
        "HTML" => 2628
        "PDF" => 706
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>"
      "titulo" => "Barreras y facilitadores de la coordinaci&#243;n asistencial en dos organizaciones sanitarias integradas en Catalu&#241;a"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "114"
          "paginaFinal" => "123"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Barriers and facilitators to health care coordination in two integrated health care organizations in Catalonia &#91;Spain&#93;"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ingrid Vargas Lorenzo, M&#46; Luisa V&#225;zquez Navarrete"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Ingrid"
              "apellidos" => "Vargas Lorenzo"
            ]
            1 => array:2 [
              "nombre" => "M&#46; Luisa"
              "apellidos" => "V&#225;zquez Navarrete"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107719878?idApp=WGSE"
    "url" => "/02139111/0000002100000002/v1_201301241548/S0213911107719878/v1_201301241548/es/main.assets"
  ]
  "es" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>"
    "titulo" => "Distribuci&#243;n del presupuesto sanitario p&#250;blico de Catalu&#241;a del a&#241;o 2005 entre las 17 categor&#237;as CIE-9-MC"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "124"
        "paginaFinal" => "131"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Ram&#243;n Gisbert, Max Brosa, Llu&#237;s Bohigas"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Ram&#243;n"
            "apellidos" => "Gisbert"
            "email" => array:1 [
              0 => "ramon&#46;gisbert&#64;uvic&#46;es"
            ]
            "referencia" => array:3 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff2"
              ]
              2 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Max"
            "apellidos" => "Brosa"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff2"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Llu&#237;s"
            "apellidos" => "Bohigas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff3"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Universitat de Vic&#44; Vic&#44; Barcelona&#44; Espa&#241;a"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff1"
          ]
          1 => array:3 [
            "entidad" => "Oblikue Consulting&#44; S&#46; L&#46;&#44; Barcelona&#44; Espa&#241;a"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff2"
          ]
          2 => array:3 [
            "entidad" => "Departament de Salut&#44; Generalitat de Catalunya&#44; Barcelona&#44; Espa&#241;a"
            "etiqueta" => "<span class="elsevierStyleSup">c</span>"
            "identificador" => "aff3"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondencia&#58; Ram&#243;n Gisbert Gelonch&#46; Figols&#44; 19-21&#46; 08028 Barcelona&#46; Espa&#241;a&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Distribution of the public healthcare budget of Catalonia &#91;Spain&#93; for 2005 among the 17 ICD-9-CM categories"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2006-02-07"
    "fechaAceptado" => "2006-10-06"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec13842"
          "palabras" => array:3 [
            0 => "Presupuesto sanitario"
            1 => "Coste enfermedad"
            2 => "Categor&#237;a CIE-9-MC"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec13841"
          "palabras" => array:3 [
            0 => "Health budget"
            1 => "Disease cost"
            2 => "ICD-9-CM category"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">La distribuci&#243;n del presupuesto sanitario p&#250;blico de Catalu&#241;a del a&#241;o 2005 entre las 17 categor&#237;as CIE-9-MC &#40;Clasificaci&#243;n Internacional de Enfermedades&#44; novena revisi&#243;n&#44; modificaci&#243;n cl&#237;nica&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">La metodolog&#237;a consta de 2 fases&#58; una primera fase en la que se realiza una distribuci&#243;n del presupuesto global por tipo de atenci&#243;n sanitaria &#40;atenci&#243;n hospitalaria&#44; ambulatoria o farmacol&#243;gica&#41;&#44; y una segunda fase en que se distribuye el gasto por tipo de atenci&#243;n entre las categor&#237;as CIE-9-MC&#46; Para esta distribuci&#243;n se utilizan&#44; en la primera fase&#44; informaciones que permitan asignar las diferentes partidas del presupuesto a los distintos tipos de atenci&#243;n&#46; Por lo que respecta a la distribuci&#243;n por categor&#237;as&#44; se utilizan diferentes elementos seg&#250;n el tipo de atenci&#243;n&#44; la estancia hospitalaria&#44; la visita ambulatoria o el consumo por subgrupo terap&#233;utico&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El presupuesto se divide de la forma siguiente&#58; un 46&#44;6&#37; corresponde a la atenci&#243;n especializada&#44; un 27&#44;5&#37; a la atenci&#243;n farmacol&#243;gica&#44; un 20&#37; a la atenci&#243;n primaria y un 5&#44;9&#37; queda sin distribuir&#46; De las 17 categor&#237;as&#44; la que representa el porcentaje mayor &#40;17&#44;3&#37;&#41; es la que corresponde a las enfermedades del aparato circulatorio &#40;VII&#41;&#46; En segundo lugar&#44; aparece la categor&#237;a VIII &#171;enfermedades del aparato respiratorio&#187;&#44; que alcanza un 10&#44;9&#37;&#46; El presupuesto se concentra en 5 categor&#237;as&#44; las 2 anteriores m&#225;s V &#171;trastornos mentales&#187; &#40;9&#44;4&#37;&#41;&#44; II &#171;tumores&#187; &#40;9&#44;1&#37;&#41; y IX &#171;trastornos del aparato digestivo&#187; &#40;7&#44;7&#37;&#41;&#44; que representan el 54&#44;4&#37; del presupuesto total&#46; La composici&#243;n interna para cada categor&#237;a presenta variaciones muy notorias&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">La distribuci&#243;n del presupuesto aporta un punto de referencia para la planificaci&#243;n y la gesti&#243;n sanitarias&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To describe the distribution of the Catalan public healthcare budget for 2005 among the 17 ICD-9-CM &#40;International Classification of Diseases&#44; Ninth revision&#44; clinical modification&#41; categories&#46;</p> <span class="elsevierStyleSectionTitle">Material and method</span><p class="elsevierStyleSimplePara elsevierViewall">The methodology comprised 2 phases&#58; an initial phase in which the global budget was distributed by type of healthcare &#40;hospital&#44; outpatient or pharmacological care&#41;&#44; and a second phase in which the expenditure was distributed by the type of care among the ICD-9-CM categories&#46; In the first phase&#44; this distribution was based on information enabling the various budget items to be assigned to the different types of care&#46; Various elements were used for the distribution by categories&#44; depending on each type of care&#58; hospital stay&#44; outpatient visit or consumption by therapeutic subgroup&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Distribution of the budget was as follows&#58; 46&#46;6&#37; for specialized care&#44; 27&#46;5&#37; for pharmacological care&#44; and 20&#46;0&#37; for primary care&#59; 5&#46;9&#37; was not distributed&#46; Of the 17 categories&#44; that accounting for the largest percentage &#40;17&#46;3&#37;&#41; was &#171;diseases of the circulatory system&#187; &#40;VII&#41;&#44; followed by category VIII&#44; &#171;diseases of the respiratory system&#187; which totaled 10&#46;9&#37;&#46; The budget was concentrated in 5 categories&#44; the 2 mentioned above plus category V &#171;mental disorders&#187; &#40;9&#46;4&#37;&#41;&#44; category II &#171;tumors&#187; &#40;9&#46;1&#37;&#41; and category IX &#171;disorders of the digestive system&#187; &#40;7&#46;7&#37;&#41;&#44; which accounted for 54&#46;4&#37; of the total budget&#46; The internal composition of each category showed major variations&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">The distribution of the budget offers a point of reference for health planning and management&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:24 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cost-of-illness methodology&#58; a guide to current practices and procedures&#46; Milbank Memorial Fund Quaterly"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "T&#46;A&#46; Hodgson"
                            1 => "M&#46;R&#46; Meiners"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Health Society"
                        "fecha" => "1982"
                        "volumen" => "60"
                        "paginaInicial" => "429"
                        "paginaFinal" => "462"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The economic cost of illness&#58; a replication and update"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46;P&#46; Rice"
                            1 => "T&#46;A&#46; Hodgson"
                            2 => "A&#46;N&#46; Kopstein"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Health Care Financing Rev"
                        "fecha" => "1985"
                        "volumen" => "7"
                        "paginaInicial" => "61"
                        "paginaFinal" => "80"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cost of illness studies&#58; no aid to decision making&#63; Reply to Shiell et al"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46; Beherens"
                            1 => "K&#46;D&#46; Henke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Health Policy"
                        "fecha" => "1988"
                        "volumen" => "10"
                        "paginaInicial" => "137"
                        "paginaFinal" => "141"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10312717"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The Global Burden of Disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46;J&#46;L&#46; Murray"
                            1 => "A&#46;D&#46; L&#243;pez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1996"
                        "editorial" => "The Harvard School of Public Health on behalf of The World Health Organization and The World Bank"
                        "editorialLocalizacion" => "Gen&#232;ve"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Progress and directions in refining the Global Burden of Disease approach&#58; a response to Williams"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46;J&#46;L&#46; Murray"
                            1 => "A&#46;D&#46; L&#243;pez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Health Economics"
                        "fecha" => "2000"
                        "volumen" => "9"
                        "paginaInicial" => "69"
                        "paginaFinal" => "82"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10694761"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cost of illness studies&#58; an aid to decision-making&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Shiell"
                            1 => "K&#46; Gerard"
                            2 => "C&#46; Donaldson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Health Policy"
                        "fecha" => "1987"
                        "volumen" => "8"
                        "paginaInicial" => "317"
                        "paginaFinal" => "323"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Calculating the Global Burden of disease&#58; time for a strategic reappraisal&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46; Williams"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Health Economics"
                        "fecha" => "1999"
                        "volumen" => "8"
                        "paginaInicial" => "1"
                        "paginaFinal" => "8"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10082139"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Comments on the response by Murray and L&#243;pez"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46; Williams"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Health Economics"
                        "fecha" => "2000"
                        "volumen" => "9"
                        "paginaInicial" => "83"
                        "paginaFinal" => "86"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10694762"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cost-of-illness studies&#46; Useful for health policy&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46; Koopmanshap"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pharmacoeconomics"
                        "fecha" => "1998"
                        "volumen" => "14"
                        "paginaInicial" => "143"
                        "paginaFinal" => "148"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10186453"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Generalitat de Catalunya&#46; Departament de Sanitat i Seguretat Social&#46; Activitat asistencial de la xarxa sanitaria de Catalunya 2003&#46; Informe del registre del conjunt m&#237;nim b&#224;sic de dades &#40;CMBD&#41;&#46; Barcelona&#58; Servei Catal&#224; de la Salut&#59; 2005&#46;"
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Generalitat de Catalunya&#46; Departament de Sanitat i Seguretat Social&#46; L&#8217;atenci&#243; sociosanit&#224;ria a Catalunya&#46; Vida als anys 2003 Barcelona&#58; Servei Catal&#224; de la Salut&#59; 2004&#46;"
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Generalitat de Catalunya&#46; Pla de Salut de Catalunya 1993-1995&#46; Barcelona&#58; Departament de Sanitat i Seguretat Social&#59; 1993&#46;"
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Generalitat de Catalunya&#46; Departament de Sanitat i Seguretat Social&#46; Memoria d&#8217;activitat 2003&#46; Barcelona&#58; Servei Catal&#224; de la Salut&#59; 2005&#46;"
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudio sobre el uso de recetas&#44; radiolog&#237;a y anal&#237;tica en un centro de salud urbano"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "L&#46; De la Revilla"
                            1 => "E&#46; Mateo"
                            2 => "E&#46; Ruiz"
                            3 => "M&#46;A&#46; Moreno"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Aten Primaria"
                        "fecha" => "1998"
                        "volumen" => "5"
                        "paginaInicial" => "253"
                        "paginaFinal" => "257"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Utilizaci&#243;n del Sistema Informatizado de Centros de Atenci&#243;n Primaria &#40;SICAP&#41; para valorar el consumo de pruebas diagn&#243;sticas y derivaciones"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "E&#46; Fern&#225;ndez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Centro de Salud"
                        "fecha" => "1998"
                        "volumen" => "6"
                        "paginaInicial" => "305"
                        "paginaFinal" => "311"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Gisbert R&#44; Brosa M&#46; Evoluci&#243;n del coste de la enfermedad en Espa&#241;a&#58; 1980-2000&#46; XXV Jornadas de Econom&#237;a de la Salud&#46; Barcelona&#44; julio de 2005&#46;"
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Health system costs of diseases and injury in Australia 1993-94"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C&#46; Mathers"
                            1 => "R&#46; Penm"
                            2 => "C&#46; Carter"
                            3 => "C&#46; Stevenson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1998"
                        "editorial" => "Australian Institute of Health and Welfare"
                        "editorialLocalizacion" => "Canberra"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Australian Institute of Health and Welfare &#40;AIHW 2004&#41;&#46; Health system expenditure on disease and injury in Australia&#44; 2000-01&#46; AIHW cat&#46; n&#46;&#176; HWE 26 &#40;Health and Welfare Expenditure Series n&#46;o 19&#41;&#44; Camberra&#44; 2004&#46;"
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Economic burden of illness in Canada&#44; 1993"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46; Moore"
                            1 => "Y&#46; Mao"
                            2 => "J&#46; Zhang"
                            3 => "K&#46; Clarke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1997"
                        "editorial" => "Minister of Public Works and Government Services"
                        "editorialLocalizacion" => "Ottawa"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Minister of Public Works and government services &#40;MPW&#41;&#46; Economic Burden of Illness in Canada 1998&#46; Policy Research division&#44; Strategic Policy Directorate&#44; Canada&#44; 2002&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.hc-sc.gc.ca/">http&#58;&#47;&#47;www&#46;hc-sc&#46;gc&#46;ca</a>"
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medical expenditures for major diseases&#44; 1995"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "T&#46;A&#46; Hodgson"
                            1 => "A&#46;J&#46; Cohen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Health Care Financing Rev"
                        "fecha" => "1999"
                        "volumen" => "21"
                        "paginaInicial" => "119"
                        "paginaFinal" => "164"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Demographic and epidemiological determinants of healthcare costs in Netherlands&#58; cost of illness study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "W&#46;J&#46; Meerding"
                            1 => "L&#46; Bonneux"
                            2 => "J&#46;J&#46; Polder"
                            3 => "M&#46;A&#46; Koopmanshap"
                            4 => "P&#46;J&#46; Van der Maas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "1998"
                        "volumen" => "317"
                        "paginaInicial" => "111"
                        "paginaFinal" => "115"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9657785"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Executive NHS Burdens of disease&#58; a discussion document&#46; London&#58; Department of Health&#59; 1996&#46;"
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Des Comptes de la sant&#233; par pathologie&#46; Un prototype sur l&#8217;ann&#233;e 1998"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "V&#46; Paris"
                            1 => "T&#46; Renaud"
                            2 => "C&#46; Sermet"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Questions d&#8217;&#233;conomie de la sant&#233;"
                        "fecha" => "2002"
                        "volumen" => "56"
                        "paginaInicial" => "1"
                        "paginaFinal" => "8"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02139111/0000002100000002/v1_201301241548/S021391110771988X/v1_201301241548/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "764"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Originales"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02139111/0000002100000002/v1_201301241548/S021391110771988X/v1_201301241548/es/main.pdf?idApp=WGSE&text.app=https://gacetasanitaria.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021391110771988X?idApp=WGSE"
]
Compartir
Publique en esta revista
Información de la revista
Vol. 21. Núm. 2.
Páginas 124-131 (marzo - abril 2007)
Respuestas rápidas
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 21. Núm. 2.
Páginas 124-131 (marzo - abril 2007)
Originales
Open Access
Distribución del presupuesto sanitario público de Cataluña del año 2005 entre las 17 categorías CIE-9-MC
Distribution of the public healthcare budget of Catalonia [Spain] for 2005 among the 17 ICD-9-CM categories
Visitas
1056
Ramón Gisberta,b,
Autor para correspondencia
ramon.gisbert@uvic.es

Correspondencia: Ramón Gisbert Gelonch. Figols, 19-21. 08028 Barcelona. España.
, Max Brosab, Lluís Bohigasc
a Universitat de Vic, Vic, Barcelona, España
b Oblikue Consulting, S. L., Barcelona, España
c Departament de Salut, Generalitat de Catalunya, Barcelona, España
Este artículo ha recibido

Under a Creative Commons license
Información del artículo
Resumen
Objetivos

La distribución del presupuesto sanitario público de Cataluña del año 2005 entre las 17 categorías CIE-9-MC (Clasificación Internacional de Enfermedades, novena revisión, modificación clínica).

Material y método

La metodología consta de 2 fases: una primera fase en la que se realiza una distribución del presupuesto global por tipo de atención sanitaria (atención hospitalaria, ambulatoria o farmacológica), y una segunda fase en que se distribuye el gasto por tipo de atención entre las categorías CIE-9-MC. Para esta distribución se utilizan, en la primera fase, informaciones que permitan asignar las diferentes partidas del presupuesto a los distintos tipos de atención. Por lo que respecta a la distribución por categorías, se utilizan diferentes elementos según el tipo de atención, la estancia hospitalaria, la visita ambulatoria o el consumo por subgrupo terapéutico.

Resultados

El presupuesto se divide de la forma siguiente: un 46,6% corresponde a la atención especializada, un 27,5% a la atención farmacológica, un 20% a la atención primaria y un 5,9% queda sin distribuir. De las 17 categorías, la que representa el porcentaje mayor (17,3%) es la que corresponde a las enfermedades del aparato circulatorio (VII). En segundo lugar, aparece la categoría VIII «enfermedades del aparato respiratorio», que alcanza un 10,9%. El presupuesto se concentra en 5 categorías, las 2 anteriores más V «trastornos mentales» (9,4%), II «tumores» (9,1%) y IX «trastornos del aparato digestivo» (7,7%), que representan el 54,4% del presupuesto total. La composición interna para cada categoría presenta variaciones muy notorias.

Conclusión

La distribución del presupuesto aporta un punto de referencia para la planificación y la gestión sanitarias.

Palabras clave:
Presupuesto sanitario
Coste enfermedad
Categoría CIE-9-MC
Abstract
Objectives

To describe the distribution of the Catalan public healthcare budget for 2005 among the 17 ICD-9-CM (International Classification of Diseases, Ninth revision, clinical modification) categories.

Material and method

The methodology comprised 2 phases: an initial phase in which the global budget was distributed by type of healthcare (hospital, outpatient or pharmacological care), and a second phase in which the expenditure was distributed by the type of care among the ICD-9-CM categories. In the first phase, this distribution was based on information enabling the various budget items to be assigned to the different types of care. Various elements were used for the distribution by categories, depending on each type of care: hospital stay, outpatient visit or consumption by therapeutic subgroup.

Results

Distribution of the budget was as follows: 46.6% for specialized care, 27.5% for pharmacological care, and 20.0% for primary care; 5.9% was not distributed. Of the 17 categories, that accounting for the largest percentage (17.3%) was «diseases of the circulatory system» (VII), followed by category VIII, «diseases of the respiratory system» which totaled 10.9%. The budget was concentrated in 5 categories, the 2 mentioned above plus category V «mental disorders» (9.4%), category II «tumors» (9.1%) and category IX «disorders of the digestive system» (7.7%), which accounted for 54.4% of the total budget. The internal composition of each category showed major variations.

Conclusion

The distribution of the budget offers a point of reference for health planning and management.

Key words:
Health budget
Disease cost
ICD-9-CM category
El Texto completo está disponible en PDF
Bibliografía
[1.]
T.A. Hodgson, M.R. Meiners.
Cost-of-illness methodology: a guide to current practices and procedures. Milbank Memorial Fund Quaterly.
Health Society, 60 (1982), pp. 429-462
[2.]
D.P. Rice, T.A. Hodgson, A.N. Kopstein.
The economic cost of illness: a replication and update.
Health Care Financing Rev, 7 (1985), pp. 61-80
[3.]
C. Beherens, K.D. Henke.
Cost of illness studies: no aid to decision making? Reply to Shiell et al.
Health Policy, 10 (1988), pp. 137-141
[4.]
C.J.L. Murray, A.D. López.
The Global Burden of Disease.
The Harvard School of Public Health on behalf of The World Health Organization and The World Bank, (1996),
[5.]
C.J.L. Murray, A.D. López.
Progress and directions in refining the Global Burden of Disease approach: a response to Williams.
Health Economics, 9 (2000), pp. 69-82
[6.]
A. Shiell, K. Gerard, C. Donaldson.
Cost of illness studies: an aid to decision-making?.
Health Policy, 8 (1987), pp. 317-323
[7.]
A. Williams.
Calculating the Global Burden of disease: time for a strategic reappraisal?.
Health Economics, 8 (1999), pp. 1-8
[8.]
A. Williams.
Comments on the response by Murray and López.
Health Economics, 9 (2000), pp. 83-86
[9.]
M. Koopmanshap.
Cost-of-illness studies. Useful for health policy?.
Pharmacoeconomics, 14 (1998), pp. 143-148
[10.]
Generalitat de Catalunya. Departament de Sanitat i Seguretat Social. Activitat asistencial de la xarxa sanitaria de Catalunya 2003. Informe del registre del conjunt mínim bàsic de dades (CMBD). Barcelona: Servei Català de la Salut; 2005.
[11.]
Generalitat de Catalunya. Departament de Sanitat i Seguretat Social. L’atenció sociosanitària a Catalunya. Vida als anys 2003 Barcelona: Servei Català de la Salut; 2004.
[12.]
Generalitat de Catalunya. Pla de Salut de Catalunya 1993-1995. Barcelona: Departament de Sanitat i Seguretat Social; 1993.
[13.]
Generalitat de Catalunya. Departament de Sanitat i Seguretat Social. Memoria d’activitat 2003. Barcelona: Servei Català de la Salut; 2005.
[14.]
L. De la Revilla, E. Mateo, E. Ruiz, M.A. Moreno.
Estudio sobre el uso de recetas, radiología y analítica en un centro de salud urbano.
Aten Primaria, 5 (1998), pp. 253-257
[15.]
E. Fernández.
Utilización del Sistema Informatizado de Centros de Atención Primaria (SICAP) para valorar el consumo de pruebas diagnósticas y derivaciones.
Centro de Salud, 6 (1998), pp. 305-311
[16.]
Gisbert R, Brosa M. Evolución del coste de la enfermedad en España: 1980-2000. XXV Jornadas de Economía de la Salud. Barcelona, julio de 2005.
[17.]
C. Mathers, R. Penm, C. Carter, C. Stevenson.
Health system costs of diseases and injury in Australia 1993-94.
Australian Institute of Health and Welfare, (1998),
[18.]
Australian Institute of Health and Welfare (AIHW 2004). Health system expenditure on disease and injury in Australia, 2000-01. AIHW cat. n.° HWE 26 (Health and Welfare Expenditure Series n.o 19), Camberra, 2004.
[19.]
R. Moore, Y. Mao, J. Zhang, K. Clarke.
Economic burden of illness in Canada, 1993.
Minister of Public Works and Government Services, (1997),
[20.]
Minister of Public Works and government services (MPW). Economic Burden of Illness in Canada 1998. Policy Research division, Strategic Policy Directorate, Canada, 2002. Disponible en: http://www.hc-sc.gc.ca
[21.]
T.A. Hodgson, A.J. Cohen.
Medical expenditures for major diseases, 1995.
Health Care Financing Rev, 21 (1999), pp. 119-164
[22.]
W.J. Meerding, L. Bonneux, J.J. Polder, M.A. Koopmanshap, P.J. Van der Maas.
Demographic and epidemiological determinants of healthcare costs in Netherlands: cost of illness study.
BMJ, 317 (1998), pp. 111-115
[23.]
Executive NHS Burdens of disease: a discussion document. London: Department of Health; 1996.
[24.]
V. Paris, T. Renaud, C. Sermet.
Des Comptes de la santé par pathologie. Un prototype sur l’année 1998.
Questions d’économie de la santé, 56 (2002), pp. 1-8
Copyright © 2007. Sociedad Española de Salud Pública y Administración Sanitaria
Descargar PDF
Idiomas
Gaceta Sanitaria
Opciones de artículo
Herramientas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?