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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">This article is an approach to assess the effectiveness of the health system in Spain using information from health care activities&#44; the health status of the populations and the performance of health services&#44; taken as a whole&#44; and the standard patterns defined by geographical distribution and time trends&#46;</p> <span class="elsevierStyleSectionTitle">Matherial and method</span><p class="elsevierStyleSimplePara elsevierViewall">The most recent available data and historical series of basic indicators of general and premature mortality&#44; hospital performance and avoidable mortality are used&#46; Data has been aggregated by autonomous region and comes from official mortality and hospital statistics&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">All the indicators show the improvement experienced in all of the regions during the period analyzed&#46; This evolution however&#44; has not been homogeneous and the regions with the highest improvement are not always those which were in the worst situation at the base line&#46; The results indicate the general idea that health services are responding well to the threaths against the population&#39;s health&#44; while this cannot be said with respect to public health policies&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The available data&#44; as well as the indicators and the methods used are only useful to express a general idea about the health services effectiveness&#46; It is necessary to evaluate to what extent non-efficacy treatments are still being used and effective treatments are being used inefficiently&#46; To do that&#44; different data and methodology&#44; centred in specific cases or groups of diseases&#44; is needed&#46;</p>"
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Parte III. Recursos asistenciales y utilización
La efectividad del sistema sanitario en España
The efficiency of the Health System in Spain
Rosa Gispert
Autor para correspondencia
rosa.gispert@gencat.net

Correspondencia: Rosa Gispert. Servei d’Informació i Estudis. Departament de Salut. Pavelló Ave Maria. Travessera de les Corts, 131-159. 08028 Barcelona. España.
, María del Mar Torné, María Arán Barés
Servei d’Informació i Estudis. Departament de Salut. Generalitat de Catalunya. Barcelona. España
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Este trabajo pretende realizar una aproximaci&#243;n a la efectividad del sistema sanitario en Espa&#241;a&#44; mediante una lectura conjunta de las actividades&#44; el estado de salud y el desempe&#241;o de los servicios sanitarios&#44; en la que el tiempo y la distribuci&#243;n territorial marcan los patrones de referencia&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">Se utilizan los datos m&#225;s recientes y series hist&#243;ricas de indicadores b&#225;sicos de mortalidad general &#40;MG&#41; y prematura&#44; de actividad hospitalaria y de mortalidad evitable &#40;ME&#41;&#44; seg&#250;n la agrupaci&#243;n territorial de comunidades aut&#243;nomas&#44; obtenidos de la estad&#237;stica de mortalidad y la estad&#237;stica de establecimientos sanitarios con r&#233;gimen de internado del Instituto Nacional de Estad&#237;stica&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Todos los indicadores ponen de manifiesto que en el per&#237;odo estudiado la situaci&#243;n ha mejorado&#44; en todo el territorio&#44; aunque su distribuci&#243;n no ha sido homog&#233;nea y no siempre las regiones que m&#225;s mejoran son las que part&#237;an de peor situaci&#243;n&#46; De los resultados se desprende la idea general que los servicios sanitarios &#40;a diferencia de las pol&#237;ticas de salud p&#250;blica&#41; est&#225;n respondiendo favorablemente a los nuevos retos sobre la salud de la poblaci&#243;n &#40;en t&#233;rminus de mortalidad&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Los datos disponibles&#44; as&#237; como los indicadores y los m&#233;todos utilizados no sirven m&#225;s que para justificar esa idea general sobre la efectividad del sistema sanitario&#46; Se deber&#237;a evaluar en qu&#233; medida se siguen utilizando tratamientos ineficaces&#44; as&#237; como el uso ineficiente de tratamientos eficaces&#44; para lo cual es necesaria otra informaci&#243;n y otra metodolog&#237;a&#44; centrada en casos concretos o grupos de patolog&#237;as&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">This article is an approach to assess the effectiveness of the health system in Spain using information from health care activities&#44; the health status of the populations and the performance of health services&#44; taken as a whole&#44; and the standard patterns defined by geographical distribution and time trends&#46;</p> <span class="elsevierStyleSectionTitle">Matherial and method</span><p class="elsevierStyleSimplePara elsevierViewall">The most recent available data and historical series of basic indicators of general and premature mortality&#44; hospital performance and avoidable mortality are used&#46; Data has been aggregated by autonomous region and comes from official mortality and hospital statistics&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">All the indicators show the improvement experienced in all of the regions during the period analyzed&#46; This evolution however&#44; has not been homogeneous and the regions with the highest improvement are not always those which were in the worst situation at the base line&#46; The results indicate the general idea that health services are responding well to the threaths against the population&#39;s health&#44; while this cannot be said with respect to public health policies&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The available data&#44; as well as the indicators and the methods used are only useful to express a general idea about the health services effectiveness&#46; It is necessary to evaluate to what extent non-efficacy treatments are still being used and effective treatments are being used inefficiently&#46; To do that&#44; different data and methodology&#44; centred in specific cases or groups of diseases&#44; is needed&#46;</p>"
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ISSN: 02139111
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