SciELO - Scientific Electronic Library Online

 
vol.27 número2Prevalencia registrada del trastorno límite de personalidad en las bases de datos de atención primariaMetodología para el mapeo de activos de salud en una comunidad índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Gaceta Sanitaria

versión impresa ISSN 0213-9111

Resumen

CAMPILLO-ARTERO, Carlos  y  BERNAL-DELGADO, Enrique. Disinvestment in health: fundamentals, clarifications, experiences and perspectives. Gac Sanit [online]. 2013, vol.27, n.2, pp.175-179. ISSN 0213-9111.  http://dx.doi.org/10.1016/j.gaceta.2012.01.010.

During the economic crisis, the pressure to reduce health services expenditure as an isolated measure is greater than measures intended to increase the efficiency of these services. Information, methods and experiences to improve health outcomes with limited resources are available and a number of countries have been applying measures to achieve this goal. One of these measures is disinvestment. Given that this tactic is necessary but also intricate, allergenic and confusing, this article tries to clarify its meaning, place it in its correct context, and describe the methods and criteria used to identify and prioritize candidate medical technologies for disinvestment. The experiences of Spain, New Zealand, Australia, Canada, the United Kingdom and Italy in this endeavor are reviewed, as well as the obstacles faced by these countries when disinvesting and their mid-term perspectives. Ignorance does not excuse its application, regardless of whether there is a crisis or not. Efforts to improve social efficiency are a permanent obligation of the national health system.

Palabras clave : Disinvestment; Health priorities; Economic evaluation; Obsolete technology; Health technology assessment; Efficiency.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons