SciELO - Scientific Electronic Library Online

 
vol.33 suppl.1Los profesionales de urgencias y emergencias: perfil actual y posibilidades de desarrolloPapel de la dirección médica en el encaje de urgencias en el hospital índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Articulo

Indicadores

Links relacionados

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

Compartir


Anales del Sistema Sanitario de Navarra

versión impresa ISSN 1137-6627

Resumen

MORENO-MILLAN, E. et al. Economics and equity in urgency and emergency care. Anales Sis San Navarra [online]. 2010, vol.33, suppl.1, pp.19-27. ISSN 1137-6627.

The financial sustainability of public health systems (PHS) is currently threatened by population growth, increased prevalence of chronic conditions and disabilities, inequality in access and use of resources, zero cost delivery and global economic crisis. The emergency department (ED) is one for which demand is highest - without relation to the health model - because disease becomes established in disadvantaged socio-demographic areas and inequalities, hyperconsumption and decision making more closely linked to the user are maintained. The medical device of ED is a multiple one and its diverse product lines make it difficult to measure. This review discusses the need to deploy measurement tools in ED, where there are high direct costs - primarily structural - and other variables related to the activity, where the marginal cost is higher than the average and there is no economy of scale in such interventions. The possible mechanisms of private copayment in financing the supply of EDs are also studied, showing their advantages and disadvantages, with the conclusion that they are not recommendable - due to their scarce fund raising and deterrent capacity, which is why fundamental strategic changes in the management of these resources are needed.

Palabras clave : Urgencies; Emergencies; Health economics; Costs; Management; Equity.

        · 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