<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0213-9111</journal-id>
<journal-title><![CDATA[Gaceta Sanitaria]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Sanit]]></abbrev-journal-title>
<issn>0213-9111</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0213-91112023000100209</article-id>
<article-id pub-id-type="doi">10.1016/j.gaceta.2022.102285</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Una aproximación al coste presupuestario de universalizar la salud bucodental en España]]></article-title>
<article-title xml:lang="en"><![CDATA[Approximation to the budgetary cost of universalizing oral health in Spain]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montero-Soler]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Martínez]]></surname>
<given-names><![CDATA[Fernando Ignacio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Málaga Departamento de Hacienda Pública, Política Económica y Economía Política ]]></institution>
<addr-line><![CDATA[Málaga ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Murcia Departamento de Economía Aplicada ]]></institution>
<addr-line><![CDATA[Murcia ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0213-91112023000100209&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0213-91112023000100209&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0213-91112023000100209&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Realizar una aproximación a una estimación de la repercusión que tendría sobre el gasto público sanitario una ampliación de la cartera de prestaciones en salud bucodental que cubriera la mayor parte de los tratamientos terapéuticos que sufragan actualmente las personas de forma privada.  Método: La estimación parte del nivel de gasto en servicios odontológicos del Sistema de Cuentas de Salud del año 2020 y se asume el dato de incremento de la demanda ante la universalización de los servicios extraído de un estudio de RAND para realizar, seguidamente, diversas proyecciones lineales de incremento del gasto introduciendo varios supuestos de copagos lineales para explorar el impacto de distintos mecanismos mixtos de financiación.  Resultados: El incremento de la demanda sería de un 47,54% con respecto al gasto actual, y bajo los supuestos de partida el incremento en el gasto público alcanzaría unos 5345 millones de euros. Los diversos escenarios de copago minoran su impacto presupuestario.  Conclusiones: A pesar de la mejora de la salud bucodental de la población española, persisten problemas derivados de la existencia de un gradiente socioeconómico que concentra la presencia y la prevalencia de enfermedades en los niveles socioeconómicos más bajos. Ampliar los servicios de la cartera bucodental para cubrir las necesidades de toda la población elevaría el gasto sanitario público en 0,48 puntos sobre el producto interior bruto, y aun así el gasto sanitario público español seguiría por debajo de la media de la Unión Europea.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To make an approximation to an estimate of the impact that an increase in the portfolio of oral health benefits would have on public health spending, which would at least cover most of the therapeutic treatments that households currently pay for privately.  Method: This estimate is based on the level of expenditure on dental services of the Health Accounts System for the year 2020. The data of increased demand is extracted from a RAND's study on universalization of services. Then we carry out various linear projections of increased spending by introducing several linear co-payment assumptions to explore the impact of different mixed financing mechanisms.  Results: The increase in the demand for treatment would be 47.54% with respect to the current level of spending and that, under the starting assumptions, the increase in public spending would reach some 5345 million euros. Various co-pay scenarios could reduce budget impact.  Conclusions: Despite the improvement in the oral health of the Spanish population, there are still problems derived from the existence of a socioeconomic gradient that promotes the concentration of the presence and prevalence of diseases in the lowest socioeconomic levels. Extending the services of the oral-dental portfolio to attend to the entire population would increase public health spending by 0.48 points over GDP and, even so, Spanish public health spending would continue to be below the EU-27 average.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Salud bucodental]]></kwd>
<kwd lng="es"><![CDATA[Enfermedades bucodentales]]></kwd>
<kwd lng="es"><![CDATA[Sistema de salud]]></kwd>
<kwd lng="es"><![CDATA[Costes de enfermidades]]></kwd>
<kwd lng="en"><![CDATA[Oral health]]></kwd>
<kwd lng="en"><![CDATA[Mouth diseases]]></kwd>
<kwd lng="en"><![CDATA[Delivery of health care]]></kwd>
<kwd lng="en"><![CDATA[Cost of illness]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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