Blanco Moreno Ángela, Urbanos Garrido Rosa, Thuissard Vasallo Israel John
DG SANCO, Comisión Europea, Bruselas, Bélgica.
Gac Sanit. 2013 May-Jun;27(3):220-5. doi: 10.1016/j.gaceta.2012.09.004. Epub 2012 Nov 7.
To analyze changes in real per capita spending by age and sex from 1998 to 2008 in Spain, and to assess their effects on public healthcare expenditure projections.
Age- and sex-related expenditure profiles in constant terms were estimated for the Spanish population for 3 distinct years (1998, 2003 and 2008) by using data from hospital records and several National Health Surveys. These profiles were used to compare actual healthcare expenditure for 2003 and 2008 with the projections obtained by considering 1998 as the base year and by applying the methodology used by the Working Group on Aging of the European Union.
The average annual growth rate of real per capita spending per person from 1998 to 2008 was 2.79%, which was higher than the GDP per capita growth rate (1.90%), basically due to its high rate of increase in the second half of the decade. From 1998 to 2008, per capita healthcare expenditure increased in most age groups, particularly in the groups aged 45-49 years, 60-64 years and 75 years and older. Projections of per capita expenditure in constant terms covered the real value observed for 2003, but were below the real value for 2008.
Changes in the quantity and quality of healthcare services consumed by each person are an important factor in changes in healthcare expenditure and must be included in spending projections.
分析1998年至2008年西班牙按年龄和性别划分的实际人均支出变化情况，并评估其对公共医疗支出预测的影响。
利用医院记录数据和多项全国健康调查，估算了西班牙人口在1998年、2003年和2008年这三个不同年份按年龄和性别划分的不变价格支出概况。这些概况用于将2003年和2008年的实际医疗支出与以1998年为基年并采用欧盟老龄化问题工作组所使用方法得出的预测值进行比较。
1998年至2008年人均实际支出的年均增长率为2.79%，高于人均国内生产总值增长率（1.90%），这主要是由于该十年后半期增长率较高。1998年至2008年，大多数年龄组的人均医疗支出都有所增加，特别是45 - 49岁、60 - 64岁以及75岁及以上年龄组。不变价格的人均支出预测涵盖了2003年观察到的实际值，但低于2008年的实际值。
每个人所消费的医疗服务数量和质量的变化是医疗支出变化的一个重要因素，必须纳入支出预测中。
