Ramón-Dangla Remedios, Rico-Gómez M Luisa, Issa-Khozouz Ramzi
Departamento de Economía Financiera y Contabilidad. Facultad de Ciencias Económicas y Empresariales. Universidad de Alicante. Alicante. España.
Departamento de Didáctica General y Didácticas Específicas. Facultad de Educación. Universidad de Alicante. Alicante. España.
Rev Esp Salud Publica. 2021 Mar 5;95:e202103036.
The irruption of SARS-CoV-2 and its different incidence on the regional mortality rate could be revealing the effects of the change in the paradigm of health justice, initiated in Spain in 2010 and applied, more or less enthusiastically, by the different autonomous communities. The objective of this work was to look for if the socio-economic conditions and the policy of budgetary expenditure followed by the different Spanish autonomous communities have incidence, by themselves, on the mortality rate caused by the SARS-CoV-2.
Econometric research based on Multiple Linear Regression to determine the direct cause-effect relationship between the dependent variable, mortality associated with COVID-19, with explanatory variables of the health budget and socio-economic type.
The number of deaths caused by COVID-19 has a positive relationship with the rate of GDP per capita and inversely with expenditure on hospital and specialized services, teaching and IRMs and with the resources allocated to health over the last nine years. A reduction in any of these health budget variables leads to an increase in mortality caused by COVID-19.
The COVID-19 mortality rate has hit the wealthiest autonomous communities hardest but, above all, has hit those that, although richer, applied more restrictive budgetary measures in the period 2010-2018.
严重急性呼吸综合征冠状病毒2（SARS-CoV-2）的出现及其在地区死亡率上的不同影响，可能揭示了2010年在西班牙启动并由不同自治区或多或少积极应用的卫生公平范式转变的影响。这项工作的目的是探究西班牙不同自治区的社会经济状况和预算支出政策本身是否会对SARS-CoV-2导致的死亡率产生影响。
基于多元线性回归的计量经济学研究，以确定因变量（与COVID-19相关的死亡率）与卫生预算和社会经济类型的解释变量之间的直接因果关系。
COVID-19导致的死亡人数与人均国内生产总值（GDP）增长率呈正相关，与医院和专业服务、教学及影像检查（IRMs）支出以及过去九年分配给卫生领域的资源呈负相关。这些卫生预算变量中的任何一个减少都会导致COVID-19造成的死亡率上升。
COVID-19死亡率对最富裕的自治区打击最大，但最重要的是，对那些虽然更富裕但在2010 - 2018年期间实施了更严格预算措施的地区打击最大。
