Departamento de Empresa, Facultad de Economía y Empresa, Universitat de Barcelona, Diagonal 690-696, 08034 Barcelona, Spain.
Departamento de Empresa, Facultad de Economía y Empresa, Universidad Autónoma de Barcelona, 08193 Bellaterra, Spain.
Int J Environ Res Public Health. 2023 Feb 23;20(5):4024. doi: 10.3390/ijerph20054024.
Public health is funded with government funds gathered from tax revenues, whether national, provincial or municipal. The health system therefore suffers during economic crisis periods, whether due to disinvestment, loss of purchasing power among health care personnel or the decrease in the number of professionals. This worsens the situation, as it is necessary to cover the needs of an increasingly elderly population and with a longer life expectancy at birth. The present study intends to show a model which explains the determination of the "Public Health Personnel Expenditure" in Spain for a determined period. A multiple linear regression model was applied to the period including the years 1980-2021. Macroeconomic and demographic variables were analyzed to explain the dependent variable. Variation in health personnel expenditure: "We included those variables which presented a high or very high correlation above r > 0.6. The variables which explain the behavior of Variation in health personnel expenditure". It was a determining factor in the present study to consider that the variables with the greatest repercussions on health policy were mainly macroeconomic variables rather than demographic variables, with the only significant demographic variable that had a specific weight lower than macroeconomic variables being "Birth Rate". In this sense, the contribution made to the scientific literature is to establish an explanatory model so that public policy managers and states in particular can consider it in their public spending policies, bearing in mind that health expenditures in a Beveridge-style health system, as Spain has, are paid with funds drawn from tax revenues.
公共卫生资金由政府从税收中筹集，无论是国家、省级还是市级。因此，医疗体系在经济危机时期会受到影响，无论是由于投资不足、医疗保健人员购买力下降还是专业人员数量减少。这使得情况恶化，因为需要满足日益老龄化和出生时预期寿命延长的人口的需求。本研究旨在展示一个模型，该模型解释了西班牙特定时期“公共卫生人员支出”的决定因素。对包括 1980 年至 2021 年在内的时间段应用了多元线性回归模型。分析了宏观经济和人口统计变量以解释因变量。卫生人员支出的变化：“我们纳入了那些具有高或非常高相关性的变量，r > 0.6。这些变量解释了卫生人员支出变化的行为。在本研究中，一个决定性因素是考虑到对卫生政策影响最大的变量主要是宏观经济变量，而不是人口统计变量，唯一具有特定权重且低于宏观经济变量的重要人口统计变量是“出生率”。从这个意义上说，对科学文献的贡献在于建立一个解释性模型，以便公共政策管理者和各国特别可以在其公共支出政策中考虑这一点，要记住，在西班牙这样的贝弗里奇式卫生系统中，卫生支出是用税收资金支付的。
