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DOI: 10.1016/j.rceng.2020.11.006
Available online 26 May 2021
Public healthcare expenditure and COVID-19 mortality in Spain and in Europe
Gasto sanitario público y mortalidad por COVID-19 en España y en Europa
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F.J. Elola-Somozaa,
Corresponding author
fjelola@movistar.es

Corresponding author.
, M.C. Bas-Villalobosa,b, J. Pérez-Villacastína,b, C. Macaya-Miguela,c
a Fundación Instituto para la Mejora de la Asistencia Sanitaria, Madrid, Spain
b Instituto Cardiovascular, Hospital Clínico San Carlos, Madrid, Spain
c Servicio de Cardiología, Hospital Clínico San Carlos, Madrid, Spain
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Table 1. Public healthcare expenditure in purchasing power parities (2019) and mortality rate due to COVID-19 in European countries.
Abstract
Objective

To analyze the association between public health expenditure per capita and the mortality rate due to COVID-19 in Europe and Spain.

Material and methods

Pearson's correlation coefficient was used to compare and contrast the mortality rate due to COVID-19 between countries and autonomous communities with higher and lower public health expenditure per capita than the mean.

Results

No correlation between the public health expenditure per capita and the mortality rate due to COVID-19 (r: 0.3; p = 0.14) was found among European countries or Spain’s Autonomous Communities (r: 0.03; p = 0.91). No significant differences were found when comparing the mortality rate due to COVID-19 among the public health expenditure per capita groups.

Conclusions

The available evidence does not support association between «low» public healthcare expenditure and the poor outcomes observed in Spain during the COVID-19 pandemic. Increased funding for the Spanish National Health System should be earmarked for structural reforms to increase its social efficiency.

Keywords:
Public healthcare expenditure
Mortality
COVID-19
Spain’ National Health Service
Resumen
Objetivo

Analizar la asociación entre el gasto sanitario público per cápita y la tasa de mortalidad poblacional por COVID-19 en Europa y en España.

Material y métodos

Se utilizó el coeficiente de correlación de Pearson. Asimismo, se contrastaron los promedios de TMP-COVID-19 entre países y comunidades autónomas con mayor y menor GSPpc que el promedio.

Resultados

No se halló correlación, en los países europeos, entre el gasto sanitario público per cápita y la tasa de mortalidad poblacional por COVID-19 (r: 0,3; p = 0,14), ni en las comunidades autónomas (r: 0,03; p = 0,91). Tampoco se encontraron diferencias significativas en el contraste de la tasa de mortalidad poblacional por COVID-19 por grupos de gasto sanitario público per capita.

Conclusiones

La asociación entre «bajo» gasto sanitario público y malos resultados en España en la crisis de la COVID-19 no está sustentada en la evidencia disponible. Los aumentos de financiación de la sanidad pública deberían destinarse a las reformas estructurales para aumentar su eficiencia social.

Palabras clave:
Gasto sanitario público
Mortalidad
COVID-19
Sistema Nacional de Salud de España

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