Diferencial de gasto hospitalario en salud mental entre Cataluña y la OCDE: una estimación agregada

IF 1.5 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Gaceta Sanitaria Pub Date : 2025-01-01 DOI:10.1016/j.gaceta.2025.102497

Roger Sabater-Mezquita , Guillem Lopez-Casasnovas , Roberto Martinez-Lacoba , Glòria Merino-Pinto

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引用次数: 0

Abstract

Objective

To assess the public spending differential on mental health in Catalonia by estimating the gap between actual and predicted expenditures using macroeconomic variables.

Method

A predictive model was developed based on public hospital mental health spending in OECD countries, adjusted for factors like gross domestic product per capita, population demographics, the share of mental health expenditure within total healthcare spending, income inequality and unemployment.

Results

Applied to Catalonia in 2022, the findings reveal a significant underfunding of mental health services. Results indicate that Catalonia's expenditure was 44.72% below the predicted value for the sample of OECD comparable countries, corresponding to a funding shortfall of approximately €242 million.

Conclusions

The study highlights the necessity of increased investment in mental health, recommending a holistic approach encompassing preventative and community-based interventions to address broader social determinants of mental health.

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加泰罗尼亚与经合组织在精神卫生方面的医院支出差距：合计估计数

目的利用宏观经济变量估算实际支出与预测支出之间的差距，评估加泰罗尼亚地区在精神卫生方面的公共支出差异。方法根据经合组织国家公立医院精神卫生支出建立预测模型，并根据人均国内生产总值、人口统计、精神卫生支出占医疗保健总支出的比例、收入不平等和失业率等因素进行调整。研究结果应用于2022年的加泰罗尼亚，结果显示精神卫生服务资金严重不足。结果表明，加泰罗尼亚的支出比经合组织可比国家样本的预测值低44.72%，相当于资金缺口约为2.42亿欧元。该研究强调了增加对精神卫生投资的必要性，建议采取包括预防性和基于社区的干预措施在内的整体方法，以解决影响精神卫生的更广泛的社会决定因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gaceta Sanitaria 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.10

自引率

5.30%

发文量

审稿时长

29 days

期刊介绍： Gaceta Sanitaria (Health Gazette) is an international journal that accepts articles in Spanish and in English. It is the official scientific journal of the Sociedad Española de Salud Publica y Administración Sanitaria (Spanish Society of Public Health and Health Administration) (SESPAS). The Journal publishes 6 issues per year on different areas of Public Health and Health Administration, including: -Applied epidemiology- Health prevention and promotion- Environmental health- International health- Management and assessment of policies and services- Health technology assessments- Health economics. The editorial process is regulated by a peer review system. It publishes original works, reviews, opinion articles, field and methodology notes, protocols, letters to the editor, editorials, and debates.