Health Care Blog

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For most scholars of the phenomenon of decentralization, efficiency gains are one of the main theoretical benefits of the transfer of certain powers to government public regionales1. User feedback regarding the decentralization of the public sector also seems to go in this direction. So while 51% of Spaniards believed that public services are better managed and transferred work better, 25% believed the contrario2.

Given the advantages, in terms of efficiency, both users of public services as the analysts seem to discover the theoretical decentralized supply of some goods and, at a time like this, where the process of transferring skills health to the autonomous communities has been completed, one wonders if indeed the health decentralization has contributed to increasing the productive efficiency of the centers.

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The quality of health care has improved an average of 2.3 year between 1994 and 2005, the index shows that although some important progress, said a general slowdown of the improvement in quality, according to annual reports reported today by the Agency for Healthcare Research and Quality Agency (Research and Quality Health Care AHRQ-as its initials in English).

The rate of improvement published in the National Report on Quality of Health Care and the National Report on Disparities in Health Care for 2007 is below the average annual rate of improvement of 3.1 percent published in the reports of 2006 . Those reports measured trends between 1994 and 2004 measures. The rates of quality improvement are less than fully documented cost increases in health care. Centers of Care and Health Care estimated that expenditures on health care rose an average 6.7 percent annually over the same period. “The quality of health care increases only weakly as much,” said AHRQ Director Dr. Carolyn Clancy. “Given that expenditures on health care are increasing at a rate much faster, these findings about quality underscore the urgent need to improve the value Americans are getting for their investment in the care health. Every year, the reports from AHRQ Quality and Disparities update national trends in the provision of health care.

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