annual report - Ivie

THE PUBLIC HEALTH SYSTEM IN SPAIN AND ITS AUTONOMOUS COMMUNITIES: SUSTAINABILITY
AND REFORMS (2011-2012)
The purpose of this project is to analyze the sustainability of the Spanish public health system as well as to
assess the reform measures. To carry out this research a database has been built, homogeneous and larger
than others built so far, which contains territorial series of public health spending at regional level and by public
agents. It is on the basis of this information that the following tasks have been undertaken:
⎯ An analysis of the evolution of health expenditure in Spain in comparison to the OECD countries and
of the most significant features of the dynamics and composition (by categories and function) of
health spending in Spain and its regions for the 1991-2010 period.
⎯ A description of the different behaviors of the regional health systems, as well as the territorial
differences in the expenditure levels and structure of the public health services.
⎯ The identification of the determining factors of health expenditure and its growth, combining the
traditional residual approach with econometrics.
⎯ A medium-term projection on the future evolution of health spending.
⎯ A descriptive analysis of the recent developments of the financing of the autonomous communities
and of the problem of fiscal sustainability of public health care spending in Spain.
⎯ The study of three areas in which the debate about the reforms needed for the Spanish public health
system takes place, taking in mind: (i) the insurance system and the recent amendment set out in the
Royal Legislative Decree 16/2012; (ii) the changes in the management models and new organizational
forms for the delivery of health services; and (iii) the mechanisms for users’ participation in the cost of
health care (copayment).
Research team:
José M.ª Abellán (dir.) (Universidad de Murcia)
Jorge E. Martínez (Universidad de Murcia)
Ildefonso Méndez (Universidad de Murcia)
Fernando I. Sánchez (Universidad de Murcia)
Vicent Cucarella (Ivie)
A PRODUCTION MODEL AND CHALLENGES FOR SPANISH FIRMS: PRODUCTIVITY, COMPETITION
AND INNOVATION (2012-2013)
This study aims at the analysis of competitiveness of the Spanish economy focusing on the role of the firms in
contrast to previous studies on productivity, competitiveness and innovation carried out in the Ivie, which
concentrated more on macroeconomic or sectoral aggregates. This collective work offers an in-depth analysis
of entrepreneurial behavior in relation to some of the factors that literature considers relevant to the dynamics
of productivity: knowledge-based assets such as: human capital, expenditure on R&D or investments in
intangible assets; the size and demography of firms; the intensity of competition in the sectors; outsourcing
and offshoring strategies; or the ability of firms to generate profits and maintain the levels of profitability.
Research team:
Juan Fernández de Guevara (dir.)
José Carlos Fariñas (dir.) (Universidad Complutense de Madrid)
César Alonso-Borrego (Universidad Carlos III)
Dolores Añón (Universitat de València)
Pilar Beneito (Universitat de València)
Paz Coscollá (Universitat de València)
Carmen García-Olaverri (Universidad Pública de Navarra)
Elena Huergo (GRIPICO-Universidad Complutense de Madrid)
Emilio Huerta (Universidad Pública de Navarra)
Paloma López García (Banco de España)
Miguel Manjón (Universitat Rovira i Virgili)
Juan A. Máñez (Universitat de València)
44 Research and economic studies