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The consolidation of a universal health system coupled with a process of regional devolution characterise the institutional reforms of the National Health System (NHS) in Spain in the last two decades. However, scarce empirical evidence has been reported on the effects of changes in health inputs, outputs and outcomes, both at the country and at the(More)
One of the limitations of cross-country health expenditure analysis refers to the fact that the financing, the internal organization and political restraints of health care decision-making are country-specific and heterogeneous. Yet, a way through is to examine the influence of such effects in those countries that have undertaken decentralization processes.(More)
Excessive preoccupation with self-image (or identity) is regarded as a factor contributing to the proliferation of food disorders, especially among young women. This paper models how self-image and peer effects influence health-related behaviours, specifically food disorders. We empirically test our claims using data from the European survey. Our findings(More)
Acknowledgements.-We are grateful to Reinhard Busse and Elias Mossialos for their comments and suggestions, and to all the participants at the IKA Workshop on Pharmaceutical Policies, held in June 2003 in Athens. Jaume Puig has benefited from financial support in the form of an unrestricted educational grant from the Merck Abstract Broadly speaking,(More)
There is a widely discussed problem of publication bias in medical and health services research. Where quantitative effects form the basis of a publication a 'winner's curse' curse may apply. This phenomenon may occur as prospective authors of research papers compete by reporting 'more extreme and spectacular results' in order to increase the chances of(More)
BACKGROUND Maintaining adequately high organ donation rates proves essential to offering patients all appropriate and available treatment options. However, the act of donation is in itself an individual decision that requires a depth of understanding that interacts with the social setting and the institutional framework into which an individual is embedded.(More)
An understanding of the relationship between cost sharing and drug consumption depends on consistent and unbiased price elasticity estimates. However, there is wide heterogeneity among studies, which constrains the applicability of elasticity estimates for empirical purposes and policy simulation. This paper attempts to provide a corrected measure of the(More)
BACKGROUND The reform and expansion of mental health care (MHC) systems is a key health policy target worldwide. Evidence informed policy aims to make use of a wide range of relevant data, taking into account past experience and local culture and context. AIMS To discuss the organisation, provision and financing of MHC in Spain visa vis the goals of(More)