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Revista Cubana de Salud Pública

versión impresa ISSN 0864-3466versión On-line ISSN 1561-3127


CARNOTA LAUZAN, Orlando. Increase in health costs considered from the inefficiency viewpoint. Rev Cubana Salud Pública [online]. 2017, vol.43, n.4. ISSN 0864-3466.

In essence, management consists of transforming resources into results. Its success lies in achieving the best product at the lowest consumption of required tangible and intangible means. Public healthcare generally shows faults in the optimal management of resources, some inherited from the public administration and others are inherent. The most common trend is asking for additional financing instead of using technologies that increase performance and encourage excellence and sustainability of the system. Those countries ranked as spending more resources in health care according to their gross domestic product, show indexes under the average level in the system performance. For understanding these contradictions, the present study takes into account the complex formed by best care, best drugs and new technologies; demographic transition, corruption, and strategic, organizational and decision-taking faults. It is concluded that the amount of available resources is not the main issue, but all what can be done with them. If this problem is not addressed with this approach, then there is a risk of damaging a highly humanitarian and indispensable activity for the growth and development of the nations and their citizens as healthcare.

Palabras clave : Health; management; resources; costs; expenditures; efficiency.

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