To analyze the effect that the transfer of medical skills has on health in Murcia, the answer to two questions: What was the starting point? And what is the current situation?
are many variables and not making a comprehensive study that would tire the most devout reader, however, if anyone is interested in the data, you are advised to check the Health Plan of the Region of Murcia 2010-2015 , containing more detailed information but, yes, with updated data only until 2006.
life expectancy.
The life expectancy at birth has always been lower in our region than the English average, in series from 1993 to 2005, has always been about 0.6 years and no hope, no it seems that this ratio has improved with transfers. If we look at Life Expectancy Free of Disability, the Region of Murcia is the lowest of all regions (67.7 years), also the Life Expectancy in Good Health is also a year less than the English average ( 54 years).
Mortality
D From the point of view of mortality, the Region of Murcia, during the period studied (2000-2006) has grown from mortality rates of 656 to 566/100.000 inhabitants, while the average rate in Spain increased from 604 to 528/100.000 inhabitants. Murcia has only managed to lower mortality rates than the English average in tumors, blood diseases and mental disorders, interestingly, in all three cases, and departed with better rates than the English average. Thus, our region remains rates 7% higher than the English average, noting especially digestive diseases, circulatory and respiratory diseases.
Of all possible, I chose that I think represents the typical case of all, not only because of its high prevalence, but because also represents one of the greatest chapters of pharmaceutical spending, I mean mortality from cardiovascular disease.
Clearly the bad situation in our region home. Cardiovascular mortality was much higher than the English average (202 versus 183/100.000 inhabitants)
During these four years, mortality has been decreasing both in Murcia (202-183) and Spain (183-158), reaching back at the end of the period, mortality rates equivalent to English average in the beginning of the transfers, but still were well above the average for 2006 (183-158) and, comparatively, the reduction of mortality rates in Spain has been greater than in the region.
Lifestyles
E l percentage of obese (BMI> 30) in the Region is 3.91% higher than the average of Spain, especially in women (20.13% and 15 and 68% respectively)
Another fact highlight is that if we analyze trends between 2003 and 2006, obesity, smoking and alcohol consumption, our region will increasingly distancing themselves from the national average, either because they continue to grow while in Spain falls (smokers), and either because the rates increases are smaller (obesity and alcohol consumption)
Conclusion
In health , health transfers have not improved the health status of our region. It is true that we started from a very poor condition, but the overall management of the transfers has not responded to the expectations.
fiction remains to respond to what would have happened if we had been managing INSALUD would it have been more effective?
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