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Evaluación del espacio fiscal para la salud en Perú

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Date
2016-07
Author
Matus-López, Mauricio
Prieto Toledo, Lorena
Cid Pedraza, Camilo
Metadata
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English
Abstract
Objetivo. Evaluar el espacio fiscal para la salud en Perú́ para alcanzar la meta de un gasto público en salud de 6% del producto interno bruto acordada por los Estados Miembros de la Organización Panamericana de la Salud en 2014. Métodos. Se han identificado las principales fuentes de espacio fiscal mediante una revisión bibliográfica profunda. Su factibilidad técnica se valoró a través de estadísticas y encuestas nacionales e internacionales y la revisión de documentos y reportes oficiales. Su factibilidad política se evaluó con el análisis de lineamientos de políticas. Resultados. Las fuentes con mayor factibilidad técnica y política son el crecimiento económico, el aumento de la base tributaria del impuesto al ingreso de las personas naturales y el aumento de la tributación específica sobre el tabaco. Con menos factibilidad política, pero con un amplio espacio técnico, se considera la reducción de la informalidad en el mercado de trabajo y el aumento de la cobertura contributiva. Conclusiones. Existe espacio fiscal para aumentar el gasto público en salud. No obstante, la meta de 6% solo se puede alcanzar con más plazo, mayor recaudación impositiva y menor informalidad en el mercado de trabajo.
 
Objective. To assess the fiscal space for public health in Peru so as to attain the goal of raising health spending to 6% of gross domestic product, as agreed upon by member countries of the Pan American Health Organization in 2014. Methods. The main sources of fiscal space were identified by means of a thorough literature review. Technical feasibility was determined from statistics and national and international surveys and by reviewing various documents and official reports. Political feasibility was ascertained by studying policy guidelines. Results. The sources showing the greatest technical and political feasibility are economic growth, a broadening of the personal income tax base, and an increase in tobacco- specific taxes. Decreasing informality in the job market and increasing contributory coverage are considered to be less politically feasible, but there is ample technical space for these measures. Conclusions. There is enough fiscal space to allow for an increase in public health spending. Nevertheless, the 6% target will be reached only if the timeline is extended, tax revenues are increased, and informality in the job market is reduced.
 
Translated title
An assessment of fiscal space for public health in Peru
Series
Rev Panam Salud Publica;40(1),jul. 2016
Subject
Financiación de la Atención de la Salud; Política Financiera; Cobertura Universal; asignación de recursos; Asignación de Recursos para la Atención de Salud; Peru; América Latina; Healthcare Financing; Financial Policy; Universal Coverage; Health Care Rationing; Latin America
URI
https://iris.paho.org/handle/10665.2/28581
Citation
Matus-López M, Prieto Toledo L, Cid Pedraza C. Evaluación del espacio fiscal para la salud en Perú. Rev Panam Salud Publica. 2016;40(1):64–69.
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  • Pan American Journal of Public Health

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