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Spain

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Online HiT With modifications since publication of printed version 1. Introduction 1.1 Geography and sociodemography 1.2 Economic context 1.3 Political context 1.4 Health status 2. Organizational structureLast modified: 14/09/2018 2.1 Overview of the health system 2.2 Historical background 2.3 Organizational overviewLast modified: 14/09/2018 2.4 Decentralization and centralization 2.5 Patient empowerment 3. FinancingLast modified: 05/07/2018 3.1 Health expenditureLast modified: 27/04/2018 3.2 Population coverage and basis for entitlementLast modified: 05/07/2018 3.3 Revenue collection/sources of fundsLast modified: 19/01/2018 3.4 Pooling of funds 3.5 Purchasing and purchaser-provider relations 3.6 Payment mechanisms 4. Regulation and planningLast modified: 02/07/2018 4.1 RegulationLast modified: 02/07/2018 4.2 Planning and health information managementLast modified: 11/01/2018 5. Physical and human resourcesLast modified: 12/07/2018 5.1 Physical resources 5.2 Human resourcesLast modified: 12/07/2018 6. Provision of servicesLast modified: 10/05/2018 6.1 Public health 6.2 Patient pathways 6.3 Primary / ambulatory care 6.4 Secondary care (specialized ambulatory care/inpatient care) 6.5 Emergency care 6.6 Pharmaceutical careLast modified: 10/05/2018 6.7 Rehabilitation / intermediate care 6.8 Long term care 6.9 Services for informal carers 6.10 Palliative care 6.11 Mental health care 6.12 Dental care 6.13 Complementary and alternative medicine 6.14 Health care for specific populations 7. Principal health care reforms 7.1 Analysis of recent reforms 7.2 Future developments 8. Assessment of the health system 8.1 The stated objectives of the health system 8.2 The distribution of the health system's costs and benefits across the population 8.3 Efficiency of resource allocation in health care (across services, across inputs) 8.4 Technical efficiency in the production of health care 8.5 Quality of care 8.6 The contribution of the health system to health improvement 9. Conclusions 9. Conclusions

Reform log

14 September 2018 - Further changes in the structure of the Ministry of Health Read more 20 July 2018 - A new structure for the Spanish Ministry of HealthRead more 12 July 2018 - Too many undergraduates, uneven shortage of doctors and physicians’ drainingRead more 05 July 2018 - New Ministry of Health in Spain revoking requirements for coverage entitlement Read more

Health policy updates

Public-private partnerships in the Spanish National Health System: the reversion of the Alzira model published 02/07/2018 Looking back to move forward: Spanish System for Promotion of Personal Autonomy and Assistance for Persons in a Situation of Dependency (Part II) published 15/07/2015 Tracking down SNS health care expenditure 2009-2013 published 10/06/2015 Looking back to move forward: Spanish System for Promotion of Personal Autonomy and Assistance for Persons in a Situation of Dependency (Part I) published 04/06/2015

HiT Profile Spain

Vol. 20 No. 2 2018: This is the latest published version of the health systems in transition profile (HiT) for Spain written by Enrique Bernal-Delgado, Sandra García-Armesto, Juan Oliva, Fernando Ignacio Sánchez Martínez, José Ramón Repullo, Luz María Peña-Longobardo, Manuel Ridao-López and Cristina Hernández-Quevedo. Download HiT full version

HSPM members for Spain National lead institutions SESPAS - Spanish Society of Public Health and Health Management Partner institutions University of Barcelona

Contributors Authors: Enrique Bernal-Delgado, Sandra García Armesto, Joan Gené Badia, Ester Angulo-Pueyo, Francisco Ramon Estupiñan Romero Editors: Cristina Hernández-Quevedo ​​​​​​​​​

Other Documents   Documents & Links Health Policy Monitor archive ​​​