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Healthcare in SpainPresented By: Wes Bates, Megan

Saksefski, Katie Butler, and Victoria Lyon

+Basic Information The national healthcare system is decentralized

in order to provide greater and equal access to the population, thus avoiding the concentration of health services in urban areas.

Recent reforms have regionalized the system to provide improved response time and increase the participation of the targeted community at local levels.

The system consists of three organizational levels: Central (Organizacion de la Administracion Central) Autonomous Community (Organizacion Autonomica) Local (Areas de Salud)

+Central Level(Organizacion de la Administracion Central)

The state's central administration agency is the Ministry of Health (Ministerio de Sanidad y Consumo)

This agency is in charge of: Issuing health proposals

Planning and carrying out the execution of the government's health guidelines

Coordinating the activities aimed at reducing the consumption of illegal drugs.

+Autonomous Community Level (Organizacion Autonomica)

The territorial administration of health services is the responsibility of each of Spain's 17 Autonomous Communities (“Comunidades Autonomas”)

Each Autonomous Community must offer integrated health services to the population through the centers, services and establishments of that community.

+Local Level(Areas de Salud)

The “Areas de Salud” are defined by taking into account factors of demography: geography socioeconomics employment epidemiology culture.

To increase operability and efficiency, the “areas de salud” are subdivided into smaller units called “zonas basicas de salud”.

There is a minimum of one “Area de Salud” per region

+Cost Per Capita

Per capita cost is 1,421 €

Total Health Expenditure 88.828 million euros

71.8% of the health expenditure is focused on Public Health (63.768 million euros)

+Funding the Healthcare System

Main (public) healthcare system is funded through tax dollars and government funds.

Private sector is funded through private investment and payment.

+Payment

Patient payment for services is covered by the Spanish healthcare system.

There is no out-of-pocket cost for the patient.

Patient receives services and healthcare after proving that they are a Spanish citizen or permanent residence.

+Cost for Institutions

The average hospital visit in Spain costs the healthcare system 143.19 €

+Ratio of Private Hospitals to Public Hospitals

In Spain, there are 465 private hospitals and 339 public

hospitals.

+Quality Health Indicators: Spain

GLOBAL HEALTH RANKING: 7th IN THE WORLD

Life expectancy at birth (years): 78 for males / 85 for females

Probability of dying under five (per 1000 live births): 4

Total expenditure on health per capita (Intl $, 2009): 3,150

Total expenditure on health as % of GDP (2009): 9.7

Figures are for 2009, Source: Global Health Observatory - WHO

+Focus of Spanish Healthcare

The Spanish healthcare system places a large emphasis on primary care. Spain has many government run programs to encourage

healthy eating and exercise. Government provides subsidies to fruit and vegetable

farmers. Spanish health system contains programs to quit smoking

and cure additions. Large amounts of money are spent to increase public

knowledge of how to live a healthy life.

+Technology

Since Spain's accession to the European Community in 1986, the Spanish scientific and technological system has been incorporated into the European system.

In 1995 a regulation for basing the introduction of new procedures and medical equipment on the assessment of safety, efficacy, and efficiency was issued.

The Spanish healthcare system is highly dependent on foreign technology and advancement. Spanish healthcare system does not provide a large amount

of funds for research. Limited amount of experimental treatments.

+Access

100% of Spanish citizens are covered.

Non-nationals who contribute to the Social Security Network and their family members are also covered by public healthcare.

Immigrants who are not citizens of the EU but are registered residents can obtain private healthcare.

Illegal immigrants have the right to emergency care and mother and child attendance.

+Citizens Knowledge of the System

Most Spanish understand the system generally, ssues that are unclear because the system is so big. Issues may arise in:

+Influence of Socioeconomic Status

Economic status does not effect Spanish access to healthcare.

A Spanish citizen can receive care whether or not they are contributing to Social Security.

+Distribution of Care

In some parts of the country, particularly the outlying islands, patients may have to travel some distance to find a state healthcare provider.

+Medical Decision Making and Rationing of Care