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- Title
Movilidad de pacientes y descentralización sanitaria: respuestas y retos en el Sistema Nacional de Salud español.
- Authors
Perna, Roberta; Cruz-Martínez, Gibrán; Moreno Fuentes, Francisco Javier
- Abstract
Increasing interregional mobility within the Spanish national health system demands vertical and horizontal coordination mechanisms among the multiplicity of stakeholders and institutions providing health care in a decentralized health system. In this article, we analyze the mechanisms introduced in the Spanish health system to handle the mobility of patients to centers of excellence (CSUR) and between bordering regions (bilateral agreements and conventions), as well as the financial tools developed to deal with interregional mobility. This study combines a descriptive analysis of billing and health care in the 17 Autonomous Communities, as well as in Ceuta and Melilla, along with a review of documents and interviews with key informants. Throughout the text, the study highlights the existence of institutional, political and, above all, financial challenges to achieve effective coordination between public actors of the NHS to respond to the mobility of patients.
- Subjects
SPAIN; HEALTH facilities; BORDERLANDS; COMMUNITIES; FINANCIAL stress; GREAT Britain. National Health Service; MULTIPLICITY (Mathematics); MEDICAL care
- Publication
Gestión y Análisis de Políticas Públicas, Nueva Época (GAPP), 2022, Issue 30, p27
- ISSN
1134-6035
- Publication type
Article
- DOI
10.24965/gapp.11021