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- Title
Novas Perspectivas na Gestão do Sistema de Saúde da Espanha.
- Authors
Sacardo, Daniele Pompei; de Carvalho Fortes, Paulo Antonio; Tanaka, Oswaldo Yoshimi
- Abstract
During the last twenty-five years, the organization of the health system in Spain has adopted diverse measures that reoriented its management and improved its efficiency and financing system as a result of deep reforms and introduction of new management instruments. This paper is a result of a documental analysis that aimed to describe the trajectory of conformation of the Spanish health system and its current organization. The paper presents some historical determinants that enabled the reforms in the sanitary sector, such as the decentralization to the Autonomous Communities level, the incorporation of coordination mechanisms, and the integration and financing of the new and distinct organizational formats that coexist in the country. Furthermore, it identifies challenges that emerge in the current scenario of the National Health System, as the immigration phenomenon, the advanced process of demographic transition, and the growing demand for improvements in the quality of care and of technological incorporation. All these factors influence the sustainability of the system, which motivated the creation of one more space for the establishment of a consensus on the fundamental role of the sanitary system for the Welfare State in Spain.
- Subjects
SPAIN; NATIONAL health services; PUBLIC health; SANITATION; EMIGRATION &; immigration; DEMOGRAPHIC transition; MEDICAL quality control; MEDICAL technology; WELFARE state
- Publication
Saúde e Sociedade, 2010, Vol 19, Issue 1, p170
- ISSN
0104-1290
- Publication type
Article
- DOI
10.1590/S0104-12902010000100014