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BRIEF INTRODUCTION   TO   SPANISH  NATIONAL HEALTHCARE  SYSTEM
 
Spanish population ,[object Object],[object Object],[object Object]
Spanish population Spanish Foreing citizens Spanish population pyramide (2005)
Spanish Healthcare Regulation ,[object Object],[object Object],[object Object],[object Object]
State’s role ,[object Object],[object Object],[object Object],[object Object]
State’s role ,[object Object],[object Object],[object Object],[object Object]
State’s role ,[object Object],[object Object],[object Object],[object Object]
State’s role Central autorithies ,[object Object],[object Object],[object Object],[object Object],Regional autorithies (17) ,[object Object],[object Object],[object Object],Local autorithies On going collaborative activities with regional & central autorithies SHS’s  Inter- regional  council
Transference process ,[object Object],AFRICA EUROPE Ceuta Melilla
1981 1984 1987 1987 1990 1990 1994 Law 2001 Tiemtable for transfer:  20 years Transference process
Transference process ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
From just 1 national healthcare system... Transference process
...to 17 regional heathcare services...
How to access to Heatlcare Services ,[object Object]
Financial resources ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Financial resources ,[object Object],[object Object],[object Object],[object Object]
Healthcare organization ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Healthcare Organization An example of  Area de Salud  –  Zona de Salud La Rioja
Healthcare Organization Zona  de Salud An example of  Area de Salud  –  Zona de Salud Area  de Salud
1 st  healtcare level ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2 nd   healtcare level ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pharmaceutical cover-up ,[object Object],[object Object],RETIRED PEOPLE NON-RETIRED PEOPLE “ SINDROME TOXICO” AIDS CHRONICAL  TREATMETS 0% 30% 40% 30% 10%  (MAX. 2,69 EUROS 10%  (MAX. 2,69 EUROS 0% SOCIAL SECURITY COVERED BY 30%PUBLIC MUTUALITIES CIVERED BY
Other services ,[object Object],[object Object],[object Object],[object Object]
Resources 454  en el ámbito de la   sanidad privada, en los cuales el  40 % de las altas hospitalarias   corresponden a pacientes cuya asistencia ha sido concertada y financiada   por el SNS.
Resources
Resources
Resources
 
Human Resources
Human Resources 27%  of   physicians   in Secondary level  are medical specialists ,   23%  work in central services and  18%  are surgical specialists .
Human Resources 82,2%  physicians at Primary Level are family doctors and  17,8%  are pediatric specialists.
Activity Indicators
Activity Indicators
Healthcare expenditure
Healthcare expenditure
Satisfaction of population POPULATION’S OPINION (2004)
Satisfaction of population 1999-2004 EVOLUTION
Life expectancy level ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Life expectancy level Male-Female Life expectancy at birth (2002)
Transplantations In 2004, transplantation rate (per million of inhabitants) was  34,6 .
Mortality ,[object Object],[object Object],[object Object],[object Object]
Mortality ,[object Object],[object Object],[object Object]
And finally...
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],A 1 st  final critical  point of view (1) ,[object Object],[object Object]
A 2 nd  final critical  point of view (2) ,[object Object],[object Object],[object Object],[object Object],(2) “ Assessment of the World Health Report 2000 ” .  Navarro V .  T he Lancet  - Vol. 356, Issue 9241, 04 November 2000, Pages 1598-1601 .
A 2 nd  final critical  point of view ,[object Object],[object Object]
A 2 nd  final critical  point of view ,[object Object],[object Object],[object Object],[object Object]
Labai achiu   Muchas gracias

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