Only 10 percent of the population has voluntary private insurance although some private services are contracted by the public sector. Private healthcare insurance for treatment at private hospitals and clinics is not widespread and mainly used to avoid the sometimes long waiting lists to see specialist doctors in the public healthcare system. Patients having received specialist care and treatment are referred back to their primary healthcare doctor, who assumes responsibility for any necessary follow-up treatment and care, ensuring the provision of continuous care under equitable conditions, irrespective of the patient's place of residence and individual circumstances. Specialist care is provided in specialist care centres and hospitals in the form of outpatient and inpatient care. The principles of maximum accessibility and equity mean that community primary healthcare also provides home care, whenever necessary and also deal with health promotion and disease prevention. The main facilities are the healthcare centres, staffed by multidisciplinary teams comprising of general practitioners, paediatricians, nurses and administrative staff, as well as, in some cases, social workers, midwives and physiotherapists. Primary Healthcare services are available within a 15-minute radius from any place of residence. The catalogue of is divided into sections including primary care, specialised care, supplemental care, and pharmacy. It approves the national catalogue of services that must be provided by all regional health services (cartera de servicios communes). The board is chaired by the National Ministry of Health and the members are the Regional Ministers.
The Inter-territorial Board of the National Health System (CISNS) is responsible for the coordination, cooperation and liaison among the central and autonomous region public health administrations. To increase operability and efficiency, the "areas de salud" are subdivided into smaller units called "zonas basicas de salud". The "areas de salud" are responsible for the unitary management of the health services offered at the level of the Autonomous Community and are defined by taking into account factors of demography, geography, climate, socioeconomics, employment, epidemiology and culture. Autonomous Community (Organizacion Autonomica)Įach of Spain's 17 Autonomous Communities (Comunidades Autonomas) is responsible for offering integrated health services to the regional population through the centers, services and establishments of that community. The Ministry of Health (Ministerio de Sanidad y Consumo), the state's central administration agency, is in charge of issuing health proposals, planning and implementing government health guidelines, and coordinating activities aimed at reducing the consumption of illegal drugs.Ģ. Central (Organizacion de la Administracion Central) The current system consists of three organisational levels:ġ. This has also improved response time and increased the participation of the target community in the development and management of the national healthcare system at regional and local levels. The reforms, which regionalised the system, were implemented in order to provide greater and equal access to the population, thus avoiding the concentration of health services in urban areas.
#OVERVIEW IN SPANISH UPGRADE#
The national system has been decentralised since 2002, which has given the regional healthcare authorities the autonomy to plan, change and upgrade the infrastructure, leading to enormous development in the healthcare technology scenario, especially in the usage of information technology. In 1998 the Sistema Sanitario Público (public health service) brought in an official mandate for both doctors and patients outlining the service to which they are entitled, explained in the Carta de Derechos y Deberes (Charter of Rights and Obligations).
#OVERVIEW IN SPANISH FREE#
The Spanish National Healthcare System ("Instituto Nacional de la Salud"), founded on Spain's General Healthcare Act of 1986, guarantees universal coverage and free healthcare access to all Spanish nationals, regardless of economic situation or participation in the social security network.
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