Health Care System of Spain Profile

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My assignment is to profile Spain’s health care system. Firstly I will discuss the Beveridge model and the underlying philosophy and culture of the health care system. Secondly the funding of the system. Finally a brief listing of critical issues will be given and compared to systems internationally. A. Spain implements the Beveridge plan where health care is provided and financed by the government through tax payments. The majority of medical services are owned by the government; most doctors are government employees and receive fixed salaries, but there are also private physicians who are paid on fee-for-service basis. These systems have low costs per capita, because the control lies with the government over what doctors can do and charge (Reid, 2009). Most Spaniards have confidence in their health system, it covers 99.8% of the population including the low income and immigrant population and it’s highly cost-effective “our country dedicates only 6 percent of our GDP to keep the system running. Our health system is basically free at the time of use, except for a prescription co-payment of 40 percent which is waived for seniors” (A. Coates, 2009) After the adoption of the country's constitution, the health care system underwent major change in the 80s and 90s. “Instead of being organized directly as part of the social security system, it was transformed to the more decentralized National Health System. Coverage was extended further than before and the primary care network was reorganized.” (Encyclopedia of the Nation’s 2011) The General Health Act of 1986 law enforced the role of the G.P as the first point of contact in the system acting as a “gatekeeper”. This is similar to what the HSE are implementing here in Ireland. “In 2001, Spain had 4.0 hospital beds per 1000 population; in 2002, an estimated 39% of the hospitals were publicly owned. An
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