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To the Editor. — The LETTER FROM MADRID by Dr Drane1 concerning the current situation of Spanish medicine deserves comment. It is possible that a socialist government would be more prone to make primary health care a priority, but I would not say that this is part of the "socialist theory." In fact, the need for it has been one of the major issues in the development of modern public health science, especially emphasized since the World Health Organization declaration of Alma-Ata in 1978.2 It is at the primary and community level that preventive actions can be implemented fully and efficiently. Dr Drane suggests that this shift in priorities determines the budget deficit at the hospital level and its consequent deterioration. Most Spanish health professionals would recognize that one of the leading problems of Spanish hospitals is their use by patients who are only mildly ill and either
JAMA – American Medical Association
Published: Feb 3, 1989
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