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Renewing Primary Care: Lessons Learned From The Spanish Health Care System

Renewing Primary Care: Lessons Learned From The Spanish Health Care System From 1978 on, Spain rapidly expanded and strengthened its primary health care system, offering a lesson in how to improve health outcomes in a cost-effective manner. The nation moved to a tax-based system of universal access for the entire population and, at the local level, instituted primary care teams coordinating prevention, health promotion, treatment, and community care. Gains included increases in life expectancy and reductions in infant mortality, with outcomes superior to those in the United States. In 2007 Spain spent $2,671 per person, or 8.5 percent of its gross domestic product on health care, versus 16 percent in the United States. Despite concerns familiar to Americans—about future shortages of primary care physicians and relatively low status and pay for these physicians—the principles underlying the Spanish reforms offer lessons for the United States. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Health Affairs Health Affairs

Renewing Primary Care: Lessons Learned From The Spanish Health Care System

Renewing Primary Care: Lessons Learned From The Spanish Health Care System

Health Affairs , Volume 29 (8): 1432 – Aug 1, 2010

Abstract

From 1978 on, Spain rapidly expanded and strengthened its primary health care system, offering a lesson in how to improve health outcomes in a cost-effective manner. The nation moved to a tax-based system of universal access for the entire population and, at the local level, instituted primary care teams coordinating prevention, health promotion, treatment, and community care. Gains included increases in life expectancy and reductions in infant mortality, with outcomes superior to those in the United States. In 2007 Spain spent $2,671 per person, or 8.5 percent of its gross domestic product on health care, versus 16 percent in the United States. Despite concerns familiar to Americans—about future shortages of primary care physicians and relatively low status and pay for these physicians—the principles underlying the Spanish reforms offer lessons for the United States.

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Publisher
Health Affairs
Copyright
Copyright 2010 by Project HOPE: The People-to-People Health Foundation, Inc.
ISSN
0278-2715
eISSN
1544-5208
DOI
10.1377/hlthaff.2010.0023
pmid
20679646
Publisher site
See Article on Publisher Site

Abstract

From 1978 on, Spain rapidly expanded and strengthened its primary health care system, offering a lesson in how to improve health outcomes in a cost-effective manner. The nation moved to a tax-based system of universal access for the entire population and, at the local level, instituted primary care teams coordinating prevention, health promotion, treatment, and community care. Gains included increases in life expectancy and reductions in infant mortality, with outcomes superior to those in the United States. In 2007 Spain spent $2,671 per person, or 8.5 percent of its gross domestic product on health care, versus 16 percent in the United States. Despite concerns familiar to Americans—about future shortages of primary care physicians and relatively low status and pay for these physicians—the principles underlying the Spanish reforms offer lessons for the United States.

Journal

Health AffairsHealth Affairs

Published: Aug 1, 2010

There are no references for this article.