Spanish Health Care System

Download Report

Transcript Spanish Health Care System

ENQual questionnaire
National Quality Policy
in Spain
Susana Lorenzo MD, MPH, PhD
Quality Manager
Fundación Hospital Alcorcón
Spanish Health Care System


1855 Health Law
1942 Illness' mandatory coverage



1967 Health Care Services Ordination (S. S.).



Management through Instituto Nacional de Previsión
general medicine, drug prescription and several
ambulatory surgery
Primary , secondary and tertiary levels
Clusters’ planning
1977 Social Security White Book
Spanish Health Care System





1978 National Health Service
1981 Ministry of health and consumer affairs
1986 Health Law
2002 National health service desegregated
Autonomous Communities
2002 Patient rights law
1986 Health Law









Universal coverage (100%)
Financing through taxes, salary and special taxes
NHS model
Based on Health care areas for management purposes
Primary health Reform based in Alma-Ata
Health care level Reorganization
Private and public management (concerts are possible)
Patients’ rights
Community participation regulated (Consejos de Salud)
Abril Report
Objectives:
1. Improve managers’ responsibilities and
efficiency.
2. Patient satisfaction and choice capacity.
3. Promote costs consciousness.
4. Flexibility and autonomy to manage budgets.
5. Improve people participation and implication.
system’s
Recommendations:
• ORGANIZATION: decentralization, Consejo Interterritorial
payment derived form objectives.
• MANAGEMENT: to measure health product, to develop
economic analysis, clinicians deployment, improve quality in
health care
• FINANCIATION: from National General Budget besides SS.
2002 National health service desegregated
Autonomous Communities
EFQM Excellence Model in Spain










Asturias: Hospital Monte Naranco (2)
Aragón todos los hospitales y áreas de salud 2002 (1)
Baleares: Fundación Hospital Manacor (1)
Cantabria: Area Torrelavega
Cataluña: Hospital Creu Roja (1), ICO (1), Sagessa (1), Hospital
del Piu 1, AP, otros en curso
Galicia: Hospital Arquitecto Marcide (2); Hospital Juan Canalejo
(1) (unidad del corazón)
Madrid: todos los hospitales y areas de atención primaria 2003
Murcia: en curso en varios hospitales
Osakidetza (1996-2003): 3 autoevaluaciones (hospitales y áreas).
4 reconocimientos
Valencia: Hospital La Fé (1); Instituto de Oftalmología (1)