Desigualdades regionales: indicadores de salud y gasto
público en atención primaria

Hernández García, Cristina

Desigualdades regionales: indicadores de salud y gasto público en atención primaria

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Hernández García, C. Desigualdades regionales: indicadores de salud y gasto público en atención primaria. 2021. handle: http://hdl.handle.net/10230/48965

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Abstract

The health systems that most help to improve health and health equity are those that share the principle of universal coverage and the system is organised around Primary Health Care (PHC). In Spain, the 17 autonomous communities show demographic and economic differences, but also differences in health status, universal coverage (in 2018, 8% of the population of the Canary Islands was not protected by PHC, while in the Basque Country there is universal coverage), PHC expenditure and accessibility to PHC. While 57- 69% of spending is devoted to hospital care (up to €1,100/person in Asturias), only 12- 17% is devoted to PHC (no community exceeds €270/person), and there is also great variability in PHC spending by region. Accessibility to PHC also varies by territory and, although there is no association between PHC spending and health indicators, there is a relationship with the ratio of PHC professionals and ease of getting an appointment.