Priorities in healthcare: a perspective from Spain.
The aim of this paper is to describe the process of transformation over the past two decades in the Spanish healthcare system. The main emphasis is on priority setting and rationing at different levels. On the supply side, the policies have focused on limiting the scope of pharmaceutical benefits in the system, and establishing a guaranteed healthcare package. On the consumer side, the main measures reviewed are copayments. Finally, a discussion of the research that has been done on public opinion about rationing is presented.
Gaminde
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Departamento de Salud, Gobierno de Navarra, Pabellón de Docencia, Hospital de Navarra, 31008, Pamplona, Spain. planificacion.evaluacion@cfnavarra.es
D003256:Community Participation; D017047:Cost Sharing; D005569:Formularies as Topic; D015276:Health Care Rationing; D006286:Health Planning Councils; D006292:Health Priorities / Q000331:legislation & jurisprudence; D007348:Insurance, Health; D011050:Policy Making; D011639:Public Opinion; D013030:Spain; D013222:State Medicine / Q000458:organization & administration*; D014850:Waiting Lists