title: [Is a second reform of primary health care in Spain necessary?].
abstract: Created in 1986, the Spanish National Health System adopted Primary Health Care (PHC) as one of its building blocks. Since the beginning, the Spanish PHC model has been the subject of both praise and criticism. Nowadays, a crisis in public policy funding--including health funding policies--is resurrecting old debates and raising new ones. This paper analyzes the data available about the degree of acceptance of PHC from the perspective of Spanish citizens as well as data about the debate produced in the last five years by politicians, patients and health workers. At the end of the paper the authors seek to draw some conclusions based on the commonly acknowledged strengths and weakness of the PHC model, which decision-makers ought to take into consideration in order to avoid mistakes caused by improvised decisions elicited by the requirements of the moment.
authors: Escuela Nacional de Sanidad, Instituto de Salud Carlos III, Avda. Monforte de Lemos 5, Madrid. ainfante@isciii.es
authors: Alberto Infante
authors: AI
authors: Campos
authors: Adriana Cavalcanti de
authors: AC
authors: Aguiar
mesh_terms: D018166:Health Care Reform; D006801:Humans; D011320:Primary Health Care / Q000458:organization & administration* / Q000592:standards*; D058996:Quality Improvement; D013030:Spain; D011795:Surveys and Questionnaires