title: [Differences and similarities of primary care in the German and Spanish health care systems].
abstract: An efficient primary care is of particular importance for any countries' health care system. Many differences exist on how distinctive countries try to obtain the goal of an efficient, cost-effective primary care for its population. In this article we conducted a selective literature review, which includes both scientific and socio-political publications. The findings are complemented with the experience of a Spanish physician from Seville in her last year of training in family medicine, who completed a four months long rotation in the German health care system. We highlighted different features by comparing both countries, including their health care expenditure, the relation between primary and secondary care, the organization in the academic field and the training of future primary care physicians. It is clear that primary care in both countries plays a central role, have to deal with shortcomings, and in some points one system can learn from the other.
authors.affiliation: Medicina de Familia, Centro de Salud San Luís, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: María Rosa
authors.initials: MR
authors.lastname: Salvador Comino
authors.affiliation: Medicina de Familia, Hospital Universitario Ludwig Maximilians, Múnich, Alemania.
authors.forename: Sibylla
authors.initials: S
authors.lastname: Krane
authors.affiliation: Medicina de Familia, Hospital Universitario Ludwig Maximilians, Múnich, Alemania.
authors.forename: Jörg
authors.initials: J
authors.lastname: Schelling
authors.affiliation: Medicina de Familia, Centro de Salud San Luís, Hospital Universitario Virgen del Rocío, Sevilla, España. Electronic address: victorm.regife.sspa@juntadeandalucia.es.
authors.forename: Víctor
authors.initials: V
authors.lastname: Regife García
mesh_terms: D003695:Delivery of Health Care; D005194:Family Practice; D005858:Germany; D006801:Humans; D058007:Physicians, Primary Care; D011320:Primary Health Care; D013030:Spain
keywords: External rotation; Family medicine; Health care system; Medicina de familia; Personal experience; Rotación externa; Sistema sanitario/, Experiencia personal