Crisis and mutation of the public health service in Spain

• Autor: Cantero Martínez, Josefa
• Formato: artículo
• Fecha de Publicación: 2016
• Institución: Pontificia Universidad Católica del Perú
• Repositorio: Revistas - Pontificia Universidad Católica del Perú
• Lenguaje: español
• OAI Identifier: oai:ojs.pkp.sfu.ca:article/14856
• Enlace del recurso: http://revistas.pucp.edu.pe/index.php/derechopucp/article/view/14856
• Nivel de acceso: acceso abierto
• Materia: National Health System; sustainability of health care services; universality; public service; health reforms; user charges; health coverage; right to the protection of the health; illegal immigrants; sistema público sanitario; sostenibilidad del sistema; universalidad; reformas sanitarias; servicio público; copagos; cobertura sanitaria; derecho a la protección de la salud; inmigrantes irregulares

The aim of this paper is to analyze the effects that recent health reforms adopted in Spain because of the economic crisis have had on the National Health System. It is not only a matter of mere budgetary cuts or measures of saving in the public expense. Reforms are looking for the efficiency and financial sustainability of health care services. However, a «mutation» in the public service has taken place. Reforms have affected the basic principles of the public system: the insurance model, its universality, the financing of the system and the principles of equity and cohesion of the public service.