El debate en torno al seguro de salud público y privado en España: desde la transición política a la Ley General de Sanidad (1975-1986)

Vilar‐Rodríguez, Margarita; Pons, Jerònia Pons

doi:10.18042/hp.39.10

Cited by 3 publications

(2 citation statements)

References 1 publication

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“…During the last period of the Franco dictatorship, the Spanish healthcare system began to be organized following a Bismarckian model [46]. Following the transition to democracy, Article 43.1 of the 1978 constitution recognized the right of all Spaniards to health protection [47].…”

Section: The Spanish Casementioning

confidence: 99%

“…The 1986 act recognized healthcare as a fundamental right, underlining the right of equal access: Article 3.2 of that law specifically established effective equality in access to healthcare services [49]. The 1986 act gave birth to a national health system (Sistema Nacional de Salud, or SNS), with a progressive transition from payroll contributions to general taxation as the main source of financing [43,46,47,50]. The SNS integrated all the functions and infrastructures that the public sector is responsible for [43,50].…”

Section: The Spanish Casementioning

confidence: 99%

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From public vs. private to public/private mix in healthcare: lessons from the Israeli and the Spanish cases

Filc

Rasooly

Davidovitch

2020

Isr J Health Policy Res

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Background: Different forms of public/private mix have become a central mode of the privatization of healthcare, in both financing and provision. The present article compares the processes of these public/private amalgams in healthcare in Spain and Israel in order to better understand current developments in the privatization of healthcare. Main text: While in both Spain and Israel combinations between the public and the private sectors have become the main forms of privatization, the concrete institutional forms differ. In Spain, these institutional forms maintain relatively clear boundaries between the private and the public sectors. In Israel, the main forms of public/private mix have blurred such boundaries: nonprofit health funds sell private insurance; public nonprofit health funds own private for-profit hospitals; and public hospitals sell private services. Conclusions: Comparison of the processes of privatization of healthcare in Spain and Israel shows their variegated characters. It reveals the active role played by national and regional state apparatuses as initiators and supporters of healthcare reforms that have adopted different forms of public/private mix. While in Israel, until recently, these processes have been perceived as mainly technical, in Spain they have created deep political rifts within both the medical community and the public. The present article contains lessons each country can learn from the other, to be adapted in each one's local context: The failure of the Alzira model in Spain warns us of the problems of forprofit HMOs and the Israeli private private/public mix shows the risk of eroding trust in the public system, thus reinforcing market failures and inefficient medical systems.

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Section: The Spanish Casementioning

confidence: 99%

Section: The Spanish Casementioning

confidence: 99%

From public vs. private to public/private mix in healthcare: lessons from the Israeli and the Spanish cases

Filc

Rasooly

Davidovitch

2020

Isr J Health Policy Res

View full text Add to dashboard Cite

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Factors associated with frequent users in hospital paediatric emergency departments: A single centre study in Spain

Montoro-Pérez,

Montejano-Lozoya,

Escribano

et al. 2023

International Emergency Nursing

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La relación profesionales-pacientes en tiempos de reforma. Un análisis socio-histórico con perspectiva de género del periódico ABC en los años ochenta

Danet

2023

Asclepio

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El artículo analiza la representación de la relación médico-paciente en artículos publicados en el periódico ABC y explora la producción de significados de género del encuentro terapéutico durante los años ochenta, una etapa de renovación y cambios estructurales en la asistencia sanitaria española. El análisis histórico del discurso periodístico en ABC reveló la proyección social de una relación médico-paciente como acto humanitario y de amor, según los testimonios de los médicos que contribuyeron al debate en este medio y que, con frecuencia, mostraron su resistencia ante la reforma sanitaria y la preocupación por los cambios estructurales, así como por la organización y calidad de la asistencia. La crítica a la desnaturalización y burocratización de la relación médico-paciente fue secundada, a partir de 1984, por pacientes y periodismo especializado. Sus opiniones contrarias a la Ley de Sanidad de 1986 se agudizaron ante el amparo que la norma daba a los derechos de los pacientes. Las líneas discursivas conservadoras del ABC reflejaron la resistencia simbólica ante la reforma sanitaria, la moralización de la salud-enfermedad, la hegemonía de la profesionalización médica masculina y la invisibilización y subalternidad de las mujeres sanitarias.

show abstract

El debate en torno al seguro de salud público y privado en España: desde la transición política a la Ley General de Sanidad (1975-1986)

Cited by 3 publications

References 1 publication

From public vs. private to public/private mix in healthcare: lessons from the Israeli and the Spanish cases

From public vs. private to public/private mix in healthcare: lessons from the Israeli and the Spanish cases

Factors associated with frequent users in hospital paediatric emergency departments: A single centre study in Spain

La relación profesionales-pacientes en tiempos de reforma. Un análisis socio-histórico con perspectiva de género del periódico ABC en los años ochenta

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