2010
DOI: 10.1590/s0104-12902010000100014 View full text |Buy / Rent full text
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Daniele Pompei Sacardo,
Paulo Antonio de Carvalho Fortes,
Oswaldo Yoshimi Tanaka

Abstract: The economic crisis that has been affecting Europe in the 21st century has modified social protection systems in the countries that adopted, in the 20th century, universal health care system models, such as Spain. This communication presents some recent transformations, which were caused by changes in Spanish law. Those changes relate to the access to health care services, mainly in regards to the provision of care to foreigners, to financial contribution from users for health care services, and to pharmaceuti… Show more

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“…Financial austerity measures in several European countries and modified health policies have led to the exclusion of numerous citizens from health care services. Thus, socioeconomic disparities and the violation of people’s right to an equitable and accessible health care system are emerging as a new reality [ 5 , 6 ].…”
Section: Introductionmentioning
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“…Financial austerity measures in several European countries and modified health policies have led to the exclusion of numerous citizens from health care services. Thus, socioeconomic disparities and the violation of people’s right to an equitable and accessible health care system are emerging as a new reality [ 5 , 6 ].…”
Section: Introductionmentioning
“…O processo de descentralização das competências sanitárias para as Comunidades Autônomas ocorrido há mais de 20 anos desencadeou o redimensionamento das competências de atenção dos níveis primário e especializado, bem como abriu novas formas de gestão. Segundo Sacardo, Fortes, & Tanaka, (2010) As novas experiências em gestão sanitária na Espanha estão marcadas pelo "paradigma" da denominada "competência gestionada", cuja idéia central é separar o financiamento e a regulação da provisão e produção de serviços. Os financiadores, mediante contratos, destinariam recursos aos provedores sanitários transferindo-lhes certo grau de riscos e, portanto, de potenciais benefícios e perdas.…”
Section: Saúde Mental: Necessidade De Cuidados Continuados E Integradosunclassified
“…Fundamentadas nas normas constitucionais e nos Estatutos de Autonomia, todas as CCAA progressivamente assumiram competências no campo da saúde pública, em processo de descentralização diferenciado do existente no Brasil, pois na Espanha trata-se de dois níveis governamentais – nacional e regional, não chegando como no SUS ao estabelecimento de competências, direitos e deveres da esfera local. 4 …”
Section: Introductionunclassified
“…Based on constitutional regulations and on the Autonomy Statutes, all CCAA have progressively taken over responsibilities regarding public health care, in a decentralization process that differs from the one existing in Brazil, as two government levels exist in Spain – the national and the regional one – which do not establish local competences, rights, or duties such as SUS . 4 …”
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