Public Healthcare: Citizen’s Preferences in Spain

Abstract

This paper analyzes the stability of citizens’ preferences on public healthcare services in Spain. Nowadays, the increasing privatization of some healthcare services and the rapid emergence of private hospitals have caused changes in people’s preferences on public healthcare systems. This paper focuses on analyzing the preferences of Spaniards on their healthcare system over time under the assumption that citizens’ preferences are represented by complete pre-orders. Data for this study were collected from the Spanish Health Barometer survey, and they were searched from 1995 until 2018. The results show that preferences on the public healthcare system are very stable along time.

Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study

“…Despite the risk of some needs remaining unmet by the public system, due to the above-mentioned financial cutbacks, rates of private health insurance are relatively low [19]. Although the preference for public health services remains stable [20], studies have shown that persons with higher incomes often have private health insurance, too [21], as is reflected in our own findings. However, in the case of preexisting disease, many insurers implement selective mechanisms to restrict the cover provided, particularly for populations with high levels of comorbidity.…”

Linking Institutional Voids with Blind Spots Through Counter-Knowledge in the Spanish National Healthcare System

“…that the only important thing for such authorities is to determine who and in what circumstances is possible to produce more "health" at a lower cost(Pedrero-Garcia, 2017), which promotes unfounded rumours (i.e., counter-knowledge) about the options available for either education or healthcare (public/private). The deficit of the SNS and the economic crisis have prompted healthcare institutions to gravitate toward patients (beyond their direct and indirect taxes, now even more charged) part of the payment for medical care through the co-payment of medicines (Gallo & Gené-Badia, 2013;Ortuzar et al, 2021;Prieto-Herraez et al, 2020), which again it sends confusing signals about the final price of the drug, whom to claim the difference in price, etc. (Ortuzar et al, 2021).…”

“…(Ortuzar et al, 2021). Although article 43 of the Spanish Constitution recognises the right to health protection, there are health differences depending on the community in which one resides (Prieto-Herraez et al, 2020). For example, the Autonomous Communities dedicate 46.1% of their budget to health, with a difference that oscillates between 35.7% in Catalonia and 58.8% in Aragon (Ortuzar et al, 2021).…”