ISPOR Europe kicks off this week in Barcelona, Spain. In honor of ISPOR, I’ll summarize some key attributes of the Spanish well being care system based mostly on a 2024 report from the European Observatory on Well being Programs and Insurance policies and the Instituto Aragones de Ciencias de la Salud.
Nation overview
- Inhabitants: 48.4 million (as of 2023),
- Life expectancy: 83.2 years (as of 2022), highest within the EU
- Fertility price: 1.2 (as of 2022), under alternative ranges
- GDP/Capita (present USD): 29,675
- GDP/Capita (buying energy parity, USD): 46,332
- Weight problems price: 16%
- Tobacco use: 19.8% of people >15 have been each day people who smoke
- Alcohol use: 6% of adults usually interact in heavy consuming (under EU common of 18.5%)
Healthcare spending
- Healthcare spending: €132 billion (as of 2021)
- Healthcare spending as a share of GDP: 10.8% (as of 2021)
- Pharmaceutical spending: €12.7 billion
- Public healthcare spending as a share of total healthcare spending: 71.7% (as of 2021).
- Out of pocket prices: 20.6% of complete well being spending, largely required for prescription drugs and a few prostheses
- Danger of affected person catastrophic expenditures: Very low; among the many lowest within the EU because of a number of safety mechanisms (e.g., exemptions from co-payments), accessible major care settings, providers supplied free of charge on the level of use.
- Entry to specialist. Household Physician’s act as gatekeepers to specialised and hospital care
- Focus of well being reform since 2018: Widen the inhabitants coated by the well being system, cut back co-payments, enhance scope of coated providers, reinforce major care
Medical health insurance choices
- Overview: The Spanish nationwide well being system (SNS) offers common protection for residents largely funded by taxes. Well being competences, nevertheless, are transferred to the 17 Autonomous Communities (Comunidades Autónomas). The Ministry of Well being is chargeable for the general coordination of the well being system beneath the governance of the Inter-territorial Council for the SNS (Consejo Interterritorial del Sistema Nacional de Salud, CISNS).
- Insurance coverage eligibility: Based mostly on residency in Spain. (This marks a change from 2012-2017 when eligibility was linked to the authorized and employment standing of people)
- Can sufferers decide out of the general public well being care system (SNS): No, nevertheless people can buy voluntary medical health insurance (VHI) in the event that they need
- What share of sufferers buy supplemental medical health insurance: 20.8% buy VHI (as of 2021)
Supplier provide:
- Hospital beds. 296/100,000 inhabitants, of which 81.4% of beds are at public hospitals
- Nurse vs. medical doctors: The ratio of nurses to medical doctors has lingered under the OECD international locations’ common ratio (1.4 towards 1.97).
- Key considerations: Shortages in major care physicians in rural areas, projected future shortages in some specialties (e.g., household medication, anaesthesiology, geriatrics, psychiatry and radiology)
Current coverage adjustments and challenges:
- Is euthanasia authorized?: Sure, as regulated by Natural Legislation 3/2021
- Key challenges: Addressing entry gaps, (e.g., restricted protection of dental and optical care), and huge ready lists for some providers
To be taught extra, you may learn the full report.
