Document Detail


Renewing primary care: lessons learned from the Spanish health care system.
MedLine Citation:
PMID:  20679646     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
From 1978 on, Spain rapidly expanded and strengthened its primary health care system, offering a lesson in how to improve health outcomes in a cost-effective manner. The nation moved to a tax-based system of universal access for the entire population and, at the local level, instituted primary care teams coordinating prevention, health promotion, treatment, and community care. Gains included increases in life expectancy and reductions in infant mortality, with outcomes superior to those in the United States. In 2007 Spain spent $2,671 per person, or 8.5 percent of its gross domestic product on health care, versus 16 percent in the United States. Despite concerns familiar to Americans--about future shortages of primary care physicians and relatively low status and pay for these physicians--the principles underlying the Spanish reforms offer lessons for the United States.
Authors:
Jeffrey Borkan; Charles B Eaton; David Novillo-Ortiz; Pablo Rivero Corte; Alejandro R Jadad
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Health affairs (Project Hope)     Volume:  29     ISSN:  1544-5208     ISO Abbreviation:  Health Aff (Millwood)     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8303128     Medline TA:  Health Aff (Millwood)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1432-41     Citation Subset:  IM    
Affiliation:
Department of Family Medicine at the Alpert Medical School, Brown University, in Providence, Rhode Island, USA. jeffrey_borkan@mhri.org
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