Sustainability of the Public Health Service in Spain: an Approach to Governance
Keywords:Equity, Sustainability, Health Policy, Costs
The health system sustainability is a key topic in Spainâ€™s political debates. What a sustainable heath system should be poses a big concernÂ for citizens and politicians. Foremost for managers and political actors,Â to ascertain the right way to build a good mid- and large-term fiancial model of sustainability is critical as well. However, to link exclusively the fiancial sustainability of the health system with a politicalÂ objective could be a limited overview. Issues that affect the national
health system have an impact on the entire society and its processesÂ and activities result in environmental externalities. The analysis focuses on the triple bottom line: economic, social and environmental;Â displaying a wider view of the Spanish health models and their futureÂ strategies. Likewise, it needs to be understood whether the conceptÂ of sustainability goes beyond the economical concerns in the plans ofÂ the health authority and their fiancial budgets, and come to termsÂ with the expectations of citizens and the political speech, consideringÂ that the health budgets of Spain and other OECD countries show aÂ weakness point in this regard. This article analyzes the challenges ofÂ the health system and its critical points from the perspective of theÂ health authority.
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