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Spanish health care cuts: Penny wise and pound foolish?

Author

Listed:
  • Gené-Badia, Joan
  • Gallo, Pedro
  • Hernández-Quevedo, Cristina
  • García-Armesto, Sandra

Abstract

The purpose of this paper is to convey the specific health care actions and policies undertaken by the Spanish government, as well as by regional governments, as a result of the economic crisis. Throughout the last two years we have witnessed a number of actions in areas such as human capital, activity and processes, outsourcing and investment that, poorly coordinated, have shaped the nature of financial cuts on public services. This paper discloses the size and magnitude of these actions, the main actors involved and the major consequences for the health sector, citizens and patients.

Suggested Citation

  • Gené-Badia, Joan & Gallo, Pedro & Hernández-Quevedo, Cristina & García-Armesto, Sandra, 2012. "Spanish health care cuts: Penny wise and pound foolish?," Health Policy, Elsevier, vol. 106(1), pages 23-28.
    • Handle: RePEc:eee:hepoli:v:106:y:2012:i:1:p:23-28
    DOI: 10.1016/j.healthpol.2012.02.001
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    Cited by:

    1. Vogler, Sabine & Zimmermann, Nina & de Joncheere, Kees, 2016. "Policy interventions related to medicines: Survey of measures taken in European countries during 2010–2015," Health Policy, Elsevier, vol. 120(12), pages 1363-1377.
    2. Porthé, Victoria & Vargas, Ingrid & Sanz-Barbero, Belén & Plaza-Espuña, Isabel & Bosch, Lola & Vázquez, Maria Luisa, 2016. "Changes in access to health care for immigrants in Catalonia during the economic crisis: Opinions of health professionals and immigrant users," Health Policy, Elsevier, vol. 120(11), pages 1293-1303.
    3. Clemens, Timo & Michelsen, Kai & Commers, Matt & Garel, Pascal & Dowdeswell, Barrie & Brand, Helmut, 2014. "European hospital reforms in times of crisis: Aligning cost containment needs with plans for structural redesign?," Health Policy, Elsevier, vol. 117(1), pages 6-14.
    4. Isabel Aguilar-Palacio & Patricia Carrera-Lasfuentes & M. Rabanaque, 2015. "Youth unemployment and economic recession in Spain: influence on health and lifestyles in young people (16–24 years old)," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(4), pages 427-435, May.
    5. García-Corchero, Juan David & Jiménez-Rubio, Dolores, 2022. "How do policy levers shape the quality of a national health system?," Journal of Policy Modeling, Elsevier, vol. 44(1), pages 203-221.
    6. Tavares, Lara Patrício & Zantomio, Francesca, 2017. "Inequity in healthcare use among older people after 2008: The case of southern European countries," Health Policy, Elsevier, vol. 121(10), pages 1063-1071.
    7. Juan F Orueta & Arturo García-Álvarez & Manuel García-Goñi & Francesco Paolucci & Roberto Nuño-Solinís, 2014. "Prevalence and Costs of Multimorbidity by Deprivation Levels in the Basque Country: A Population Based Study Using Health Administrative Databases," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-11, February.
    8. Costa-Font, Joan & Jimenez-Martin, Sergi & Vilaplana, Cristina, 2018. "Does long-term care subsidization reduce hospital admissions and utilization?," Journal of Health Economics, Elsevier, vol. 58(C), pages 43-66.
    9. Beatriz G. Lopez-Valcarcel & Patricia Barber, 2017. "Economic Crisis, Austerity Policies, Health and Fairness: Lessons Learned in Spain," Applied Health Economics and Health Policy, Springer, vol. 15(1), pages 13-21, February.
    10. Gallo, Pedro & Gené-Badia, Joan, 2013. "Cuts drive health system reforms in Spain," Health Policy, Elsevier, vol. 113(1), pages 1-7.
    11. Cristina Borra & Jerònia Pons-Pons & Margarita Vilar-Rodríguez, 2020. "Austerity, healthcare provision, and health outcomes in Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(3), pages 409-423, April.
    12. Petrou, Panagiotis & Vandoros, Sotiris, 2015. "Cyprus in crisis: Recent changes in the pharmaceutical market and options for further reforms without sacrificing access to or quality of treatment," Health Policy, Elsevier, vol. 119(5), pages 563-568.
    13. Tambor, Marzena & Pavlova, Milena & Golinowska, Stanisława & Sowada, Christoph & Groot, Wim, 2013. "The formal–informal patient payment mix in European countries. Governance, economics, culture or all of these?," Health Policy, Elsevier, vol. 113(3), pages 284-295.
    14. Berta Rivera & Bruno Casal & Luis Currais, 2015. "The economic crisis and death by suicide in Spain: Empirical evidence based on a data panel and the quantification of losses in labour productivity," Working Papers. Collection A: Public economics, governance and decentralization 1507, Universidade de Vigo, GEN - Governance and Economics research Network.
    15. García-Armesto, Sandra & Campillo-Artero, Carlos & Bernal-Delgado, Enrique, 2013. "Disinvestment in the age of cost-cutting sound and fury. Tools for the Spanish National Health System," Health Policy, Elsevier, vol. 110(2), pages 180-185.
    16. Berta Rivera & Bruno Casal & Luis Currais, 2017. "Crisis, suicide and labour productivity losses in Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(1), pages 83-96, January.
    17. Alaitz Artabe & Waleska Sigüenza, 2019. "The effects of the economic recession on spending on private health insurance in Spain," International Journal of Health Economics and Management, Springer, vol. 19(2), pages 155-191, June.
    18. Wenzl, Martin & Naci, Huseyin & Mossialos, Elias, 2017. "Health policy in times of austerity—A conceptual framework for evaluating effects of policy on efficiency and equity illustrated with examples from Europe since 2008," Health Policy, Elsevier, vol. 121(9), pages 947-954.
    19. Cervero-Liceras, Francisco & McKee, Martin & Legido-Quigley, Helena, 2015. "The effects of the financial crisis and austerity measures on the Spanish health care system: A qualitative analysis of health professionals’ perceptions in the region of Valencia," Health Policy, Elsevier, vol. 119(1), pages 100-106.
    20. Russo, Giuliano & Rego, Inês & Perelman, Julian & Barros, Pedro Pita, 2016. "A tale of loss of privilege, resilience and change: the impact of the economic crisis on physicians and medical services in Portugal," Health Policy, Elsevier, vol. 120(9), pages 1079-1086.
    21. Peralta-Gallego, Leia & Gené-Badia, Joan & Gallo, Pedro, 2018. "Effects of undocumented immigrants exclusion from health care coverage in Spain," Health Policy, Elsevier, vol. 122(11), pages 1155-1160.
    22. Alexandrina Stoyanova & Jaime Pinilla, 2020. "The Evolution of Mental Health in the Context of Transitory Economic Changes," Applied Health Economics and Health Policy, Springer, vol. 18(2), pages 203-221, April.
    23. Edit V. Velenyi & Marc F. Smitz, 2014. "Cyclical Patterns in Government Health Expenditures Between 1995 and 2010," Health, Nutrition and Population (HNP) Discussion Paper Series 87885, The World Bank.

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