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Health Systems and Policy Monitor (HSPM)

An innovative platform that provides a detailed description of health systems and provides up-to-date information on reforms and changes that are particularly policy relevant.
For detailed information on country policy responses to the COVID-19 pandemic during 2020-2021, see our separate COVID-19 Health Systems Response Monitor (HSRM).

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Spain

Health Systems in Transition (HiT) profile

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  1. Country Overview

  2. Health Systems in Transition (HiT) profile

    1. 1. Introduction
      1. 1.0. Introduction
      2. 1.1. Geography and sociodemography
      3. 1.2. Economic context
      4. 1.3. Political context
      5. 1.4. Health status
    2. 2. Organization and governance
      1. 2.0. Introduction
      2. 2.1. Historical background
      3. 2.2. Organization
      4. 2.3. Decentralization and centralization
      5. 2.4. Planning
      6. 2.5. Intersectorality
      7. 2.6. Health information systems
      8. 2.7. Regulation
      9. 2.8. Person-centred care
    3. 3. Financing

      Updated: 01 July 2024
      1. 3.0. Introduction
      2. 3.1. Health expenditure
      3. 3.2. Sources of revenue and financial flows
      4. 3.3. Overview of the statutory financing system

        Updated: 01 July 2024
      5. 3.4. Out of pocket payments
      6. 3.5. Voluntary health insurance
      7. 3.6. Other financing
      8. 3.7. Payment mechanisms
    4. 4. Physical and human resources

      Updated: 21 September 2024
      1. 4.0. Introduction
      2. 4.1. Physical resources
      3. 4.2. Human resources

        Updated: 21 September 2024
    5. 5. Provision of Services

      Updated: 20 March 2025
      1. 5.0. Introduction
      2. 5.1. Public health

        Updated: 20 March 2025
      3. 5.2. Patient pathways
      4. 5.3. Primary care

        Updated: 16 December 2024
      5. 5.4. Specialized care

        Updated: 29 October 2024
      6. 5.5. Urgent and emergency care
      7. 5.6. Pharmaceutical care

        Updated: 10 December 2024
      8. 5.7. Rehabilitation / intermediate care
      9. 5.8. Long term care
      10. 5.9. Services for informal carers
      11. 5.10. Palliative care
      12. 5.11. Mental health care
      13. 5.12. Dental care
    6. 6. Principal health reforms
      1. 6.0. Introduction
      2. 6.1. Analysis of recent reforms
      3. 6.2. Future developments
    7. 7. Assessment of the Health System

      Updated: 24 May 2025
      1. 7.0. Introduction
      2. 7.1. Health system governance
      3. 7.2. Accessibility
      4. 7.3. Financial protection
      5. 7.4. Health care quality
      6. 7.5. Health system outcomes
      7. 7.6. Health system efficiency

        Updated: 24 May 2025
    8. 8. Conclusions
      1. 8.0. Introduction

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