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[Decentralization: part of the health system problem or the solution?]
1Departament d'Economia i Empresa y Centre de Recerca en Economia i Salut (CRES). Universidad Pompeu Fabra, Barcelona. Spain. guillem.lopez@econ.upf.es
Gaceta Sanitaria
|September 17, 2003
Summary
Spain
Area of Science:
- Health policy
- Public administration
- Political science
Context:
- The Spanish health system has undergone significant decentralization over the past two decades.
- Power has been devolved to autonomous communities, altering the national health landscape.
- This rapid devolution occurred with limited financial agreements and legal frameworks.
Purpose:
- To examine the implications of health system decentralization in Spain.
- To assess the compatibility of decentralized power with a cohesive national health system.
- To explore whether devolution is a solution or a problem for the Spanish health system.
Summary:
- The rapid devolution of power in the Spanish health system to autonomous communities presents challenges.
- Concerns exist regarding the cohesion of the national health system and potential misuse of devolved powers.
- The article addresses the complex questions arising from this decentralization process.
Impact:
- Understanding the impact of decentralization on health system cohesion and public trust.
- Informing policy discussions on managing devolved powers in public services.
- Contributing to the debate on the future of the Spanish welfare state.