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Sistema sanitario español

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Descripción del Sistema Nacional de Salud de España contado a estudiantes de Salud Internacional de la Universidad de Puerto Rico. 29 de enero 2014

Publicado en: Salud y medicina
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Sistema sanitario español

  1. 1. Sistema sanitario de España Javier Gállego Diéguez, jefe de sección de educación para la salud. Dirección General de Salud Pública. Gobierno de Aragón @gallegodieguez 29 de enero de 2014
  2. 2. España: 47.129.783 habitantes (2013), 504.645 Km 2, 93,4 habitantes/ Km2
  3. 3. Situación de salud
  4. 4. Esperanza de vida al nacimiento, evolución entre 1970 y 2011 OECD (2013), Health at a Glance 2013: OECD Indicators, OECD Publishing. http://dx.doi.org/10.1787/health_glance-2013-en
  5. 5. Esperanza de vida al nacimiento y renta per capita, 211 OECD (2013), Health at a Glance 2013: OECD Indicators, OECD Publishing. http://dx.doi.org/10.1787/health_glance-2013-en
  6. 6. Esperanza de vida al nacimiento y gasto sanitario per capita, 2011 OECD (2013), Health at a Glance 2013: OECD Indicators, OECD Publishing. http://dx.doi.org/10.1787/health_glance-2013-en
  7. 7. Mortalidad por enfermedad isquémica cardiaca, 1990, 2011 OECD (2013), Health at a Glance 2013: OECD Indicators, OECD Publishing. http://dx.doi.org/10.1787/health_glance-2013-en
  8. 8. Evolución tasas de mortalidad por accidente de tráfico, 1990-2010 OECD (2013), Health at a Glance 2013: OECD Indicators, OECD Publishing. http://dx.doi.org/10.1787/health_glance-2013-en
  9. 9. Evolución de la obesidad entre adultos en países de la OCDE, 2000 y 2011 OECD (2013), Health at a Glance 2013: OECD Indicators, OECD Publishing. http://dx.doi.org/10.1787/health_glance-2013-en
  10. 10. Proporción de población mayor de 65 y 80 años, 2010 y 2015
  11. 11. Organización del sistema sanitario
  12. 12. Sistema Nacional de Salud • • • • • • Cobertura universal (casi y todavía) Financiación por impuestos Provisión por sector público Puerta de entrada la atención primaria Mayormente gratuita, con copagos Competencias trasferidas a las Comunidades Autónomas • Ministerio de Sanidad: Autoridad estratégica y garante de la igualdad en el país
  13. 13. Competencias de las administraciones públicas en materia sanitaria
  14. 14. http://www.msssi.gob.es/profesionales/prestacionesSanitarias/CarteraDeServicios/hom
  15. 15. Mapa sanitario de Aragón (España) Mapa del Área 2: Zaragoza 367.000 habitantes 21 Centros de Salud Hospital Miguel Servet Hospital San Juan de Dios 2 Centros de especialidades 5 Centros de Salud Mental Zona urbana Zona rural
  16. 16. Atención primaria
  17. 17. Centros de salud y consultorios del Sistema Nacional de Salud. España
  18. 18. Recursos humanos en atención primaria pública: Tasa por 10.000 habitantes asignados
  19. 19. Recursos humanos en atención primaria pública: Medicina y enfermería por comunidad autónoma, 2009-11
  20. 20. Actividad asistencial en atención primaria pública: número de consultas y frecuentación según población asignada. 2009-11
  21. 21. Atención especializada
  22. 22. Camas en funcionamiento en hospitales por 1.000 habitantes
  23. 23. Recursos humanos en atención especializada: medicina, enfermería. Total, tasa por 10.000 habitantes y % mujeres
  24. 24. Actividad médica, quirurgica y obstétrica en hospitales: total, tasa por 1.000 habitantes y % financiación pública
  25. 25. Evolución del peso en porcentaje, de los procedimientos quirúrgicos ambulatorios sobre el total en el Sistema Nacional de Salud
  26. 26. Evolución del número de pacientes en lista de espera para intervenciones quirúrgicas no urgentes por 1.000 habitantes y días de espera
  27. 27. Evolución de la tasa de trasplantes de riñón por 1.000.000 de habitantes
  28. 28. Salud pública y promoción de la salud
  29. 29. Estrategias intersectoriales de promoción de la salud http://bit.ly/1ctDWVV http://bit.ly/1jHRAsm
  30. 30. Evolución de la prevalencia de fumadores actuales según sexo
  31. 31. Cobertura de vacunación sistemática en población infantil
  32. 32. Líneas de la Estrategia española de equidad en salud http://bit.ly/1nitMeR
  33. 33. http://jornadasaludcomunitaria.wordpress.com/alianza-de-salud-comunitaria/
  34. 34. Eje tridimensional de la estrategia de promoción de la salud y prevención de la enfermedad. 2013
  35. 35. Estructuras de promoción de la salud en Aragón
  36. 36. Financiamiento
  37. 37. Flujos financieros del Sistema Sanitario de España. 2009. OCDE
  38. 38. Evolución del gasto sanitario público en euros por habitante protegido
  39. 39. Gastos sanitario per capita, 2001. OCDE OECD (2013), Health at a Glance 2013: OECD Indicators, OECD Publishing. http://dx.doi.org/10.1787/health_glance-2013-en
  40. 40. Gasto sanitario en relación con el PIB, 2011. OCDE OECD (2013), Health at a Glance 2013: OECD Indicators, OECD Publishing. http://dx.doi.org/10.1787/health_glance-2013-en
  41. 41. Gasto sanitario según el tipo de financiación. 2011. OCDE OECD (2013), Health at a Glance 2013: OECD Indicators, OECD Publishing. http://dx.doi.org/10.1787/health_glance-2013-en
  42. 42. Gasto total en medicamentos y productos sanitarios en % del PIB, en países europeos. OCDE
  43. 43. Situación actual
  44. 44. Patrones de cambio y reforma de los sistema sanitarios europeos. José R. Repullo Repullo labrador J.R. Cambios y reformas en los sistemas y servicios sanitarios [Internet]. Madrid: Escuela Nacional de Sanidad; 2012 [consultado 28-01-2014]. Tema 2.4. Disponible en: http://bit.ly/1i87Kby
  45. 45. Real Decreto-ley 16/2012, de 20 de abril, de medidas urgentes para garantizar la sostenibilidad del Sistema Nacional de Salud y mejorar la calidad y seguridad de sus prestaciones.
  46. 46. Real Decreto-ley 16/2012, medidas urgentes para garantizar la sostenibilidad del Sistema Nacional de Salud Cambio en el reconocimiento de la prestación sanitaria del ciudadano al asegurado •Trabajadores S.S. • Pensionistas • Desempleo (prestación o demandante) •Beneficiarios: Pareja; expareja; hijos hasta 26 años
  47. 47. Real Decreto-ley 16/2012, medidas urgentes para garantizar la sostenibilidad del Sistema Nacional de Salud Cambio en el reconocimiento de la prestación sanitaria del ciudadano al asegurado •Excluye a extranjeros empadronados que no acrediten autorización o permiso de residencia. •Solo atención de Urgencias; embarazo; y atención menores de 18 años
  48. 48. Real Decreto-ley 16/2012, medidas urgentes para garantizar la sostenibilidad del Sistema Nacional de Salud • Cambios en la cartera de servicios: – Básica – Suplementaria – Accesoria – Suplementaria de las CCAA • Cambios en el copago farmacéutico
  49. 49. Contribución del usuario en el el pago de los medicamentos
  50. 50. Tipologías de gestión privada de hospitales públicos en España Uguet Adrover, Gabriel Realidad económica y de gestión del sistema sanitario en España y propuestas para un inmediato futuro. En Sanidad 2020, Un futuro incierto
  51. 51. Uguet Adrover, Gabriel Realidad económica y de gestión del sistema sanitario en España y propuestas para un inmediato futuro. En Sanidad 2020, Un futuro incierto
  52. 52. http://www.asociacionfacultativos.com/
  53. 53. Satisfacción con el sistema sanitario. Barómetro Sanitario
  54. 54. 27 enero de 2014 Comunidad de Madrid paraliza la privatización de 6 hospitales y centros de salud
  55. 55. Para saber mas http://bit.ly/1b5hNZX http://bit.ly/1dLUcgH http://bit.ly/1iHCS4t
  56. 56. Para saber mas • España: http://www.hspm.org/countries/spain25062012/countrypage.aspx • Sistema Nacional de Salud: Diagnóstico y y propuestas de avance http://www.aes.es/documentos_aes/propuestas_sns • Crisis y Salud. Escuela Andaluza de Salud Pública: http://www.easp.es/crisis-salud/
  57. 57. Legislación sanitaria básica española • Ley 14/1986, de 25 de abril, General de Sanidad. http://www.boe.es/diario_boe/txt.php? id=BOE-A-1986-10499#analisis • Ley 41/2002, de 14 de noviembre, básica reguladora de la autonomía del paciente y de derechos y obligaciones en materia de información y documentación clínica. http://www.boe.es/diario_boe/txt.php?id=BOE-A-2002-22188 • Ley 16/2003, de 28 de mayo, de cohesión y calidad del Sistema Nacional de Salud. http://www.boe.es/diario_boe/txt.php?id=BOE-A-2003-10715 • Ley 44/2003, de 21 noviembre, BOE de 22 de 11 noviembre de 2003 de ordenación de las profesiones sanitarias. http://www.boe.es/buscar/doc.php? id=BOE-A-2003-21340 • Ley 55/2003, de 16 de diciembre, del Estatuto Marco del personal estatutario de los servicios de salud. http://www.boe.es/buscar/doc.php?id=BOE-A-200323101#analisis • Ley Orgánica 2/2010, de 3 de marzo, de salud sexual y reproductiva y de la interrupción voluntaria del embarazo. http://www.boe.es/diario_boe/txt.php?id=BOE-A2010-3514 • Ley 33/2011, de 4 de octubre, General de Salud Pública. http://www.boe.es/diario_boe/txt.php?id=BOE-A-2011-15623 • Real Decreto-ley 16/2012, de 20 de abril, de medidas urgentes para garantizar la sostenibilidad del Sistema Nacional de Salud y mejorar la calidad y seguridad de sus prestaciones. http://www.boe.es/diario_boe/txt.php?id=BOE-A-2012-5403
  58. 58. Cartel en una sala del hospital del Henares, ayer tras conocerse la renuncia del Gobierno regional de privatizar la gestión de seis hospitales. SAMUEL SÁNCHEZ. El País

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