Neoliberal economic and policy crisis in the Spanish National Healthcare System

• Autor(a) principal: Aguilar Gil, Marta
• Data de Publicação: 2020
• Outros Autores: Bleda García, José María
• Tipo de documento: Artigo
• Idioma: spa
• Título da fonte: Cadernos Gestão Pública e Cidadania (Online)
• Texto Completo: https://periodicos.fgv.br/cgpc/article/view/81182
• topic: Governance; economic crisis; neoliberalism; spanish national healthcare system; sanitary system.; Gobernanza; crisis económica; neoliberalismo; sistema nacional de salud español; sistema sanitario.; Governança; crise econômica; neoliberalismo; sistema nacional de saúde da Espanha; sistema sanitário.

Economic globalization and the breakthrough of neoliberal policies in the world, together with the privatization of healthcare services and the conflict between available resources and spending, has led to further questioning about the maintenance of the welfare state. The objectives of the research have been: to identify the consequences that have resulted from the international economic crisis, triggered in 2007-2008, and neoliberal policies in the Spanish healthcare system from 2013 to date; to know its existing situation; and, to make a proposal for improvements. It was assumed that the budget cut applied as a result of the global and national economic crisis could have been decisive to deconstruct the system and increase the number of private healthcare services. A documentary analysis of the studies and reports carried out by prestigious analysts was used, as well as those prepared by different public and private organizations related to the sector. The results highlight the good healthcare status of the SNS, although it is necessary to address a series of reforms (financing, planning, professional, medication policy or information systems, among others), and the inexorable need for a State Pact for the Healthcare.