Spain’s decentralised National Health System grants financial, planning and management powers to the regional health services of the country’s 17 autonomous communities and two autonomous cities. In addition the regions also have more responsibility for the appraisal of treatments and care pathways, and for final price negotiations with drug manufacturers.
This paper will show that the process of making healthcare more accountable in Spain is evolving in a number of ways but the growth and adoption of value-based measures remain fragmented. This is largely due to the decentralised administration of healthcare in the country.
Further reading:
- An introduction to value-based healthcare in Europe
- Value-based Health Assessment in Italy: A decentralised model
- Value-based healthcare in Germany: From free price-setting to a regulated market
- Value-based healthcare in France: A slow adoption of cost-effectiveness criteria
- Value-based healthcare in Portugal: Necessity is the mother of invention
- Value-based healthcare in the UK: A system of trial and error
- Value-based healthcare in Europe: Laying the foundation