Health

Value-based healthcare in Spain: Regional experimentation in a shared governance setting

November 03, 2015

Europe

November 03, 2015

Europe
Martin Koehring

Senior Manager for Sustainability, Climate Change and Natural Resources & Head of the World Ocean Initiative

Martin Koehring is senior manager for sustainability, climate change and natural resources at (part of The Economist Group). He leads Economist Impact's sustainability-related policy and thought leadership projects in the EMEA region. He is also the head of the, inspiring bold thinking, new partnerships and the most effective action to build a sustainable ocean economy.

He is a member of the Advisory Committee for the UN Environment Programme’s Global Environment Outlook for Business and is a faculty member in the Food & Sustainability Certificate Program provided by the European Institute for Innovation and Sustainability.

His previous roles at The Economist Group, where he has been since 2011, include managing editor, global health lead and Europe editor at The Economist Intelligence Unit.

He earned a bachelor of economic and social studies in international relations from Aberystwyth University and a master’s degree in diplomacy and international relations from the College of Europe.

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Value-based healthcare in Spain: Regional experimentation in a shared governance setting is an Economist Intelligence Unit (EIU) report, commissioned by Gilead Sciences. It looks at health outcomes of treatment relative to cost and at the structure of Spanish healthcare delivery, the process of making healthcare more accountable in Spain, and the growth and adoption of value-based measures.

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.

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