Health systems II
11 important questions on Health systems II
What is the Compulsory Health Insurance (SOE)?
What was the exclusive source of financing of Social Security benefits?
What happened in 1974 Financial law in the Spanish health care system?
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What happened in 1977 Pactos Moncloa in the spanish health care system?
What happened in 1978?
health protection
What happened in 1986? Ley General de Sanidad
What are 6 competencies of central government?
- cross border health activities (surveillance and control of health risks derived from import, export and international passenger traffic)
- legislation on pharmaceutical products and their production processes
- high inspection (guarantee and verify the fulfillment of the competences of the state and of the autonomous communities in matters of health)
- health research (ISCIII)
- coordination (interterritorial council of the SNS) and system performance monitoring (CNM, CNE)
What are the competencies of the local administration?
- competencies in health matters:
- control of the effects of the environment on the health of individuals, pollution, water, urban and industrial waste, noise and vibration
- control of buildings and public places: food center, sports areas, schools, etc.
- control of the food and beverage distribution chain
- cementeries control
What kind of benefit packages are there in the NHS? (1-3,1)
- basic
- supplementary (user copayments)
- accesory (100% user payment)
CCAA: already existing (C&Q law 16/2003)
What is the definition of decentralization and health care?
- functional (which competencies and policy areas)
- geographic (territory)
Describe the Catalan health model (1-5,1-4)
- insurer
- regulation
- health and services plans
- allocate resources
- tenders (contracting out)
provider:
- strategic and operative planning
- motivation of HHRR
- clinical management
- human resources management
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