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PÚBLICO Y PRIVADO EN LA SANIDAD.

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Title: PÚBLICO Y PRIVADO EN LA SANIDAD. (Spanish).
Authors: FREIRE CAMPO, JOSÉ-MANUEL
Source: Tiempo de Paz. oto2021, Issue 142, p102-111. 10p.
Subjects: PUBLIC-private sector cooperation, PRIMARY health care, HEALTH insurance, MEDICAL care, DENTAL care, PUBLIC health, HEALTH care reform
Geographic Terms: CATALONIA (Spain)
Abstract (English): This paper addresses the public-private mix in the Spanish National Health System (SNS) presenting six case studies dealing with both insurance and provision: 1. The special health insurance of civil servants.' 2. The construction of public hospitals with a PFI scheme; 3. The total healthcare concessions of the 'Alzira model' in the Valencian Community and Madrid, which subcontract public insurance; 4. The contract between a large private teaching hospital and the Madrid Health Service; 5. The provision of primary health care in Catalonia through cooperative-like companies of health professionals; 6. A Children s Dental Care Program using public and private dentists. The great complexity, opacity, cost overruns and difficulty of public control of the PFI contracts, the concessions as well as the activity-based contract for hospital services, point out to the outright rejection of theses systems. The comparative nature of the public-private debate in healthcare should emphasize that the problems of 'the public' in the SNS are not due to its public nature but stem from its governance and management arrangements, clearly in need of deep reforms, many of which are included in the Conclusion-Dictamen on health of the Reconstruction Commission of the Congress. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Este trabajo aborda lo público-privado en el Sistema Nacional de Salud (SNS) español presentando seis casos de estudio que afectan tanto al aseguramiento como la provisión: 1. El caso de las mutualidades de funcionarios; 2. El sistema PFI para la construcción de hospitales públicos; 3. Las concesiones de servicios sanitarios 'modelo Alzira" en la Comunidad Valenciana y Madrid, que subcontratan el aseguramiento público; 4. El concierto singular entre el hospital UTE-Fundación Jiménez Díaz y el Servicio Madrileño de Salud; 5. La gestión de algunos Centros de Salud en Cataluña por Entidades de Base Asociativa y 6. El PADI Programa de Atención Dental Infantil con dentistas públicos y privados. La gran complejidad, opacidad, sobrecostes y dificultad de control público de los contratos PFI, de las concesiones sanitarias y del contrato por actividad de servicios hospitalarios, aconsejan rechazar frontalmente estos sistemas. El carácter comparativo del debate público-privado en sanidad obliga a resaltar aue los problemas de 'lo público' en el SNS no derivan de su naturaleza pública, si no de sus formas concretas de gobernanza y gestión, muy necesitadas desde hace décadas de reformas, muchas de las cuales recoge el Dictamen sobre sanidad de la Comisión de Reconstrucción del Congreso. [ABSTRACT FROM AUTHOR]
Database: Referencia Latina
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DbLabel: Referencia Latina
An: 156038146
RelevancyScore: 996
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 995.652038574219
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  Label: Title
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  Data: PÚBLICO Y PRIVADO EN LA SANIDAD. <i>(Spanish). </i>
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  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22FREIRE+CAMPO%2C+JOSÉ-MANUEL%22">FREIRE CAMPO, JOSÉ-MANUEL</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Tiempo+de+Paz%22">Tiempo de Paz</searchLink>. oto2021, Issue 142, p102-111. 10p.
– Name: Subject
  Label: Subjects
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  Data: <searchLink fieldCode="DE" term="%22PUBLIC-private+sector+cooperation%22">PUBLIC-private sector cooperation</searchLink><br /><searchLink fieldCode="DE" term="%22PRIMARY+health+care%22">PRIMARY health care</searchLink><br /><searchLink fieldCode="DE" term="%22HEALTH+insurance%22">HEALTH insurance</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+care%22">MEDICAL care</searchLink><br /><searchLink fieldCode="DE" term="%22DENTAL+care%22">DENTAL care</searchLink><br /><searchLink fieldCode="DE" term="%22PUBLIC+health%22">PUBLIC health</searchLink><br /><searchLink fieldCode="DE" term="%22HEALTH+care+reform%22">HEALTH care reform</searchLink>
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  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22CATALONIA+%28Spain%29%22">CATALONIA (Spain)</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: This paper addresses the public-private mix in the Spanish National Health System (SNS) presenting six case studies dealing with both insurance and provision: 1. The special health insurance of civil servants.' 2. The construction of public hospitals with a PFI scheme; 3. The total healthcare concessions of the 'Alzira model' in the Valencian Community and Madrid, which subcontract public insurance; 4. The contract between a large private teaching hospital and the Madrid Health Service; 5. The provision of primary health care in Catalonia through cooperative-like companies of health professionals; 6. A Children s Dental Care Program using public and private dentists. The great complexity, opacity, cost overruns and difficulty of public control of the PFI contracts, the concessions as well as the activity-based contract for hospital services, point out to the outright rejection of theses systems. The comparative nature of the public-private debate in healthcare should emphasize that the problems of 'the public' in the SNS are not due to its public nature but stem from its governance and management arrangements, clearly in need of deep reforms, many of which are included in the Conclusion-Dictamen on health of the Reconstruction Commission of the Congress. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Este trabajo aborda lo público-privado en el Sistema Nacional de Salud (SNS) español presentando seis casos de estudio que afectan tanto al aseguramiento como la provisión: 1. El caso de las mutualidades de funcionarios; 2. El sistema PFI para la construcción de hospitales públicos; 3. Las concesiones de servicios sanitarios 'modelo Alzira" en la Comunidad Valenciana y Madrid, que subcontratan el aseguramiento público; 4. El concierto singular entre el hospital UTE-Fundación Jiménez Díaz y el Servicio Madrileño de Salud; 5. La gestión de algunos Centros de Salud en Cataluña por Entidades de Base Asociativa y 6. El PADI Programa de Atención Dental Infantil con dentistas públicos y privados. La gran complejidad, opacidad, sobrecostes y dificultad de control público de los contratos PFI, de las concesiones sanitarias y del contrato por actividad de servicios hospitalarios, aconsejan rechazar frontalmente estos sistemas. El carácter comparativo del debate público-privado en sanidad obliga a resaltar aue los problemas de 'lo público' en el SNS no derivan de su naturaleza pública, si no de sus formas concretas de gobernanza y gestión, muy necesitadas desde hace décadas de reformas, muchas de las cuales recoge el Dictamen sobre sanidad de la Comisión de Reconstrucción del Congreso. [ABSTRACT FROM AUTHOR]
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RecordInfo BibRecord:
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    Languages:
      – Code: spa
        Text: Spanish
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 102
    Subjects:
      – SubjectFull: PUBLIC-private sector cooperation
        Type: general
      – SubjectFull: PRIMARY health care
        Type: general
      – SubjectFull: HEALTH insurance
        Type: general
      – SubjectFull: MEDICAL care
        Type: general
      – SubjectFull: DENTAL care
        Type: general
      – SubjectFull: PUBLIC health
        Type: general
      – SubjectFull: HEALTH care reform
        Type: general
      – SubjectFull: CATALONIA (Spain)
        Type: general
    Titles:
      – TitleFull: PÚBLICO Y PRIVADO EN LA SANIDAD.
        Type: main
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          Name:
            NameFull: FREIRE CAMPO, JOSÉ-MANUEL
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          Dates:
            – D: 01
              M: 10
              Text: oto2021
              Type: published
              Y: 2021
          Identifiers:
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              Value: 02128926
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              Value: 142
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            – TitleFull: Tiempo de Paz
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