Departament de Salut

Catalan healthcare system

Comparison among different European regional systems

The Catalan healthcare system Brussels, 14-16 May, 2007

Departament de Salut
Catalan healthcare system

Socio-demographic characteristics
Autonomous Community Area: 31,895 km2 Population: 7,196,168 inhabitants Life expectancy: 80.10 years Birth rate (2004): 11.41 Gross Mortality rate (2004): 8,49 Infant mortality: 3.22 GDP/Capita (PPP 2003): US$ 28.740 High urban concentration Own language and culture Tourism: 22,669,000 visitors Employment by sectors : Services 59.4 % Industry 28.8 % Construction 8.3 % Agriculture 3.5%
Source: IDESCAT.

Departament de Salut
Catalan healthcare system

The Catalan Health Care System

Funded by taxes Decentralized Universal coverage Free access Very wide range of publicly covered services Co-payment in pharmaceutical products Services provided mainly in public facilities General practitioner as the gatekeeper of the system

Departament de Salut
Catalan healthcare system

Customer-oriented organization
C i t i z e n s
Emergencies Hospitals

H1

H2

H3

primary Health Centre

Long-term Care Centre

Mental Health Centre

Departament de Salut
Catalan healthcare system

General diagram of the Catalan Healthcare System

Insurance Services Catalan Institute of Health 20%

U s e r

Catalan Health Service

100%

Contracted Provides
70% Supplementary Private Insurance 20%

Public System Network

Private Centres 10%

Departament de Salut
Catalan healthcare system

Scope of functions
Parliament Funding Resources / Objectives Department of Health Assigns budget Draws up Health Plan Transfers economic resources Planning & evaluation

Insurance (purchase of services)

Catalan Health Service

Guarantees healthcare

Provision

Network of providers

Provision & management of care

Departament de Salut
Catalan healthcare system

The budget of the Catalan Government

Budgets (million ) Dept. of Health Dept. of Education Dept. of Welfare & Family Dept. of Culture TOTAL 2003 5,596 2,904 601 173 2004 6,616 3,376 915 195 2005 7,229 3,759 1,082 240 2006 7,949 4,177 1,285 275 Increase 03-06 42% 44% 114% 59% 48% 6.4% 5.4% 4.7%

9,273 11,102 12,310 13,686 EU average

Public expenditure in health

as a percentage the GDP (2002)

Spain Catalonia

Departament de Salut
Catalan healthcare system

Functional structure of the budget for health (2006)

Socio-sanitary care 3.09% Mental health 2.90%

225.58 M
Pharmacy 21.49%

240.52 M

1,671.61 M
Primary care 16.47%

1,280.61 M
Healtchcare transportation and others 5.76%

Hospital care 50.29%

3,911.47 M

Budget CatSalut / ICS 2006: 7.778 B

447.95 M

Departament de Salut
Catalan healthcare system

The social and health care model

People who needs social and health care

Health Services

Social Services

Department of social affairs

Department of Health

Departament de Salut
Catalan healthcare system

Main areas of work in the social and health Care system in Catalonia
Geriatrics Alzheimer disease and other dementia End of live care-Palliative care Dependency caused by neurological disease

Departament de Salut
Catalan healthcare system

Cartera de servicios sociosanitarios

Units with admission
Long-care Mid-care: Convalescence Palliative care Polyvalent care Geriatric acute care (in general acute care
hospitals)

Units without admisssion

Day care hospital Integral ambulatory teams

Support teams

PADES (in primary health care) UFISS (in hospitals)

Departament de Salut
Catalan healthcare system

Main challenges facing the Catalan Social and Healthcare System

Demographic and cultural changes: Aging Dependency Immigration Birth rates Sociological and epidemiological changes Scientific and technological advances Economic sustainability Implementation of Dependency act