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Revista de Saúde Pública

Print version ISSN 0034-8910On-line version ISSN 1518-8787

Abstract

FORTES, Paulo Antônio de Carvalho; CARVALHO, Regina Ribeiro Parizi  and  LOUVISON, Marília Cristina Prado. Economic crisis and counter-reform of universal health care systems: Spanish case. Rev. Saúde Pública [online]. 2015, vol.49, 34. ISSN 0034-8910.  http://dx.doi.org/10.1590/S0034-8910.2015049005469.

The economic crisis that has been affecting Europe in the 21st century has modified social protection systems in the countries that adopted, in the 20th century, universal health care system models, such as Spain. This communication presents some recent transformations, which were caused by changes in Spanish law. Those changes relate to the access to health care services, mainly in regards to the provision of care to foreigners, to financial contribution from users for health care services, and to pharmaceutical assistance. In crisis situations, reforms are observed to follow a trend which restricts rights and deepens social inequalities.

Keywords : Health Systems, economics; Spain; Health Care Reform; European Union, economics; Equity in Health; Health Policy.

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