Request and exercise economic evaluation

Cristina Adroher

Even before COVID-19, OECD countries allocated an average of 7.9% of their GDP to public spending on health (6.1% in Spain) [see Government at a Glance report, OECD 2019]. After pensions and social benefits, health spending is the most important item of public spending in all countries. For responsibility, transparency and common sense, it is important to know and analyze what health resources are used for and evaluate the results obtained thanks to your investment.

Three axes for primary care reforms (with Decalogue included)

Jordi Varela
Editor

 

From the Alma-Ata declaration of 1978 to the Astana declaration of 2018

In 1978, through the Alma-Ata declaration, the WHO recommended that all countries should deploy universal access to primary health care, appropriate to the needs of each territory. The health of the communities should be attended to with a proactive attitude as it was the gateway to a healthy system. Countries that followed these recommendations, including the United Kingdom and Spain, have achieved more equitable and orderly services than those that have not, such as Germany and the United States. At the same time the waste was reduced, given that their services are more tailored to the characteristics of each person and each family.