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History of the model |
The Catalan health care model, which follows guidelines from the WHO for the 21st century, is currently being consolidated from the point of view of a national health care service which is comprehensive and based on the community. |
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From transfers to the LOSC
1981. The Generalitat was transferred authority over health care.
· Health care centres and services (Insalud) and social centres and services (Inserso)
· Beds: 30% SS, 70% others.
1981-1983. The beginning of health management.
· Drawing-up of the health map of Catalonia, a proposal that brought together the desire to make use of all existing resources.
· Accreditation of centres.
· Main agreements.
1983-1989. Bases for the model were established.
· Creation of the Institut Català de la Salut (ICS),
Catalan Health Institute, the organisation that manages the health
services and provisions of the Department of Social Security.
· Creation of the public hospital network (PHN)
· Beginning of the primary health care reform (PHCR)
· Hospital organisation plan.
· Decentralisation and management control.
1989-1990. Transition.
· Beginning of the separation between funding and provision with the creation of the Directorate General of Economic Resources at the Department of Social Security (DGRESS)
· New role of the ICS: service producer.
· Beginning of a new organisational culture.
1990. Approval of the LOSC (Health Care Organisation in Catalonia Act); formalising the Catalan health care model.
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Principles of the LOSC
· Health is a public service and should be publicly funded.
· Comprehensive health care.
· Integrated health care system: emphasis on promoting healthy lifestyles and preventive health.
· Addressing and overcoming territorial and social inequalities in the provision of health care services.
· Rationalisation, efficacy, simplification and efficiency. |
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The LOSC defines the Catalan health care model
· Separation of the functions of funding and purchasing health care services
· Diversification of service providers.
· Mixed market of planned and regulated authority.
· Diversity in forms of management.
· Decentralisation of services.
· Decentralisation of organisation: health regions and sectors.
· Community participation: management councils, health councils, participating organisations for government |
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of health institutions.
From the LOSC to CatSalut as the public provider of coverage
January 1991. The Catalan Health Service (CHS) was created. The CHS began its task of becoming the public provider of coverage.
1995-1999. 1995 modification to the LOSC
· Further diversification of service providers in the field of primary health care.
·Plan for health and social services in Catalonia.
· New model of health care funding 1998-2001.
2001. 10 years after it was created, the CHS effectively separated the functions of funding and service provision.
2001. The Catalan Health Service, CHS, changed its abbreviated name to CatSalut.
CatSalut shored up its function of providing coverage, including the purchase of services as well as other functions. The funding function was removed from its brief and given to the health authorities within the sphere of Parliament.
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DOCUMENTS |
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LOSC
Legislation organising the health care system in Catalonia, in PDF format. |
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