IDEAS home Printed from
   My bibliography  Save this paper

La gestión sanitaria: orientaciones a futuro para el cambio organizativo, del control y la financiación



This paper offers a general view of changes in health care management in the Spanish Health System. We focus on the organisational, financing and accountability aspects of health care provision. We do this by encompassing managerial changes and social change and well-grounded in theory health economics literature. In this way we try to link applied economics and management issues, as we did in a former paper, ten years ago on the same basis (López-Casasnovas, 2002). We emphasise mistakes and milestones in the way forward to improve health systems by better understanding the public nature of health policies. Key aspects of this are to achieve a better allocation of responsibilities to providers on patients’ health, to incentive the organisation of medical self-managed health care institutions and to build global budgets on risk-adjusting capitation and better integrated health care providers on a community basis.

Suggested Citation

  • Guillem López, 2004. "La gestión sanitaria: orientaciones a futuro para el cambio organizativo, del control y la financiación," Economics Working Papers 747, Department of Economics and Business, Universitat Pompeu Fabra.
  • Handle: RePEc:upf:upfgen:747

    Download full text from publisher

    File URL:
    File Function: Whole Paper
    Download Restriction: no

    Other versions of this item:

    More about this item


    Health care management; health policies in Spain; capitation in financing public health systems;

    JEL classification:

    • L33 - Industrial Organization - - Nonprofit Organizations and Public Enterprise - - - Comparison of Public and Private Enterprise and Nonprofit Institutions; Privatization; Contracting Out
    • K23 - Law and Economics - - Regulation and Business Law - - - Regulated Industries and Administrative Law

    NEP fields

    This paper has been announced in the following NEP Reports:


    Access and download statistics


    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:upf:upfgen:747. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (). General contact details of provider: .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.