The contribution of private health It is essential to the Valencian health system to provide sustainability to the current health model in said autonomous community; As an example, it can be noted that 858,218 people have private insurance in this region and that the private health sector has 24 hospitals (38.1% of the total in the community) and 2,451 beds (17.5% of the total ). These circumstances show that “it is necessary to have a collaborative system that involves all, trying to find synergies, complementarities and integration phenomena that go in patient benefit which must be the true objective of our efforts ”.
This has been stated Juan Abarca, president of the Institute for the Development and Integration of Healthcare (IDIS Foundation), during a meeting with the media in which the global contribution of private healthcare in the autonomous community was analyzed and the assessment that users have of the principles of the Manifesto promoted by the IDIS Foundation.
According to data from the Report “Private healthcare, adding value: Situation Analysis 2021 in the Valencian Community”, private healthcare in this region represents 31% of total spending (including concerts). Pedro Rico, general director of the Vithas group, explains that “total health spending per capita is 2,093 euros (sum of public spending, 1,497 euros, and private spending, 596 euros)”. Furthermore, la Valencian Community has registered an annual increase of 4.85% in the number of insured and 5.25% in premium volume in the 2016-2020 period, representing 7.1% of the national market in premium volume.
This study also shows the activity assumed by the privately owned environment in relation to global healthcare activity. Specifically, the general director of the Vithas group has explained that “the private hospitals of this autonomous community carried out an important healthcare activity: 23.9% of surgical interventions, 21.7% of discharges and 22.9% of emergencies. Likewise, the Valencian Community has 45% of the MRI equipment and 39% of the mammographers ”.
On the other hand, during the day it has been pointed out that this region allocated to the departure of concerts in 2019 2.9% of total spending on health, decreasing by 2.3 percentage points compared to 2018. Concerts with hospital centers represent the highest percentage of budget (64.7%), followed by concerted assistance with specialists (24.4%) and concerts with hemodialysis services (6.7%).
Public-private collaboration, as defended by the 2030 Agenda, is essential to face the challenges of health systems, which are global, and which have been aggravated by the pandemic. “In addition, the health indicators support this management as the official audit of the Syndicate of Accounts of the Generalitat Valenciana to the Department of Torrevieja, which highlights, among other data, that the concession model is more efficient for the Administration and offers higher quality to the patient with more investment per inhabitant, more technology, more accessibility and less waiting list, as stated by Elisa Tarazona, CEO of Ribera Salud.
The different models of public-private collaboration – MUFACE, concessions, pharmacy offices, concerts, etc. – have demonstrated their commitment to the public health system and its efficiency and speed in managing this pandemic, showing that all resources are necessary to always offer the best service to citizens. Globally, the data attests this -as the IDIS Foundation report shows- and citizens endorse it. Thus, in the report Health in Spain. Perception survey more than 75% of the total population surveyed in the Valencian Community considers it necessary to promote this cooperation between both sectors and almost 8 out of 10 believe it is very or quite necessary to coordinate health and social care.
This survey also reveals that three out of four citizens of those surveyed in the Valencian Community would increase the budget item dedicated to health. In fact, as the general director of the IDIS Foundation, Marta Villanueva points out, “health receives a percentage of 74.5%, followed by education with 53.9% or R + D + i with 39 , 8% “. In this sense, the results show that 70.2% of the Valencians surveyed believe that healthcare is not adequately financed and that 82.2% consider it necessary or quite necessary to increase the resources dedicated to health. In addition, 98% of the population considers it necessary to improve the management and efficient control of resources and 8 out of 10 consider it relevant for healthcare centers to make their health results public and health to promote the freedom of informed choice of the patient.
According to the responses obtained in the survey, quality is essential; almost the entire population, 96%, considers it between important and very important. And 71% are satisfied with the quality received. In this sense, for almost 100% of the citizens of the Valencian Community it is important to take into account the needs and expectations of professionals, and to listen to patients and encourage their participation (85% of those surveyed). Furthermore, for practically 100% of those surveyed, equality of access is essential. However, 80.9% think that services are not covered equally.
When asked about the need to develop and implement innovations to improve healthcare, waiting times and attention, 76.1% of those surveyed believe that healthcare needs an adaptation effort to face new healthcare challenges. In this regard, it also stands out that 94.2% of the population believes that it is necessary to incorporate the latest technological and digital innovations in all health processes. As an example, it stands out that the management of appointments (94.3%) and the doctor’s access to patient data (92.2%) are the two aspects that citizens believe would improve the most thanks to technology.