Madrid (EFE).- Andalusia and Murcia are the autonomies with the worst health services, according to the annual report of the Federation of Associations for the Defense of Public Health (FADSP) which notes a “global worsening” that is observed in a notable way in Primary Care, deficit of beds and health personnel and waiting lists.
The report, which seeks to identify inequalities and weak points in health systems, ranks immediately behind the Valencian Community and the Canary Islands, which also fall into the group of “autonomies with the worst health services.”
This group is followed by a slightly better ranking. These are the communities with “deficient health services” and which are, in order from worst to best, the Community of Madrid, Catalonia, Castilla-La Mancha and the Balearic Islands.
To prepare the report, the FADSP has taken into account the criteria used by the WHO, the OECD and Eurostat and key indicators of the National Health System such as the latest data on beds per thousand inhabitants, per capita expenditure, number of Primary Care doctors and nurses, percentage of ambulatory and emergency surgery attended, waiting lists and pharmaceutical spending, among others.
A “worrying” lack of diligence and transparency
At a press conference, the FADSP spokesman, Marciano Sánchez Bayle, described the lack of diligence and transparency of the health administrations when providing data as “worrying”, and criticized the fact that the Ministry of Health does not have an agency evaluation of the inequalities that the Federation has been demanding for 15 years.
According to the methodology used, the maximum possible score for a community is 142 and the minimum 33. The FADSP understands that the difference between communities is “clearly excessive, 43 points” between the 108 obtained by Navarra and the 65 for Andalusia.
Murcia obtains 71 points and the Valencian Community and the Canary Islands, 73 in each case. The Community of Madrid goes immediately, with 74 points, Catalonia (75), Castilla-La Mancha (80) and the Balearic Islands (81), all four with “deficient” services.
In addition to Navarra, the Basque Country is the second best positioned with 106 points, followed by Extremadura (95) and Asturias (93).
With “regular” health services are Aragón (92), Galicia (91), Castilla y León (89), La Rioja (85) and Cantabria (82).
In the last five reports, the Basque Country and Navarra have exchanged the top two places while Andalusia occupies the last place for the first time, although since 2019 it was in the last four.
Asturias, with the highest health budget per capita, Madrid at the tail
Since 2021, the Community of Madrid maintains position 13. And it is that Madrid continues to register the lowest per capita health budget in Spain, 1,300.55 euros followed by Murcia (1,534.64) and Catalonia (1,576.44 euros).
In contrast, Asturias ranks with the highest figure for the health budget (2,133.13 euros per inhabitant), very similar to the Basque Country (2,130.19) and Navarra (2,019.65 euros).
As for the beds of the National Health System, Andalusia is once again at the bottom with 1.89 beds per thousand inhabitants and it is also the last in the calculation of public and private health beds, with 2.5 per thousand.
The best positioned in this regard is Catalonia, with 3.65 public healthcare beds per thousand inhabitants per thousand inhabitants, and 4.08 in the case of having private beds.
The FADSP also focuses on waiting lists. 42% of Navarrese have the highest percentage of patients who, when they request an appointment with a specialist, give it to them within 30 days, followed by the Basques, with 36%.
In contrast, only 13.6% of Castilian Manchegos get an appointment with a specialist in a month and 15.2% of Canarians.
Madrid, with the lowest waiting list for an operation: 63 days
In fact, the report indicates that the waiting list delay for a specialist ranges from 123 days in Andalusia to 48 in the Basque Country, so all are over two months.
Regarding the surgical waiting list, the highest average delay occurs in Castilla-La Mancha, with 174.9 days, ahead of Andalusia with 158.21 days, Catalonia with 151, and Aragón, Cantabria and Extremadura, 142 days. in all three cases.
The Community of Madrid has the lowest delay in all of Spain for a surgical operation, 63.7 days of waiting.
The report also surveys citizen satisfaction with healthcare. Although no community gets notable on a scale from 0 to 10, those that score best are the Cantabrians (6.8) and the Basques (6.6), while the worst grade is given to Andalusia, where citizens give its public health a 5.8.
In all the autonomous communities, more than half of the population considers that their health services work although they require necessary changes, and when assessing their time in the different health services (Primary Care, Specialist, Emergency and hospitalization) a majority, never Less than 77% believe that the care received was good or very good.