Valladolid (EFE).- The health services of Castilla y León are located in the section of those classified as “regular” for the Federation of Associations for the Defense of Public Health (FADSP), with a loss of positions compared to the year before the move from fifth to seventh place among the Spanish autonomies, surpassed by Navarra, the Basque Country, Extremadura, Asturias, Aragon and Galicia.
The 2023 report of the FADSP published this Thursday warns that the differences between the health services between the autonomies have increased, which “continues to endanger the necessary cohesion and equity between territories”, with an upward difference of 43 points between the scores of the best, Navarra (108), and the worst, Andalusia (65).
This classification places those of Navarra, the Basque Country (106), Extremadura (95) and Asturias (93) as the four “best” health services in the country, while it labels those of Aragón (92), Galicia (91 ), Castilla y León (89), La Rioja (85) and Cantabria (82).
File image of the Minister of Health, Alejandro Vázquez. EFE/Almudena Alvarez
As “deficient” the report places those of the Balearic Islands (81), Castilla-La Mancha (80), Catalonia (75), Madrid (74); while as the “worst” he points out those of the Canary Islands (73), the Valencian Community (73), Murcia (71) and Andalusia (65).
The report compares the evolution of health services since 2010, when Castilla y León was in fourth place, which it repeated in 2018, it fell to fifth place in 2019, in 2020 the report was not published due to the pandemic, the Community fell to sixth in 2021, rose to fifth in 2022 and now falls to seventh.
In this latest study, eight autonomous regions improve their ranking: Aragon (five places), Extremadura (4), Catalonia (4), Galicia (3), Navarra (1), the Balearic Islands (1), the Canary Islands (1) and Murcia (1). ; while seven others worsen: Cantabria (5 places), Castilla-La Mancha (5), Andalusia (3), Valencia (3), Castilla y León (2), the Basque Country (1) and Asturias (1), and last two others maintain their position: Madrid and La Rioja.
patients note
The report includes a table with citizen opinion on health, with the Castilian-Leonese giving Sacyl a 6.27, which represents the tenth grade among the autonomies, with the highest given to its health services by the inhabitants of Cantabria (6, 84) and the lowest for those of Andalusia (5.89).
In the specific case of Primary Care, the citizens of Castilla y León give a 6.52, which is the fourth best mark, only surpassed by the Canary Islands (6.59), the Basque Country (6.58) and the Balearic Islands (6, 54), with 84 percent of the people of Castile and Leon agreeing with the analysis that this service “works quite well or well, although with some necessary changes”.
This federation takes as a reference to form these results different indicators of several years such as investment, budgets, the availability of doctors and other health professionals, hospital care and primary care, and pharmaceutical spending, among others.
In the case of the per capita health budget, Castilla y León ranks fifth with 1,999 euros, behind those that allocate the most resources: Asturias (2,133 euros), the Basque Country (2,130 euros), Extremadura (2,092 euros) and Navarra ( 2,019 euros), while the last place is occupied by the Community of Madrid (1,300 euros).
bed indicators
The indicator of hospital beds per inhabitant places Castilla y León in third place, with 3.95 per 1,000 inhabitants, only surpassed by Catalonia (4.08) and Aragón (4.03), while Andalusia closes this figure ( 2.5).
Regarding operating rooms, the report places Castilla y León in twelfth place with 0.96 per 10,000 inhabitants, only in a better position than Andalucía (0.94), Canarias (0.81), La Rioja (0. 71), Castilla-La Mancha (0.69) and Cantabria (0.63), which closes the table, far from the 1.19 marked by the best placed, which is Navarra.
Regarding the means available for diagnoses, specifically CT scans and MRIs, Castilla y León ranks sixth with 36.98 devices per million inhabitants, with the Balearic Islands having the best data (42.64) and Cantabria with the worse (22.28).
File photo of a hospital in Valladolid. EFE/Nacho Gallego
The report also analyzes the emergencies attended per 1,000 inhabitants, in an indicator in which Castilla y León occupies the fourteenth position, only better than the Canary Islands (454), Cantabria (424) and Navarra (405), while the one that attends more is Madrid, with 715 per 1,000 inhabitants.
Regarding pharmaceutical spending per inhabitant on prescriptions, that of Castilla y León is 317.49 euros, the third highest, only surpassed by Extremadura (351 euros) and Asturias (318 euros), with the autonomy of the Balearic Islands (216 euros). to the tail
The report details the increase in this pharmaceutical expense between 2021 and 2022, which in the case of Castilla y León is 4.89 percent, and also indicates that 44% of the drug packages were generic.
In the case of hospital pharmaceutical spending, Castilla y León presents -2022 data- a figure of 208 euros per inhabitant, 4.75 more than in 2021, which places it in fifth place, surpassed by Cantabria (234), Asturias (222), Valencian Community (218) and Galicia (215).
Waiting lists
The report also addresses some indicators on waiting lists and delay times in care, with only a percentage of 22.50 people who get an appointment within 24 hours of calling to request it in Primary Care, although this data places to the Community with the third best regional data, only behind Navarra (30.80%) and Asturias (28%).
In the case of specialist consultations, the percentage of citizens of Castilla y León who get an appointment within the following 30 days is 19.80%, in eleventh place, far from the 42.4% registered in Navarra as the best data.
Regarding the average days that citizens wait on the surgical waiting list -closing data for 2022-, Castilla y León registers the ninth best data, with 95.43 days, far from the 63.79 days that place Madrid in the better situation, but also far from the worst record, detected in Castilla-La Mancha, with 174 days.
Castilla y León is in thirteenth place when analyzing the delay in the waiting lists for consultations with the specialist, with 95 days, far from the 64 days that wait in the Balearic Islands, as the best data, and the 123 that wait in Andalusia .
Castilla y León registers the worst data when measuring the perception of citizens about the evolution of waiting lists, since only 7.20 percent believe that they have improved.
Privatization
Finally, on privatization, the report reveals that in Castilla y León 2.8 percent of total health spending is allocated to contracting with private centers, which leaves this Community with the lowest data among all the autonomies
The average annual expenditure per person on Health is 510 euros in Castilla y León, which is the seventh highest, behind records such as those of La Rioja (659) and Madrid (582), which are the highest.EFE