public services in demographically challenged areas: health care system in castilla y leÓn (spain)
DESCRIPTION
< 100 inhabs.100 to 1,000 inhabs.1,000 to 10,000 inhabs.> 10,000 inhabs. 6381, [+2,233 minor villages] 37,844424,707641,6981,390,541 2,494,790 INHABITANTS DISPERSION MUNICIPALITIES * *TRANSCRIPT
PUBLIC SERVICES IN DEMOGRAPHICALLY CHALLENGED AREAS:
HEALTH CARE SYSTEM IN CASTILLA Y LEÓN (SPAIN)
SPAIN: 505,990 Km2 CYL: 94,225 Km2 (18.6%)
SPAIN: 46,7 M CYL: 2,5 M (5.3%)
SPAIN: 92.4 inhabs./Km2 CYL: 26.5 inhabs./Km2
(2014)
(2014)
DEPOPULATION
CYL = CASTILLA Y LEÓN
< 100 inhabs. 100 to 1,000 inhabs. 1,000 to 10,000 inhabs. > 10,000 inhabs.
638 1,353 234 23
[+2,233 minor villages]
37,844 424,707 641,698 1,390,541
2,494,790 INHABITANTS
DISPERSION
MUNICIPALITIES*
*
LIFE EXPECTANCY
AGEING INDEXES
GROWTH BY AGE GROUPS
POPULATION PYRAMID
AGEING
80,6 82,0 83,6
HEALTH CARE SYSTEM
3,267 M€(32.9%)
% REGIONAL GOVERNMENT BUDGET
PRIMARY HEALTH CARE
CYL SPAIN
% Primary Care/Health Budget 17.8 13.8
Inhabitants / Family Doctor 926 1,356
Inhabitants / Nurse 1,149 1,557
CHALLENGESACCESSIBILITY - PEOPLE TO SERVICES:
- SERVICES TO PEOPLE: TELEMEDICINE
ADEQUACY- NEW APPROACH:
DEPOPULATION & DISPERSION
AGEING
ON DEMAND TRANSPORT
CHRONIC PATIENTS PLAN
PEOPLE SERVICES
ON DEMAND TRANSPORT
PURPOSE OF TRAVEL
Leisure Buying Health Administrative Others
Winter
Summer
810 routes3,493
population spots
380,000 inhabitants
User Platform Vehicle Information board
SERVICES PEOPLE
TELEMEDICINE
ANTICOAGULANT THERAPY CONTROL
CARDIOLOGY
PSYCHIATRY OPHTHALMOLOGY
A NEW APROACH: CHRONIC PATIENTS PLAN
CHRONIC PATIENTS PLAN
“Improve health outcomes and quality of life of people with chronic diseases, through a comprehensive quality care, adjusted to the level of care needs and in coordination with
social services, in a context of sustainability”
Resources consumption
80%
Health system activity 70%Primary care visits 60%Hospital admissions 60%
Complex Chronic Patients
Stabilized Chronic Patients
Initial Chronic Patients
Healthy / No chronic diseases
A NEW APROACH: CHRONIC PATIENTS PLAN
CHRONIC PATIENTS PLAN
2. Enhance patient autonomy and responsibility
3. Innovation and knowledge
management
1. Ensure continuity of health and
social care
THANK YOU
PUBLIC SERVICES IN DEMOGRAPHICALLY CHALLENGED AREAS
HEALTH CARE SYSTEM IN CASTILLA Y LEÓN (SPAIN)