PAMPLONA: PINCHOS & PERITONITIS

Transcription

1 PAMPLONA: PINCHOS & PERITONITIS Benjamin Heyen International Educational Experience 4/15/16

2 SPAIN Population: 46.7 million Capitol: Madrid Major cities: Barcelona, Valencia, Seville (Kansas City s sister city) 2nd highest number of bars per inhabitants Home of world's largest tomato fight

3 PAMPLONA Population: 196,000 Located in the mountainous, northern province of Navarra Home of the annual Running of the Bulls festival in July Pamplona's bull ring is 3rd largest in the world

4 CLINICAL UNIVERSITY OF NAVARRA Teaching hospital associated with the University of Navarra School of Medicine Founded in 1962 Over 2,000 employed medical professionals plus numerous students 330 beds Ranked in the Top 10 best hospitals in Spain

5 NATIONAL HEALTHCARE Spain has a nationwide healthcare system that covers every citizen free of charge Costs are deducted from social security payments that are deducted from wages Access to any clinical appointment, emergency room visit or hospital admission is covered under the system

6 SPAIN'S HEALTH SYSTEM Since learning about different healthcare models, I have always been intrigued about national healthcare and whether it would be more successful and productive After talking with several health professionals, they all believe their system is effective I was curious to learn more about the details of the system and health outcomes

7 CLINICAL APPOINTMENTS Every citizen initially is seen by a primary care physician One can make an appointment with any physician in the public system Appointments are first come, first serve A patient must be referred in order to be seen by a medical specialist

8 PUBLIC VS. PRIVATE If included in the national healthcare, one has access to all the public hospitals and clinics The downside of the public system is the wait time Depending on the appointment reason, a patient may have to wait up to a year to be seen or to schedule an elective surgery People can purchase additional insurance, which gives them access to the private system Through the private system, wait times are significantly reduced

9 EXPENSES Nationwide costs are controlled because insurance companies are not vying for customers Pharmaceutical costs are controlled The cost of prescription medications are based on the patient's annual income

10 OUTCOMES Spain spends only 10% of its GDP on healthcare Consistently ranked in the Top 10 in Europe for number of doctors per patients Life expectancy is ranked highly; specifically for women ranked 6th in the world (compared with 33rd for USA) Spain also has the highest organ donation rate in the world due to their complex network of coordinators & opt-out system

11 CONCLUSIONS Compared with the USA, Spain spends less on healthcare and has better health outcomes Life expectancy is among the highest in Europe and the world The main problem is the wait time associated with the public system There is not a struggle between health-based companies and insurances to provide better or more expensive care

12 MEDICAL EDUCATION Medical school is 6 years Starts immediately after high school Much less responsibility while on clinical rotations compared with the USA Students wear knee-length white coats like the residents & attendings Students pick their residency specialty and location based on a single test after finishing school

13 International Congress for Oncology Students

14 CULTURE Typical day in Spain 9 AM - Day starts 11 AM - Mid-morning breakfast 2 PM - Finish working 2-4 PM - Lunch break 4-7 PM - Possible classes or finishing work 8 PM - Dinner

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19 REFERENCES Interview: Dr. De La Torre