Preperation H Or Anusol

has come to my hands the last statement of the Medical College (WTO) on the sustainability of our health system, an issue that certainly concerns us all.

We maintain the idea that our system is efficient, equitable and having an impact on health comparable to the best in the world. Efficiency means that we get good results according to the means employed. Equity is synonymous with equality and respect that any citizen can access public health resources in the same conditions. And with regard to health outcomes they encompass the clinical outcome, patient-centered (humanistic) and economic performance and welfare activity.

The other day I heard from D. José María Fidalgo, former Secretary General of Workers' Commissions (CCOO) that our public health system is cheap, in other words, we get results similar or better health than those obtained by other countries that spend a higher percentage of its gross domestic product ( GDP) to finance his health.

In this line, then it would not raise more, but to manage better. In health economics, some measures such as tax collection or penny copay health, scientific evidence has shown more than doubtful.

Would it be logical rationalize the use of certain high-tech, sophisticated and costly? We understand that if this type of containment measures are imposed on pharmaceutical, could be applied to other fields of management. Criticize the lack of cohesion in a country where health cards coexist 17, 17 medical records in electronic or computerized classic, 17 portfolios of services, and where hospitals have been built without measure that distance, sometimes less than 50 miles between them, depending on the Autonomous Community in question.

into the limelight are administrative measures undertaken to control pharmaceutical spending, undoubtedly, a portion of the overall budget succulent health in Spain. There is a pharmacy co-pay long-established, users are pensioners in this country (except MUFACE and the like) do not pay a penny in pharmacies for the medications prescribed by doctors in public health, while the assets pay a variable rate, in most cases by 40%. Many voices claim on the gap and the obsolescence of this practice, believing it would be fairer to apply the copayment amount as income level and not according to the state job training. Because ultimately, it comes down to knowledge of the health problem we address, how we approach it and how much it costs this task.