Letters

Labour's health policy is having paradoxical effect in Iberian countries

BMJ 1999; 318 doi: http://dx.doi.org/10.1136/bmj.318.7181.466 (Published 13 February 1999) Cite this as: BMJ 1999;318:466
  1. Joan Gené-Badia, Family doctor
  1. ABS Castelldefels, c/ Marconi s/n 08860, Castelldefels, Spain101363.1577compuserve.com

    EDITOR—British health policies have considerable influence in southern Europe. In the mid-1980s, Iberian countries began to reform primary health care. The changes were based on the implementation of multidisciplinary teams with responsibility for covering the primary healthcare needs of a geographically delimited area. Gradually these organisations lost their enthusiasm and built a bureaucratic structure, losing the original client-oriented approach.

    In the early 1990s, because of British influence, the public health sector wanted to improve efficiency. Catalonia developed an internal health market, and …

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