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Differences and Similarities of Primary Care in the German and Spanish Health Care Systems

DOI: 10.3238/zfa.2015.0023-0027

german translation / full article

Jörg Schelling, Sibylla Krane, Maria Rosa Salvador Comino, Víctor Regife García

Keywords: Family Medicine External Rotation Health Care System Personal Experience

Summary: An efficient primary care is of particular importance for any countries’ health care system. Many differences exist on how distinctive countries try to obtain the goal of an efficient, cost-effective primary care for its population. In this article we conducted a selective literature review, which includes both scientific and socio-political publications. The findings are complemented with the experience of a Spanish physician from Seville in her last year of training in family medicine, who completed a four months long rotation in the German health care system. We highlighted different features by comparing both countries, including their health care expenditure, the relation between primary and secondary care, the organization in the academic field and the training of future primary care physicians. It is clear that primary care in both countries plays a central role and could build a better and more efficient health care system. Both countries have to deal with shortcomings, which need to be overcome and in some points one system can learn from the other.


(State: 16.01.2015)

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