Sustainability of the Public Health Service in Spain: an Approach to Governance

  • Miguel Á. Moyano - Santiago Facultad de Ciencias Jurídicas y Económicas Departamento de Finanzas y Contabilidad Investigador en Sostenibilidad y Responsabilidad Social Sistemas Sanitarios. Universitat Jaume I Campus Riu Sec 12071 Castellón
  • Juana M. Rivera-Lirio


The health system sustainability is a key topic in Spain’s political debates. What a sustainable heath system should be poses a big concern for citizens and politicians. Foremost for managers and political actors, to ascertain the right way to build a good mid- and large-term fiancial model of sustainability is critical as well. However, to link exclusively the fiancial sustainability of the health system with a political objective could be a limited overview. Issues that affect the national
health system have an impact on the entire society and its processes and activities result in environmental externalities. The analysis focuses on the triple bottom line: economic, social and environmental; displaying a wider view of the Spanish health models and their future strategies. Likewise, it needs to be understood whether the concept of sustainability goes beyond the economical concerns in the plans of the health authority and their fiancial budgets, and come to terms with the expectations of citizens and the political speech, considering that the health budgets of Spain and other OECD countries show a weakness point in this regard. This article analyzes the challenges of the health system and its critical points from the perspective of the health authority.

Nov 10, 2015
How to Cite
MOYANO - SANTIAGO, Miguel Á.; RIVERA-LIRIO, Juana M.. Sustainability of the Public Health Service in Spain: an Approach to Governance. International Archives of Medicine, [S.l.], v. 8, nov. 2015. ISSN 1755-7682. Available at: <>. Date accessed: 26 may 2020. doi:
International Online Biomedical Conference


Equity; Sustainability; Health Policy; Costs