2013 Global Health and Wellness Report - Kantar Health

National Health and Wellness Survey | Spain 240Population profileJJOver three-quarters of Spain’s population is urban.JJThere is an increasing proportion of elderly peoplein the population. Adults aged 60+ years currentlyaccount for nearly 18% of the Spanish population.JJSmoking has increased dramatically, with 30% ofthe adult population using tobacco.JJIn Spain 54% of the adult population is overweight,and 15% are obese.Life expectancy and causes of deathJJThe top three causes of death in Spain since 1970have been cardiovascular diseases, cancer andrespiratory diseases, although there has been asteady decrease in the actual mortality rates fromthese causes. Still, mortality rates for these causesare among the lowest in the WHO EuropeanRegion.JJAverage life expectancy for the Spanish populationis 73, which is higher than both the regional andglobal averages.Healthcare systemJJUnder constitutional provisions and their respectiveautonomy statutes, all the autonomous communitieshave taken up responsibilities with respect tohealthcare.JJEach autonomous community has its own healthservice, which is responsible for the managementof all the health centers, services and facilities in itsregion, provincial administrations, town councils andother intra-regional administrations.JJCentral government retains healthcare managementin the cities with autonomy statutes – Ceuta andMelilla – through the National Health ManagementInstitute (INGESA).JJEveryone is entitled to free healthcare.JJThe system provides for primary care based onhealth centers for preventive and curative care.Reimbursement policiesJJProvision of healthcare is free of charge at the pointof delivery with the exception of the pharmaceuticalsprescribed to people aged under 65, which entaila 40% co-payment with some exceptions. Mosttreatments for chronic conditions are funded at 90%with a limit of €4,13 per prescription (insulin, oralantidiabetics, antidepressants, etc.).JJPatients have to pay 100% for drugs not included onthe list.Spainwww.KantarHealth.com