Historical evolution of the public hospital system in Spain, 1963–2019: A path to equity in healthcare access?

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UDC.coleccionInvestigación
UDC.departamentoEconomía
UDC.grupoInvGrupo de Estudos de Historia da Empresa (GEHE)
UDC.grupoInvGrupo Jean Monnet de Competitividade e Desenvolvemento (GCD)
UDC.journalTitleSocial History of Medicine
dc.contributor.authorVilar Rodríguez, Margarita
dc.contributor.authorPeñín-Agra, Daniel
dc.contributor.authorCasal, Bruno
dc.date.accessioned2025-12-01T10:30:52Z
dc.date.available2025-12-01T10:30:52Z
dc.date.issued2025
dc.description.abstract[Abstract]: This article contributes to the academic debate on the impact of disparities in the spatial distribution of healthcare resources on the quality of the public health system from a historical perspective. In particular, it analyses the evolution of inequalities in the provincial distribution of public hospital beds in Spain during the Franco dictatorship and the more than four decades of the current democracy. The long study period under consideration and the new statistical data used make it possible to examine to what extent the impact of political, economic and socio-demographic factors affected the equitable distribution of hospital coverage in the country.
dc.description.sponsorshipThis work was supported by the European Union, the European Regional Development Fund (ERDF), and Spain’s Ministry of Science and Innovation— State Research Agency—for the project entitled “The historical development of private sector hospital companies in competition and collaboration with the public sector: Spain from an international perspective (1920–2020)”, Ref. PID2021-122699OB-I00.
dc.description.sponsorshipFunding for open access charge: Universidade da Coruña/CISUG.
dc.identifier.citationMargarita Vilar-Rodríguez, Daniel Peñín-Agra, Bruno Casal Rodríguez, Historical Evolution of the Public Hospital System in Spain, 1963–2019: A Path to Equity in Healthcare Access?, Social History of Medicine, 2025, hkaf058, https://doi.org/10.1093/shm/hkaf058
dc.identifier.doi10.1093/shm/hkaf058
dc.identifier.issn0951-631X
dc.identifier.issn1477-4666
dc.identifier.urihttps://hdl.handle.net/2183/46578
dc.language.isoeng
dc.publisherOxford Academic
dc.relation.projectIDinfo:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2021-2023/PID2021-122699OB-I00/ES/EL DESARROLLO HISTORICO DE LAS EMPRESAS HOSPITALARIAS DEL SECTOR PRIVADO EN COMPETENCIA Y COLABORACION CON EL SECTOR PUBLICO: ESPAÑA EN PERSPECTIVA INTERNACIONAL (1920-2020)
dc.relation.urihttps://doi.org/10.1093/shm/hkaf058
dc.rightsAttribution 4.0 Internationalen
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectHealthcare
dc.subjectHospital
dc.subjectInequality
dc.subjectSpain
dc.subjectTwentieth to twenty-first centuries
dc.titleHistorical evolution of the public hospital system in Spain, 1963–2019: A path to equity in healthcare access?
dc.typejournal article
dc.type.hasVersionVoR
dspace.entity.typePublication
relation.isAuthorOfPublicationf6356060-13e7-4e36-9b4f-d33f01211606
relation.isAuthorOfPublication385ffa76-2c59-4b55-a10d-f83b66a2ddd6
relation.isAuthorOfPublication.latestForDiscoveryf6356060-13e7-4e36-9b4f-d33f01211606

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