Andalusian Health Service
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The Andalusian Health Service ( es, Servicio Andaluz de Salud, SAS), the government-run health system for the
autonomous community eu, autonomia erkidegoa ca, comunitat autònoma gl, comunidade autónoma oc, comunautat autonòma an, comunidat autonoma ast, comunidá autónoma , alt_name = , map = , category = Autonomous administra ...
of
Andalusia Andalusia (, ; es, Andalucía ) is the southernmost Autonomous communities of Spain, autonomous community in Peninsular Spain. It is the most populous and the second-largest autonomous community in the country. It is officially recognised as a ...
,
Spain , image_flag = Bandera de España.svg , image_coat = Escudo de España (mazonado).svg , national_motto = ''Plus ultra'' (Latin)(English: "Further Beyond") , national_anthem = (English: "Royal March") , i ...
, was created on May 6, 1986, as an autonomous agency attached to the Regional Ministry of Health (''Consejería de Salud y Familias'') of the
Andalusian Autonomous Government The Regional Government of Andalusia ( es, Junta de Andalucía) is the government of the Autonomous Community of Andalusia. It consists of the Parliament, the President of the Regional Government and the Government Council. The 2011 budget was 31. ...
. The SAS is part of the decentralised
Spanish National Health System The Spanish National Health System ( es, Sistema Nacional de Salud, SNS) is the agglomeration of public healthcare services that has existed in Spain since it was established through and structured by the ''Ley General de Sanidad'' (the "Health G ...
, and is funded through the annual budget of the Andalusian Autonomous Community. As of 2019, the agency has more than 104,000 employees, including nurses, doctors, pharmacists, veterinarians, social workers, and administrative and service staff. It manages 50 hospitals and more than 1,500 local clinics, covering all medical specialities and applying a wide range of treatments and procedures. The agency also runs emergency rooms, ambulances and medical transport (including aerial transport), physiotherapy, mental health care, etc. Drugs and prescriptions are subsidized, and people pay a percentage of the price depending on its incomes, with a monthly limit for unemployed and retired pacients.


Functions of the SAS

Article 13.3 of Decree 241/2004 of 18 May establishes the functions of the SAS: * Management of health services in the field of promotion and protection of health, prevention of disease, health care and rehabilitation as applicable to the territory of the Autonomous Community of Andalusia * Administration and management of the institutions, centers and of those health services that are under their dependency, organically and functionally. * Management of the financial, material and human resources needed to fulfill these functions. Its functions are further delineated by: * Ley 2/1998 de Salud de Andalucía (Law 2/1998 on the Health of Andalusia)Ley 2/1998 de Salud de Andalucía
Junta de Andalucía.
* III Plan Andaluz de Salud 2003-2008 (Andalusian Health Plan III). * The quality plan of the Andalusian Public Health System (SSPA). * The SAS's own strategic plan.


Competencies an organization of the SAS


Primary care

Ley 2/1998 establishes a
primary health care Primary health care, or PHC, refers to "essential health care" that is based on scientifically sound and socially acceptable methods and technology. This makes universal health care accessible to all individuals and families in a community. PHC in ...
system for Andalusia. This is the first level of access for the people of Andalusia to the SSPA. Among its characteristic elements is the availability of integrated health services including preventive, curative and rehabilitative care. It is also responsible for the promotion of health, for health-related education, and for monitoring the environment with respect to health. As of 1 January 2019 there are 1,519 primary care centers in Andalusia, located so that all citizens can readily reach such a center by public transport. The smallest geographical unit used in organizing primary care services are the districts known as ''zonas básicas de salud'' ("basic health zones"). Each zone includes one or more primary care centers, offering health care to the population. A level up from these are districts with the organizational structures to plan, direct, manage and administer these. Most recently (as of 2010) these have been enumerated by 197/2007. Above and beyond these are Health Management Areas (''Áreas de Gestión Sanitaria''), established by separate legislation: * Área de Gestión Sanitaria de
Osuna Osuna () is a town and municipality in the province of Seville, southern Spain, in the autonomous community of Andalusia. , it has a population of c. 17,800. It is the location of the Andalusian Social Economy School. Among famous people associ ...
( Province of Sevilla), regulated by Decree 69/1996 * Área de Gestión Sanitaria Norte de Córdoba, ''Decree 68/1996'' * Área de Gestión Sanitaria
Campo de Gibraltar Campo de Gibraltar (, "Gibraltar Countryside") is a comarca (county) in the province of Cádiz, Spain, in the southwestern part of the autonomous community of Andalusia, the southernmost part of mainland Europe. It comprises the municipalities o ...
, regulated by Order of 2 December 2002 * Área de Gestión Sanitaria Norte de
Almería Almería (, , ) is a city and municipality of Spain, located in Andalusia. It is the capital of the province of the same name. It lies on southeastern Iberia on the Mediterranean Sea. Caliph Abd al-Rahman III founded the city in 955. The city gr ...
, Order of 5 October 2006 * Área de Gestión Sanitaria Serranía de
Málaga Málaga (, ) is a municipality of Spain, capital of the Province of Málaga, in the autonomous community of Andalusia. With a population of 578,460 in 2020, it is the second-most populous city in Andalusia after Seville and the sixth most pop ...
, Order of 5 October 2006 * Área de Gestión Sanitaria Norte de Málaga, Order of 5 October 2006 * Área de Gestión Sanitaria Sur de
Granada Granada (,, DIN 31635, DIN: ; grc, Ἐλιβύργη, Elibýrgē; la, Illiberis or . ) is the capital city of the province of Granada, in the autonomous communities of Spain, autonomous community of Andalusia, Spain. Granada is located at the fo ...
, Order of 5 October 2006


Specialized medicine

Specialty care is defined under Ley 2/1998 as the second level of care. Specialty care provides the technical and human capabilities appropriate to diagnosis, treatment and rehabilitation for conditions that cannot be handled at the primary level. In coordination with the primary level, hospitals and their specialty centers form the necessary structure to provide this care.Decreto 462/1996 de 8 de octubre, sobre Ordenación de asistencia sanitaria especializada y órganos de dirección de los hospitales de la Asistencia Especializada. Ésta suele ser programada y urgente, desarrollando además funciones de promoción de la salud, prevención de enfermedades, asistencia curativa y rehabilitación, así como docencia e investigación. This includes both scheduled and urgent care, and, like the primary care, encompasses health promotion, disease prevention, curative care and rehabilitation as well as teaching and research.


Hospitals and other centers

SAS manages and operates 50 hospitals (2020) throughout Andalusia. In addition they manage and operate numerous more specialized facilities: *
Blood transfusion Blood transfusion is the process of transferring blood products into a person's circulation intravenously. Transfusions are used for various medical conditions to replace lost components of the blood. Early transfusions used whole blood, but mo ...
centers, responsible for the supply of blood and derived
blood products A blood product is any therapeutic substance prepared from human blood. This includes whole blood; blood components; and plasma derivatives. Whole blood is not commonly used in transfusion medicine. Blood components include: red blood cell conce ...
to public and private hospitals in Andalusia. The Regional Transfusion Centers also constitute Sectorial Tissue Banks, charged with the study, preparation and conservation of bodily tissues. * Mental Health Program, a network of
mental health Mental health encompasses emotional, psychological, and social well-being, influencing cognition, perception, and behavior. It likewise determines how an individual handles stress, interpersonal relationships, and decision-making. Mental health ...
centers organized into: ** District Mental Health Teams ** Child/Youth Mental Health Units ** Mental Health Rehabilitation Units ** Outpatient Mental Health Hospitals ** Inpatient Mental Health Hospitals ** Therapeutic Mental Health Communities * Autonomic Coordination of Transplants * Urgent and Emergency Care * User Care Services (''Servicios de Atención al Usuario'', SAU), in every health center or hospital


Notes


External links

*
Servicio Andaluz de Salud
official site *
Ley 8/1986 de 6 de mayo, de Creación del Servicio Andaluz de Salud
(law creating the SAS) *
Distritos de Atención Sanitaria
(districts) *
Donación de Sangre en Centros Regionales de Transfusión Sanguínea
(blood donation) {{Authority control Government health agencies Institutions of Andalusia Public services of Spain Medical and health organisations based in Spain