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The relatively low health expenditure on primary care in Spain is a result of the status quo in the health system, in which hospital/specialized care is much more widespread and better financed than primary care. Another cause consists of the health policies developed in the last 30 years, which have prioritized the development of the private ambulatory health sector over primary care.

Gasto sanitario en atención primaria en España: insuficiente para ofrecer servicios atrayentes para pacientes y profesionales. Informe SESPAS 2012