La gobernanza y las diferencias interterritoriales en el SAAD

  1. Vicente Marbán Gallego 1
  1. 1 Universidad de Alcalá
    info

    Universidad de Alcalá

    Alcalá de Henares, España

    ROR https://ror.org/04pmn0e78

Journal:
Actas de coordinación sociosanitaria

ISSN: 2529-8240

Year of publication: 2024

Issue: 34

Pages: 80-91

Type: Article

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Abstract

The model of governance resulting from Act 39/2006 is a complex system of distribution of competences integrated into the social services, which are the exclusive competence of the regions, but relatively subject to be guaranteed as a basic right in the State as a whole. This text analyses the most immediate genesis of the current governance model of the SAAD, how it fits into the European context and the challenges for the future. It highlights how the current governance model of the SAAD is the result of negotiation between the various social actors involved, ultimately opting for its integration into social services and fitting into the general pattern of European longterm care models as a decentralised system organised around multilevel forms of governance. The main challenges are to reconcile harmonisation and equality in access to benefits with flexibility and adaptation to territorial peculiarities and the decision-making capacity of dependent persons; to improve social and health care coordination and cooperation and institutional loyalty between the different levels of administration; and finally to reduce inter-territorial inequality in access, coverage, co-payment and types of benefits.

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Data source: Dialnet