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The Spanish National Health System (Spanish: 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 General Law") of 1986. Management of these services has been progressively transferred to the distinct autonomous communities of Spain, while some continue to be operated by the National Institute of Health Management (Instituto Nacional de Gestión Sanitaria, INGESA), part of the Ministry of Health and Social Policy (which superseded the Ministry of Health and Consumer Affairs—Ministerio de Sanidad y Consumo—in 2009). The activity of these services is harmonized by the Interterritorial Council of the Spanish National Health Service (Consejo Interterritorial del Servicio Nacional de Salud de España, CISNS) in order to give cohesion to the system and to guarantee the rights of citizens throughout Spain.
Article 46 of the Ley General de Sanidad establishes the fundamental characteristics of the SNS:
a. Extension of services to the entire population.
b. Adequate organization to provide comprehensive health care, including promotion of health, prevention of disease, treatment and rehabilitation.
c. Coordination and, as needed, integration of all public health resources into a single system.
d. Financing of the obligations derived from this law will be met by resources of public administration, contributions and fees for the provision of certain services.
e. The provision of a comprehensive health care, seeking high standards, properly evaluated and controlled.[1]
a. La extensión de sus servicios a toda la población.
b. La organización adecuada para prestar una atención integral a la salud, comprensiva tanto de la promoción de la salud y prevención de la enfermedad como de la curación y rehabilitación.
c. La coordinación y, en su caso, la integración de todos los recursos sanitarios públicos en un dispositivo único.
d. La financiación de las obligaciones derivadas de esta Ley se realizará mediante recursos de las Administraciones públicas, cotizaciones y tasas por la prestación de determinados servicios.
e. La prestación de una atención integral de la salud procurando altos niveles de calidad debidamente evaluados y controlados.