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Owner
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Predominantly state-owned
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Privately owned (the pharmacy owner must be a licensed pharmacist and each pharmacy may own only one pharmacy)
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Every PCHC contains several GP surgeries with few exceptions in rural areas of Spain
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Funding
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Publicly funded
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Offers both publicly funded services (i.e. drugs that are financed by the state) and privately funded services (i.e. over the counter drugs)
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A large part of the profit derives from selling financed drugs.
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Management
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Predominantly publicly run (the manager is one of the GPs from the PCHC team that combines clinical activities with management activities)
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Privately run (usually by the owner)
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In some regions, privately managed PCHCs exist. This is the case with the "Entitades de Base Asociativa" (EBAs). EBAs are limited companies comprised of health professionals that establish a contractual relationship with the NHS to offer health services in exchange for capitation financing, a theoretical cost per person independent of the real costs incurred.
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Compensation
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Most GPs are employed by the public sector and receive fixed salaries.
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CPs are owners of the community pharmacy or employed in exchange of a fixed salary.
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Management by Objectives (MBO) has been introduced to improve quality of the service and reduce cost. For instance, GPs are paid a bonus if they prescribe a high percentage of generic drugs and/or those of proven efficacy.
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