- 09 JUL 2025
The CIS (Spanish National Statistics Institute) and the Ministry of Health have published the results of the first wave of the 2025 Health Barometer, a survey that provides key information on citizens' perceptions of the healthcare system. Overall assessment of the healthcare system and citizen satisfaction The overall assessment of the functioning of the public healthcare system in Spain remains stable compared to previous waves. According to data from the 2025 Health Barometer, 53.9% of the population considers the system to be functioning well or fairly well, while 45.1% believe it needs major or profound changes. This stability in overall perception coexists, however, with a certain polarization of opinions, reflecting public expectations and persistent challenges in areas such as waiting times and accessibility. When analyzing the opinions of people who have used public health services in the last 12 months, their perception improves significantly. 80.7% of the population reported having sought primary care and 44.7% had sought hospital care. At both levels of care, more than 80% of users positively rate the care received, reinforcing their confidence in the system based on direct experience. This contrast shows that the perception of the functioning of the healthcare system is more critical when it is not based on recent use of its services. In contrast, those who have accessed public healthcare report a high level of satisfaction, particularly highlighting the professionalism, security, and trust instilled by healthcare personnel. This difference suggests that direct experience with the system contributes to a more favorable and realistic view of its functioning. Assessment of services and levels of care The 061/112 emergency services (7.34 points) and inpatient hospital care (7.10) top the list of the highest-rated services. Primary care and inpatient consultations follow, although the latter are less satisfied. 80.7% of the population has visited a public primary care physician in the last 12 months, and 44.7% has been seen by a hospital specialist. At both levels of care, more than 80% of users positively rate the care received, highlighting the trust and security instilled by healthcare staff. In hospitalizations, 9.9% of the population has been admitted in the last year, and 81.4% rate their experience positively. In the emergency department, used by 48.4% of respondents, the satisfaction rate reaches 72.8%. Mental health 20.6% of the population has sought healthcare for mental health reasons in the past year. Of these, 52% sought care through public healthcare, 11.6% through private insurance, and 30.3% through direct payment. In the public sector, care was provided primarily by psychiatrists (38.6%), family doctors (37.5%), and psychologists (16.6%). 60.5% were satisfied with the care received, and 85.1% stated that it was the same or better than expected, although 24.3% reported that their condition had not improved. For the first time, the barometer explores access to certain diagnostic tests for a new health problem. 23.1% of the population reported having had an ultrasound, 16% a CT scan, 15.2% an MRI, and 4.8% a colonoscopy in the past year. Waiting times vary significantly: 54.9% of ultrasounds and 55.5% of CT scans were performed within a month of their order, while the percentage drops to 40.1% for colonoscopies. According to those interviewed, the latter test has the longest average wait time (113 days), compared to the average of 37 days for MRIs. Accessibility problems and inequalities 24.3% of the population reported having, at some point, had trouble accessing their family doctor. Of these cases, more than half ultimately went to the emergency room, while another 30% did not keep the appointment on the assigned date because they no longer needed care at that time. Coordination between levels of care receives a positive rating of 51.8%, and 34.1% of respondents believe the waiting list situation has worsened in the last year. In addition, 4.6% say they have had to stop taking a prescribed medication for financial reasons. Confidence in the public 19.7% of those interviewed have private health insurance, either for themselves or a family member, and 9.7% have it through their employer. This figure reflects that a portion of the population turns to private insurance, often seeking faster or more convenient access to certain health services. However, this choice does not necessarily imply a distrust of the public system; rather, it is often complementary. In fact, more than 60% of those with private health insurance believe that, when faced with a serious health problem, public healthcare would offer better treatment. This data confirms that, even among those with private coverage, there is still a high level of confidence in the public system's ability to resolve cases. The perception of safety, effectiveness, and professional quality consolidates public healthcare as the primary reference point for addressing complex clinical situations. Digital technologies in health and artificial intelligence perception 32.7% of the population has accessed their medical records through the public health system, while 34.4% are unaware of this option, and 20.6% do not have or know how to use digital means. 49.7% of citizens use an electronic certificate for administrative procedures, which facilitates access to services such as electronic medical records. The NHS's interoperable electronic prescription system is known by 66.2% of the population, but only 20.3% have used this feature. Furthermore, 43.2% are aware that their medical records can be consulted by healthcare professionals in other autonomous communities if they need medical care. Regarding artificial intelligence, 53.4% have heard about its application in healthcare. The majority are in favor of patients being informed about its use (85.5%), and of being able to opt out of having their data used in its development (77.5%). 68% consider it necessary to specifically legislate on the use of AI in healthcare. This edition was compiled based on 2,452 interviews conducted in April of this year.