Building Primary Care in a Changing Europe


Book Description

For many citizens primary health care is the first point of contact with their health care system, where most of their health needs are satisfied but also acting as the gate to the rest of the system. In that respect primary care plays a crucial role in how patients value health systems as responsive to their needs and expectations. This volume analyses the way how primary are is organized and delivered across European countries, looking at governance, financing and workforce aspects and the breadth of the service profiles. It describes wide national variations in terms of accessibility, continuity and coordination. Relating these differences to health system outcomes the authors suggest some priority areas for reducing the gap between the ideal and current realities.




Distant Tyranny


Book Description

Spain's development from a premodern society into a modern unified nation-state with an integrated economy was painfully slow and varied widely by region. Economic historians have long argued that high internal transportation costs limited domestic market integration, while at the same time the Castilian capital city of Madrid drew resources from surrounding Spanish regions as it pursued its quest for centralization. According to this view, powerful Madrid thwarted trade over large geographic distances by destroying an integrated network of manufacturing towns in the Spanish interior. Challenging this long-held view, Regina Grafe argues that decentralization, not a strong and powerful Madrid, is to blame for Spain's slow march to modernity. Through a groundbreaking analysis of the market for bacalao--dried and salted codfish that was a transatlantic commodity and staple food during this period--Grafe shows how peripheral historic territories and powerful interior towns obstructed Spain's economic development through jurisdictional obstacles to trade, which exacerbated already high transport costs. She reveals how the early phases of globalization made these regions much more externally focused, and how coastal elites that were engaged in trade outside Spain sought to sustain their positions of power in relation to Madrid. Distant Tyranny offers a needed reassessment of the haphazard and regionally diverse process of state formation and market integration in early modern Spain, showing how local and regional agency paradoxically led to legitimate governance but economic backwardness.




Spanish Politics


Book Description

An introductory textbook on contemporary Spanish politics, this book shows how Spain made a smooth transition from authoritarian to democratic rule, each chapter dealing with a different aspect of this process. The book goes on to analyse the consequences of the socialist administration of Zapatero.




Inca Apocalypse


Book Description

A major new history of the Spanish conquest of the Inca Empire, set in a larger global context than previous accounts Previous accounts of the fall of the Inca empire have played up the importance of the events of one violent day in November 1532 at the highland Andean town of Cajamarca. To some, the "Cajamarca miracle"-in which Francisco Pizarro and a small contingent of Spaniards captured an Inca who led an army numbering in the tens of thousands-demonstrated the intervention of divine providence. To others, the outcome was simply the result of European technological and immunological superiority. Inca Apocalypse develops a new perspective on the Spanish invasion and transformation of the Inca realm. Alan Covey's sweeping narrative traces the origins of the Inca and Spanish empires, identifying how Andean and Iberian beliefs about the world's end shaped the collision of the two civilizations. Rather than a decisive victory on the field at Cajamarca, the Spanish conquest was an uncertain, disruptive process that reshaped the worldviews of those on each side of the conflict.. The survivors built colonial Peru, a new society that never forgot the Inca imperial legacy or the enduring supernatural power of the Andean landscape. Covey retells a familiar story of conquest at a larger historical and geographical scale than ever before. This rich new history, based on the latest archaeological and historical evidence, illuminates mysteries that still surround the last days of the largest empire in the pre-Columbian Americas.




The Spanish Welfare State in European Context


Book Description

Following the death of Franco, Spain underwent a transition to democracy in the mid-1970s. Although a rapid process of modernization occurred, the Spanish welfare state was seen, until fairly recently, as relatively underdeveloped. However, given the progressive Europeanization and expansion of Spanish social policy, questions arise as to whether the Spanish welfare system should still be considered as peripheral to West European welfare states. This volume is divided into three sections. The first section deals with broad trends in the evolution of the Spanish welfare state. To begin with, the consolidation path of social protection policies is explored. Attention is also paid to the process of Europeanization. Furthermore, the analysis explores advances in gender equality policies. In the second section, attention is turned to governance issues, such as collective bargaining, the interplay among levels of government, the welfare mix and public support for social policies. The third and final part of the book addresses five main challenges facing the Spanish welfare state in the 21st century, namely, the need to enhance flexicurity; to achieve a better work-family balance; to coordinate immigration policies with existing social protection; to tackle the persistence of high rates of relative poverty; and to face intense population ageing, both in terms of increasing needs for care and the reform of the pension system.




The Rise of Middle-Class Culture in Nineteenth-Century Spain


Book Description

In his stimulating study, Jesus Cruz examines middle-class lifestyles -- generally known as bourgeois culture -- in nineteenth-century Spain. Cruz argues that the middle class ultimately contributed to Spain's democratic stability and economic prosperity in the last decades of the twentieth century. Interdisciplinary in scope, Cruz's work draws upon the methodology of various areas of study -- including material culture, consumer studies, and social history -- to investigate class. In recent years, scholars in the field of Spanish studies have analyzed disparate elements of modern middle-class milieu, such as leisure and sociability, but Cruz looks at these elements as part of the whole. He traces the contribution of nineteenth-century bourgeois cultures not only to Spanish modernity but to the history of Western modernity more broadly. The Rise of Middle-Class Culture in Nineteenth-Century Spain provides key insights for scholars in the fields of Spanish and European studies, including history, literary studies, art history, historical sociology, and political science.




Spain, a Global History


Book Description

From the late fifteenth to the nineteenth centuries, the Hispanic Monarchy was one of the largest and most diverse political communities known in history. At its apogee, it stretched from the Castilian plateau to the high peaks of the Andes; from the cosmopolitan cities of Seville, Naples, or Mexico City to Santa Fe and San Francisco; from Brussels to Buenos Aires and from Milan to Manila. During those centuries, Spain left its imprint across vast continents and distant oceans contributing in no minor way to the emergence of our globalised era. This was true not only in an economic sense-the Hispano-American silver peso transported across the Atlantic and the Pacific by the Spanish fleets was arguably the first global currency, thus facilitating the creation of a world economic system-but intellectually and artistically as well. The most extraordinary cultural exchanges took place in practically every corner of the Hispanic world, no matter how distant from the metropolis. At various times a descendant of the Aztec nobility was translating a Baroque play into Nahuatl to the delight of an Amerindian and mixed audience in the market of Tlatelolco; an Andalusian Dominican priest was writing the first Western grammar of the Chinese language in Fuzhou, a Chinese city that enjoyed a trade monopoly with the Spanish Philippines; a Franciscan friar was composing a piece of polyphonic music with lyrics in Quechua to be played in a church decorated with Moorish-style ceilings in a Peruvian valley; or a multi-ethnic team of Amerindian and Spanish naturalists was describing in Latin, Spanish and local vernacular languages thousands of medicinal plants, animals and minerals previously unknown to the West. And, most probably, at the same time that one of those exchanges were happening, the members of the School of Salamanca were laying the foundations of modern international law or formulating some of the first modern theories of price, value and money, Cervantes was writing Don Quixote, Velázquez was painting Las Meninas, or Goya was exposing both the dark and bright sides of the European Enlightenment. Actually, whenever we contemplate the galleries devoted to Velázquez, El Greco, Zurbarán, Murillo or Goya in the Prado Museum in Madrid; when we visit the National Palace in Mexico City, a mission in California, a Jesuit church in Rome or the Intramuros quarter in Manila; or when we hear Spanish being spoken in a myriad of accents in the streets of San Francisco, New Orleans or Manhattan we are experiencing some of the past and present fruits of an always vibrant and still expanding cultural community. As the reader can infer by now, this book is about how Spain and the larger Hispanic world have contributed to world history and in particular to the history of civilisation, not only at the zenith of the Hispanic Monarchy but throughout a much longer span of time.




Philip II of Spain and the Architecture of Empire


Book Description

Philip II of Spain was a major patron of the arts, best known for his magnificent palace and royal mausoleum at the Monastery of San Lorenzo of El Escorial. However, neither the king’s monastery nor his collections fully convey the rich artistic landscape of early modern Iberia. In this book, Laura Fernández-González examines Philip’s architectural and artistic projects, placing them within the wider context of Europe and the transoceanic Iberian dominions. Philip II of Spain and the Architecture of Empire investigates ideas of empire and globalization in the art and architecture of the Iberian world during the sixteenth century, a time when the Spanish Empire was one of the largest in the world. Fernández-González illuminates Philip’s use of building regulations to construct an imperial city in Madrid and highlights the importance of his transformation of the Simancas fortress into an archive. She analyzes the refashioning of his imperial image upon his ascension to the Portuguese throne and uses the Hall of Battles in El Escorial as a lens through which to understand visual culture, history writing, and Philip’s kingly image as it was reflected in the funeral commemorations mourning his death across the Iberian world. Positioning Philip’s art and architectural programs within the wider cultural context of politics, legislation, religion, and theoretical trends, Fernández-González shows how design and images traveled across the Iberian world and provides a nuanced assessment of Philip’s role in influencing them. Original and important, this panoramic work will have a lasting impact on Philip II’s artistic legacy. Art historians and scholars of Iberia and sixteenth-century history will especially value Fernández-González’s research.




Fascism in Spain, 1923–1977


Book Description

Fascism in Spain, 1923–1977, by celebrated historian Stanley G. Payne, is the most comprehensive history of Spanish fascism to appear in any language. This authoritative study offers treatment of all the major doctrines, personalities, and defining features of the Spanish fascist movement, from its beginnings until the death of General Francisco Franco in 1977. Payne describes and analyzes the development of the Falangist party both prior to and during the Spanish Civil War, presenting a detailed analysis of its transformation into the state party of the Franco regime—Falange Española Tradicionalista—as well as its ultimate conversion into the pseudofascist Movimiento Nacional. Payne devotes particular attention to the crucial years 1939–1942, when the Falangists endeavored to expand their influence and convert the Franco regime into a fully Fascist system. Fascism in Spain helps us to understand the personality of Franco, the way in which he handled conflict within the regime, and the reasons for the long survival of his rule. Payne concludes with the first full inquiry into the process of “defascistization,” which began with the fall of Mussolini in 1943 and extended through the Franco regime’s later efforts to transform the party into a more viable political entity.




Art of Estrangement


Book Description

"Examines the influential role of visual images in reinforcing the efforts of Spain's Christian-ruled kingdoms to renegotiate the role of their Jewish minority following the territorial expansions of the twelfth and thirteenth centuries"--Provided by publisher.