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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="fig0005"></elsevierMultimedia></p><p id="par0010" class="elsevierStylePara elsevierViewall">Jos&#233; Mar&#237;a Segovia de Arana has left us&#44; following a life in equal parts long and fruitful&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">It is difficult to describe&#44; at least succinctly&#44; the impact of his work on the genesis and development of the Spanish National Health System &#40;SNS&#41;&#59; its history cannot be understood without Jos&#233; Mar&#237;a Segovia&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">In times of distress&#44; uncertainty and reformist intentions&#44; there is one certainty that is accepted with a rare unanimity&#58; we have an excellent national health system that successfully compares with the best in the world&#46; Unlike in other areas&#44; it does not beg major structural reforms&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">This achievement was neither an obligatory nor an inevitable fruit of economic&#44; political and social development&#46; Development helped&#44; but things could have gone the other way&#44; and they did not thanks to the audacity&#44; perspicacity and dedication of a few &#40;Luis Hernando&#44; among others&#41; led by Dr Segovia&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Some milestones promoted by him shaped and determined the future&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">In 1964&#44; a small private clinic &#40;not yet in use&#41; of the Dominicans &#40;the Cl&#237;nica Puerta de Hierro&#41; was sold to the Spanish social security system&#44; which&#44; not knowing very well what to do with it&#44; entrusted it to 2 visionary physicians&#44; J&#46;M&#46; Segovia and D&#46; Figuera&#46; These physicians accepted it with some conditions&#44; including full and exclusive dedication&#59; a hierarchical&#44; specialised structure of medical services&#59; freedom in recruiting personnel &#40;outside of the prevailing practice at the time&#41;&#59; research ambition&#59; and the presence of some post-graduates called interns and residents&#44; similar to those present at some hospitals in Spain and elsewhere&#46; The system &#40;Puerta de Hierro model&#41; had immediate success and was exported to other major centres that were being opened&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">In the 1970s&#44; after it was accepted &#40;not always without resistance&#41; that the success of the change lay in the supervised&#44; remunerated practical training of physicians who had recently graduated&#44; the Spanish Resident Intern Physician &#40;MIR&#41; system and the requirements for training specialists were institutionalised and consolidated&#46; All this crystallised in standards promoted by J&#46;M&#46; Segovia at the end of that decade&#44; and he was the first chairperson of the Spanish Board of Medical Specialities and Spanish Secretary of State for Health&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Being a qualified physician with a hospital background&#44; he understood before&#44; and better than many&#44; that comprehensive healthcare was not possible without a strong primary care physician&#44; and he became a resolute sponsor of Family and Community Medicine&#44; creating the speciality in 1978&#44; and building the first health centre with teaching accreditation&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">At the other technological extreme&#44; a year later &#40;1979&#41;&#44; he promoted and obtained approval of the exemplary Spanish Organ Removal and Transplant Law&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">To conclude&#44; in 1975&#44; he promoted the so-called Spanish Supplemental Discount Fund to the pharmaceutical industry intended to fund medical research&#46; This was the happy precedent of the successful Spanish Social Security Healthcare Research Fund &#40;FISSS&#41;&#44; now the Spanish Healthcare Research Fun &#40;FIS&#41;&#44; that he himself created in 1980 and that has endured and contributed to improving the level of medical research in Spain in a way that few initiatives have&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">If there has ever been a leader with a strategic vision and audacity in management on the 20th century Spanish healthcare scene&#44; without a doubt&#44; Professor Jos&#233; Mar&#237;a Segovia de Arana was that leader&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">May he rest in peace and eternal life in our grateful memory&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Toledo&#44; 4 January 2016</p></span>"
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In memoriam
José María Segovia de Arana: father and leader of modern Spanish health
José María Segovia de Arana: padre y responsable de la moderna sanidad española
José Luis Conde Olasagasti
Nephrology Service, Complejo Hospitalario, Toledo, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="fig0005"></elsevierMultimedia></p><p id="par0010" class="elsevierStylePara elsevierViewall">Jos&#233; Mar&#237;a Segovia de Arana has left us&#44; following a life in equal parts long and fruitful&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">It is difficult to describe&#44; at least succinctly&#44; the impact of his work on the genesis and development of the Spanish National Health System &#40;SNS&#41;&#59; its history cannot be understood without Jos&#233; Mar&#237;a Segovia&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">In times of distress&#44; uncertainty and reformist intentions&#44; there is one certainty that is accepted with a rare unanimity&#58; we have an excellent national health system that successfully compares with the best in the world&#46; Unlike in other areas&#44; it does not beg major structural reforms&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">This achievement was neither an obligatory nor an inevitable fruit of economic&#44; political and social development&#46; Development helped&#44; but things could have gone the other way&#44; and they did not thanks to the audacity&#44; perspicacity and dedication of a few &#40;Luis Hernando&#44; among others&#41; led by Dr Segovia&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Some milestones promoted by him shaped and determined the future&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">In 1964&#44; a small private clinic &#40;not yet in use&#41; of the Dominicans &#40;the Cl&#237;nica Puerta de Hierro&#41; was sold to the Spanish social security system&#44; which&#44; not knowing very well what to do with it&#44; entrusted it to 2 visionary physicians&#44; J&#46;M&#46; Segovia and D&#46; Figuera&#46; These physicians accepted it with some conditions&#44; including full and exclusive dedication&#59; a hierarchical&#44; specialised structure of medical services&#59; freedom in recruiting personnel &#40;outside of the prevailing practice at the time&#41;&#59; research ambition&#59; and the presence of some post-graduates called interns and residents&#44; similar to those present at some hospitals in Spain and elsewhere&#46; The system &#40;Puerta de Hierro model&#41; had immediate success and was exported to other major centres that were being opened&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">In the 1970s&#44; after it was accepted &#40;not always without resistance&#41; that the success of the change lay in the supervised&#44; remunerated practical training of physicians who had recently graduated&#44; the Spanish Resident Intern Physician &#40;MIR&#41; system and the requirements for training specialists were institutionalised and consolidated&#46; All this crystallised in standards promoted by J&#46;M&#46; Segovia at the end of that decade&#44; and he was the first chairperson of the Spanish Board of Medical Specialities and Spanish Secretary of State for Health&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Being a qualified physician with a hospital background&#44; he understood before&#44; and better than many&#44; that comprehensive healthcare was not possible without a strong primary care physician&#44; and he became a resolute sponsor of Family and Community Medicine&#44; creating the speciality in 1978&#44; and building the first health centre with teaching accreditation&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">At the other technological extreme&#44; a year later &#40;1979&#41;&#44; he promoted and obtained approval of the exemplary Spanish Organ Removal and Transplant Law&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">To conclude&#44; in 1975&#44; he promoted the so-called Spanish Supplemental Discount Fund to the pharmaceutical industry intended to fund medical research&#46; This was the happy precedent of the successful Spanish Social Security Healthcare Research Fund &#40;FISSS&#41;&#44; now the Spanish Healthcare Research Fun &#40;FIS&#41;&#44; that he himself created in 1980 and that has endured and contributed to improving the level of medical research in Spain in a way that few initiatives have&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">If there has ever been a leader with a strategic vision and audacity in management on the 20th century Spanish healthcare scene&#44; without a doubt&#44; Professor Jos&#233; Mar&#237;a Segovia de Arana was that leader&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">May he rest in peace and eternal life in our grateful memory&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Toledo&#44; 4 January 2016</p></span>"
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ISSN: 20132514
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