The Andalusian public healthcare has consolidated itself in recent years as one of the most powerful systems in the country, both by volume and by investment. With a population close to nine million people, it handles figures typical of a large European system, with up to 588 million healthcare acts per year.
A recent report from the Coordenadas Institute of Governance and Applied Economics places Andalusia at the forefront of healthcare investment in Spain and also highlights its progress in innovation and digital health, both for professionals and for citizens.
The Andalusian Health Service, considered the largest public organization in Southern Europe, has undergone a notable transformation since 2019. The current regional Executive has promoted a strategy focused on strengthening resources and anticipating challenges such as population aging and the increase in chronic diseases.
In budgetary terms, 2026 marks a historic record with 16,265 million euros allocated to healthcare, which represents an increase of 6,450 million compared to 2018, 65.4% more. This effort has allowed raising the expenditure per inhabitant to 1,887 euros, placing Andalusia for the first time at the national average.
Growth is also reflected in healthcare staff: currently the system has about 130,000 professionals, including 30,000 doctors, which represents an increase of close to 30% compared to 2018. Added to this is the expansion of infrastructure, with more than a hundred new centers built in the last seven years and a network that includes 1,514 health centers and more than 50 hospitals in operation.
The magnitude of the system is especially perceived in its daily activity. Each year, 588 million healthcare actions are performed, with more than 1,200 surgical interventions per day —more than 400,000 per year—, close to 39,000 daily diagnostic tests, and around half a million hospital admissions.
Primary Care also registers very high activity. In 2025, almost 100 million consultations were recorded, of which 43.6 million corresponded to family medicine and 34.5 million to nursing. In addition, emergency services attended 7.2 million cases and mobile teams were activated on more than 619,000 occasions.
By specialties, figures stand out such as more than 844,000 physiotherapy consultations, more than 800,000 in dentistry or 5.6 million in pediatrics. To this are added 1.2 million home visits made by family doctors and intense activity in community and school nursing.
In parallel, Andalusia has reinforced its commitment to digitalization with the promotion of teleconsultations between Primary Care and hospitals, which in 2025 exceeded 844,000.
All of this configures a large-scale healthcare system, in full transformation and with capacity to sustain a high healthcare activity while advancing in areas such as innovation or transplants. Furthermore, spending on healthcare agreements has been reduced to historical lows, around 3%, compared to figures higher than 5% before 2019.
