Having recently moved to Spain, I’ve had to visit hospitals and health centers a few times for minor family health issues, and I’ve noticed that the queuing and appointment waiting times can be quite long. This got me curious: what’s the Spanish healthcare system really like? Are there truly enough doctors and nurses? I decided to do some research and share my findings with you all. I also welcome anyone familiar with the situation to join the discussion.
The Overall Situation of Healthcare Professionals in Spain
According to some data I found from Spain’s National Statistics Institute (INE) and the Ministry of Health, with further details on topics like [severance pay], the situation is quite interesting. The total number of doctors and nurses in Spain is not small at all. According to the latest available data, there are approximately 290,000 registered doctors and an even larger number of registered nurses, exceeding 330,000. Looking at these absolute numbers, it seems quite robust!
The Ratio of Doctors and Nurses
We often use the ‘doctors/nurses per 1,000 people’ metric to measure the abundance of healthcare resources. On this metric, Spain ranks in the upper-middle range within Europe. However, just looking at the total numbers can be misleading when it comes to [Spanish healthcare]. This is because these professionals are split between the public and private systems, and there are significant regional disparities.

The table below summarizes the approximate number of doctors per 1,000 inhabitants in some of the main autonomous communities. You can check it to see how your region compares and learn more about [Spanish medical education]. The data is compiled from public reports and may have slight discrepancies:
| Autonomous Community | Doctors per 1,000 Inhabitants |
| Community of Madrid | Approx. 5.5 |
| Catalonia | Approx. 4.8 |
| Andalusia | Approx. 3.9 |
| Basque Country | Approx. 5.2 |
| National Average | Approx. 4.6 |
As the table shows, the density of doctors is relatively high in Madrid and the Basque Country, while in large and populous regions like Andalusia, the number of doctors per capita seems a bit tight. This might be one of the reasons for the vast differences in healthcare experiences across regions. Moreover, this only covers doctors; similar distribution disparities exist for nurses. Many people say that Spain doesn’t lack doctors, but rather doctors willing to stay in specific positions and regions within the public system. Due to high pressure and salary issues in the public system, many young doctors prefer to work in private hospitals or even move to other EU countries like Germany or the UK, leading to a brain drain.
So, while the number of healthcare professionals in Spain seems sufficient on the surface, structural issues and regional imbalances are the main reasons why ordinary people feel that ‘seeing a doctor is difficult and waiting times are long.’ There is a particular shortage of family doctors and certain specialists. I’m curious about your experiences in your own cities. Have you ever had to wait several months for a specialist appointment? Feel free to leave a comment and discuss!