Recently, an elderly family member was unwell and stayed in a public hospital in Madrid for a few days. The experience of accompanying and visiting them gave me a new perspective on the Spanish healthcare system. I used to think the hospitals here were overly strict, but I found that while there are rules, they are also quite humane. Thinking that others might face similar situations, I’ve compiled my experiences and the information I gathered, hoping it can help everyone.
Acompañante vs. Visita: They’re Not the Same Thing
First, it’s important to distinguish between two concepts: Acompañante and Visita.
Acompañante: This generally refers to a family member who stays with the patient 24/7 during their hospitalization. Usually, only 1 person is allowed. This companion receives a special pass for unrestricted access to the patient’s floor. If someone else needs to take over, according to Spanish hospital data, the pass must be handed over to the next person. Hospitals do this mainly to maintain a quiet and orderly environment and to prevent cross-infection. The rules for the number of companions are often stricter at night.
Visita: This is what we typically call a ‘visit.’ Visitors can only enter the patient’s room during the hospital’s specified visiting hours. Furthermore, Spanish hospitals usually limit the number of people in the room at one time, for example, a maximum of 2 people. If your group is larger, you’ll have to take turns waiting outside.
Differences in Rules Between Hospital Types
Public and private hospitals in Spain may have somewhat different visiting policies, with variations in confirmed cases in Spanish hospitals, but the general principles are the same. Based on my experience and what friends have shared, I’ve created a general table for reference. However, please note that for the most accurate information, you must check the specific hospital’s official website or call them directly, as rules can vary by hospital and even by department.
| Hospital Type | Number of Companions | Visiting Hours | Characteristics |
|---|
| Public Hospital | Usually strictly limited to 1 person | Fixed time slots, e.g., 13:00-20:00 | Rules are strictly enforced, especially in special units like the ICU |
| Private Hospital | More flexible, sometimes allowing 1-2 people | More flexible hours, sometimes all day | More personalized service, but also more expensive |
| Special Units (e.g., ICU) | Extremely strict limits, or no companions allowed | Very short visiting times, limited frequency | Requires absolute understanding and cooperation for patient safety |
What to Keep in Mind When Visiting?
Here are a few tips. When visiting, try not to bring too many things, especially strong-smelling flowers or food, as they might disturb other patients in the same room. Keep quiet and avoid talking loudly. Since the pandemic, many hospitals still require wearing a mask when entering patient rooms, so be sure to comply. Also, it’s strongly advised not to bring children, especially very young ones, to visit. Hospitals are crowded and full of germs, which can be a challenge for a child’s immune system. I hope all your family and friends stay healthy, and that you never need this guide!
