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La asistencia sanitaria tiene que adaptarse a los nuevos retos y cambios sociales: nuevas demandas de prestación, de racionalización de un gasto que no cesa de crecer y de cohesión interterritorial. Además de la necesidad de prevenir frente a posibles crisis sanitarias que puedan venir en el futuro inmediato, los cambios derivados del envejecimiento de la población y otros factores socioeconómicos y culturales, como la mayor incidencia de las enfermedades crónicas, las mayores demandas de los ciudadanos de unos servicios y asistencia social de mayor calidad o la disminución constante en los últimos años del número de trabajadores del sector sanitario, van a determinar que los gastos de la atención sanitaria a largo plazo prácticamente se dupliquen en los próximos diez años, lo que ya se hace sentir en la actualidad, provocando mayor presión sobre los presupuestos públicos.En esta obra se abordan los desafíos aún existentes para alcanzar la coordinación y la cohesión interterritorial en materia sanitaria y para, de forma coherente y coordinada con las orientaciones de la Unión Europea y con nuestro propio ordenamiento constitucional, eliminar la existencia de desigualdades en salud y garantizar la calidad y la equidad. El futuro de la asistencia sanitaria debería fundamentarse realmente en la coordinación interterritorial multinivel, en la medida en que, para los pacientes, la inmediatez geográfica es un factor esencial, de forma que la descentralización territorial (racional) de los servicios sanitarios, debe constituir una ventaja y nunca un inconveniente que genere desigualdades sanitarias. También se analizan los retos para la modernización de la asistencia sanitaria en España, analizando su efectividad, eficacia, viabilidad y modernización ante las transformaciones sociales y tecnológicas, en el marco de las Estrategias nacionales y de la Unión Europea sobre Salud