MAP20071506058 Costa-Font, Joan Preference for national health service use and the demand for private health insurance in Spain / Joan Costa-Font, Montserrat-Vilalta In National Health System the funding and provision of health care co-exists with a developing market for private (supplementary) health insurance. This paper emperically examines the interactions between private health insurance (PHI) and national health systems (NHS) use using a representative survey for Catalonia (Spain). Our findings show that PHI stands as a financial tool for accessing private health care in Spain En: Geneva papers on risk and insurance : issues and practice. - Geneva : The Geneva Association, 1976- = ISSN 1018-5895. - 01/10/2004 Tomo 29 Número 4 2004 , p. 705-718 1. España . 2. Sanidad Pública . 3. Sector privado . 4. Seguro de salud . 5. Seguro de asistencia sanitaria . I. Font-Vilalta, Montserrat . II. Título. III. Título: The Geneva papers on risk and insurance.