[en] Migration flows are, in many cases, caused by seeking improved living conditions, and sometimes are linket to the to seeking a dignified employment. So, this work for achieving the Master Degree is related to these migratory flow, so called by academic literature 'workers' which are related to labor makert environment. When the economy goes into a scenario of severe crisis, or even recession, the situation of this group becomes affected, both in-flow due to the establishment of harder migration controls, and out-flow, since the dwonturn is weakening the resistence hability of this population. In this work the evolution of the Spanish economy in the years before the crisis (which was started in 2008) is analyzed, economic measures undertaken by the government to address the situation, and particularly problems generated by the austerity policies and in particular for healthcare reform promoted by the Royal Decree law 16/2012. The perception of healthcare professionals and of society as a whole regarding access to health services by the immigrant population is analyzed, the agreement with the Spanish health policy and the differences in healthcare issues between national and the immigrant population, some socio-cultural aspects related to health are also studied, and the contribution of the new health policy to fiscal consolidation is analyzed too. The methodoloy used combines the qualitative and quantitative technics. On the one hand, a fieldwork was made, based on in semi-structured in-depht inteviews to health workers (sector of medical, nursey and administrive in sannitary fields), with the goal of exploring the effects of the healthcare reform about the inmigration population. On the other hand, a questionnaire was conducted among the general population in orden to obtain information about the perceptions of whole society about such reform.

[gl] Os fluxos migratorios están, en moitas ocasións, orixinados pola procura dunhas mellores condicións de vida e as veces vincúlanse á procura dun emprego digno ou de mellores perspectivas profesionais. Deste xeito, este traballo de fin master, da conta deses movementos migratorios denominados xa pola literatura académica como 'laborais' e que fan referencia aos desprazamentos vinculados ao mercado de traballo. Cando a economía entra nun contexto de forte crise ou mesmo de recesión, a situación deste colectivo vese afectada, tanto nos fluxos de entrada, por mor duns controles migratorios mais ríxidos e un mercado laboral deteriorado, como nos de saída, xa que o decrecemento mina a capacidade de resistencia destes grupos de poboación. Neste traballo analízase a evolución da economía española nos anos previos á crise comezada en 2008, as medidas económicas emprendidas polo goberno para afrontar a situación, en particular, os problemas xerados polas políticas de austeridade, en concreto, da reforma sanitaria promovida polo Real Decreto-lei 16/2012. Estúdase a percepción dos profesionais da sanidade e da sociedade en xeral sobre o acceso a os servizos sanitarios por parte da poboación inmigrante, o seu grado de acordo coa política sanitaria española, as diferenzas na atención a poboación nacional e a inmigrante e os aspectos socio-culturais relacionados coa saúde, así como a contribución da nova política sanitaria á consolidación fiscal. A metodoloxía empregada combina as técnicas cualitativas e cuantitativas de análise. Por unha banda, realizouse un traballo de campo baseado en entrevistas en profundidade semi-estruturadas dirixidas aos profesionais do sector sanitario (sectores médico, da enfermaría e da administración dentro do campo da sanidade) coa finalidade de explorar os efectos da reforma sanitaria sobre á poboación inmigrante. Por outra banda, emprendeuse unha enquisa dirixida á poboación en xeral para obter información das percepcións sociais da sociedade civil sobre o impacto desta reforma.