ResumenEl presente artículo resume las desigualdades territoriales en la oferta de servicios sanitarios, y discute sus implicaciones sobre las desigualdades en el acceso y la utilización. En el ámbito de la atención primaria, destacan las diferencias regionales en el proceso de implantación de la reforma y en la dotación de servicios complementarios a los tradicionales, que conviven con desigualdades territoriales significativas en la cobertura y el acceso a algunos programas asistenciales. Por su parte, la oferta de camas sigue siendo desigual entre las comunidades autónomas (CCAA), particularmente en las dotaciones geriátricas, y más aún en las psiquiátricas. Es notable la desigualdad que conlleva la oferta privada no benéfica en las distintas CCAA. Asimismo, las dotaciones de aparatos de alta tecnología mé-dica (ATM) son todavía muy desiguales entre las CCAA, particularmente las más recientes, pero se distribuyen de forma más homogénea que hace 10 años. Las desigualdades territoriales en la oferta de servicios sanitarios, aunque tangibles, son menores que las de los servicios sociosanitarios. Todavía mayor, aunque menos visible, es la desigualdad de utilización y acceso a los servicios sanitarios y sociales que el dispositivo asistencial ofertado. Además, en este ámbito la desigualdad de género se superpone a la de ámbito territorial. Palabras clave: Desigualdades regionales. Oferta sanitaria. Comunidades autónomas. AbstractThis chapter summarizes the main territorial inequalities in health care supply, and the related effects on access and use of health care facilities. Firstly, in the field of primary health care, the most notable inequalities refer to the process of introduction of the reform and to complementary services supply, together with the coverage of and access to some health care programs. Secondly, the distribution of hospital beds across regions is far from being uniform, specially with respect to geriatric and psychiatric beds. In addition, profit oriented private care is unequally distributed across territories. Thirdly, the availability of high-tech health care services is remarkably different across regions, although inequalities have been reduced during the last decade. Inequality in long-term care (not only in terms of supply, but also in access and use) is even higher than regional inequalities in health care supply. In addition to these territorial inequalities there are some significant gender inequalities.

Suitable graphic documentation is essential to ascertain and conserve architectural heritage. For the first time, accurate digital images are provided of a 16th-century wooden ceiling, composed of geometric interlacing patterns, in the Pinelo Palace in Seville. Today, this ceiling suffers from significant deformation. Although there are many publications on the digital documentation of architectural heritage, no graphic studies on this type of deformed ceilings have been presented. This study starts by providing data on the palace history concerning the design of geometric interlacing patterns in carpentry according to the 1633 book by López de Arenas, and on the ceiling consolidation in the 20th century. Images were then obtained using two complementary procedures: from a 3D laser scanner, which offers metric data on deformations; and from photogrammetry, which facilitates the visualisation of details. In this way, this type of heritage is documented in an innovative graphic approach, which is essential for its conservation and/or restoration with scientific foundations and also to disseminate a reliable digital image of the most beautiful ceiling of this Renaissance palace in southern Europe.

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