OBJECTIVES: EUprimecare is a European Union project aimed at analyzing the costs and quality of the different models of primary care (PC) in Europe. The aim of this paper is to analyze the management of patients with hypertension in PC services in Spain compared to other European countries, the satisfaction of these patients with PC services and their self-perceived health status. METHODS: Cross-sectional study. We conducted a population survey by telephone among PC users in each of the consortium countries (Germany, Spain, Estonia, Finland, Hungary, Italy and Lithuania). The questionnaire included information on sociodemographic characteristics, health status, satisfaction, utilization of PC services, and frequency of some interventions carried out by PC professionals. The survey was conducted to 431-432 PC users in each country (Ntotal = 3020). We use satisfaction, health status and sociodemographic variables to consider the situation of patients with hypertension in PC. RESULTS: The percentage of users of primary care services who reported having hypertension in Spain was 21.6% (N = 93), lower than the overall average (34.9%). 97% of patients resident in Spain were diagnosed by their primary care physicians versus 82.6% of the European average. The 91.4% of patients in Spain claimed to be in treatment to hypertension (EU average= 92.3%) and in 92.9% of cases the treatment was prescribed by their PC doctors (EU average= 84.5%). Only 7.5% of patients claimed that their health was poor or very poor, the lowest proportion of all countries evaluated.  CONCLUSIONS: The patient with hypertension in Spain is diagnosed and managed by PC professionals more frequently than in other European countries. The self-perception of these patients in Spain is good and they were satisfied with the services of AP. The overall satisfaction of the patients with AP services was high but not significantly different from other countries.