Evaluation of Spanish Health System during the COVID-19 Pandemic: Accountability and Wellbeing Results
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2021
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MDPI
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The COVID-19 pandemic poses a challenge for health systems. For this reason, it is essential
to evaluate the management of health systems in the face of the pandemic, identifying the factors
that may contribute to its failure or success. This management is more difficult in decentralized
countries, since in them, health competencies are distributed among different levels of government.
This is the case in Spain, one of the countries most affected by the pandemic. Therefore, the aim of
this article is to evaluate how the Spanish health system has managed the COVID-19 pandemic. Four
factors related to health management are analyzed: transparency, communication, reputation and
well-being generated. For this purpose, a quantitative analysis is used with the contrast of secondary
sources, such as the Merco rankings or survey data from the Centro de Investigaciones Sociológicas
(Sociological Research Center). The results show that although the flow of communication about
the health system increases considerably, such information comes mainly from the media, with a
deficit in the transparency of health management. Likewise, although the reputation of the health
system increases at the beginning of the pandemic, as it progresses, there is a deterioration in citizen
satisfaction with the healthcare management and the services provided, as well as in the well-being
generated by them. This study may have implications for decision making by public authorities
regarding the different factors of health management.
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Peña-Ramos, J.A.; Recuero-López, F.; Sánchez-Bayón, A.; Sastre, F.J. Evaluation of Spanish Health System during the COVID-19 Pandemic: Accountability and Wellbeing Results. Int. J. Environ. Res. Public Health 2021, 18, 12907. https:// doi.org/10.3390/ijerph182412907
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