La prestación sanitaria en el Estado autonómico: las incongruencias entre el modelo competencial y su financiación

Royo, Eva Sáenz

doi:10.18042/cepc/redc.119.04

Cited by 3 publications

(13 citation statements)

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“…Hypothesis 1 is therefore rejected. These results contrast with the importance of transparency in pandemic management, as has been demonstrated in other countries [ 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 ].…”

Section: Discussioncontrasting

confidence: 65%

“…This variable is measured through two different and complementary perspectives. In this sense, the reputation of any organization, including healthcare organizations, is shaped by the perception of different stakeholders [ 21 , 31 ]. Health reputation, in line with this, has traditionally been measured through different indicators based on the perception of professionals and experts in the field.…”

Section: Methodsmentioning

confidence: 99%

“…The nature of decentralization in health matters, which obeyed political rather than management and efficiency criteria [ 26 ], has led to the existence of a series of dysfunctions in the health system (manifesting itself in crises such as that of COVID-19) [ 30 ]. These include the problem of health financing and spending [ 31 ], the disparity between ACs’ health systems [ 31 ] and the need for greater coordination [ 29 ]. An example of this would be the inequality in access to health services among the ACs during the COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

“…An example of this would be the inequality in access to health services among the ACs during the COVID-19 pandemic. This would be compounded by conflicts of competence in health matters between the national and regional levels of government [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

“…For this reason, health reputation indicators have also been constructed based on the perception of citizens and patients [ 45 ]. In this sense, healthcare would be one of the public services best valued by citizens [ 31 ], despite its decentralization [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Spanish Health System during the COVID-19 Pandemic: Accountability and Wellbeing Results

Peña‐Ramos

Recuero-López

Bayón

et al. 2021

IJERPH

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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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Section: Discussioncontrasting

confidence: 65%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Evaluation of Spanish Health System during the COVID-19 Pandemic: Accountability and Wellbeing Results

Peña‐Ramos

Recuero-López

Bayón

et al. 2021

IJERPH

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Availability, Perceived Need and Satisfaction for School Nurses in Spain: A Cross-Sectional Study Involving the School Community

Zafra-Agea,

Pérez,

Lima-Serrano

et al. 2024

Preprint

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Background: School nursing in Spain faces crucial challenges that require immediate attention. This is the first national study developed by the School Nursing Observatory Research Group of the General Council of Nursing (GCN) in Spain on the school nurse (SN) professional profile and their availability at schools. The objective is to understand the social-labor situation, as well as the availability, perceived need, and satisfaction of the school community with the SN, as well as the factors related to these variables. Methods: Cross-sectional study using three ad hoc designed and validated questionnaires through a digital platform. Participants included 376 SNs, 1193 teachers and school principals, and 582 mothers, fathers, and representatives of parents’ associations (PAs). Descriptive and bivariate statistical analyses were conducted using SPSS v.28. Results: Most SNs work in a single school in exclusive, mainly employed by the education department or privately funded special education schools, in urban areas and schools with a high number of students. Both school staff and PAs perceive a high need of and satisfaction with SNs. According to school staff, SNs are more in private and subsidized schools and, according to PAs, in schools where a child has a disease. In schools where there are children with certain diseases, according to PAs, a greater need for a SN was perceived. And the schools staff also found SNs especially necessary in schools located in disadvantage areas. Conclusions: Despite the high degree of satisfaction with the SN, there are significant deficiencies in its distribution in Spain that prevent reaching international quality standards. It is necessary to increase the availability of this professional, especially under exclusivity, with special attention to rural, publicly funded, and disadvantage areas. This would help address inequities in school health and meet the perceived need of the school community, thus contributing to the Sustainable Development Goals (SDGs).

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Spanish Healthcare Sector Management in the COVID-19 Crisis Under the Perspective of Austrian Economics and New-Institutional Economics

Bayón

González-Arnedo

Andreu-Escario

2022

Front. Public Health

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This is a study of Political Economy, Law & Economics, and Public Choice, applied to COVID-19 crisis management, and how the Spanish healthcare sector has operated under stressful conditions. Market and state failures are evaluated and some improvements are offered, according to the theories of Austrian Economics and New-Institutional Economics. At the macro level, the premise is the decentralization of the Spanish healthcare system a long time ago, to provide a better service to citizens, according to the idiosyncrasies of the Autonomous Communities (similar to federal states). The crisis has evidenced the failures of the Spanish system and its semi-federal model, without coordination to manage the trouble. Also, the General Government's recentralization attempt has failed too, proving Mises's theorem on the impossibility of economic calculation in intervened and coactive systems, with problems of shortages, lack of coordination, etc.; Buchanan-Tullock's theorem on the unfinished agenda of state interventionist and it suppression of private sector was also proven. At the micro level, health institutions (hospitals and health centers) have fallen into the paradox of media overexposure and the fake-news risk, because the more information they have tried to transmit, the more confusion they have caused, reducing the value of the supposed transparency and accountability, in addition to decreasing citizen wellbeing, giving way to a higher level of dissatisfaction and more risk of a syndemic. To perform the analysis of accountability and wellbeing perceived, this paper has used quantitative contrast techniques on secondary sources, such as the surveys of Centro de Investigaciones Sociológicas (part of the Public Sector) or Merco rankings (independent institution).

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La prestación sanitaria en el Estado autonómico: las incongruencias entre el modelo competencial y su financiación

Cited by 3 publications

References 0 publications

Evaluation of Spanish Health System during the COVID-19 Pandemic: Accountability and Wellbeing Results

Evaluation of Spanish Health System during the COVID-19 Pandemic: Accountability and Wellbeing Results

Availability, Perceived Need and Satisfaction for School Nurses in Spain: A Cross-Sectional Study Involving the School Community

Spanish Healthcare Sector Management in the COVID-19 Crisis Under the Perspective of Austrian Economics and New-Institutional Economics

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