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

Author

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  • José Antonio Peña-Ramos

    (Faculty of Social Sciences and Humanities, Universidad Autónoma de Chile, Providencia 7500912, Chile
    Faculty of Political Sciences and Sociology, Universidad of Granada, 18071 Granada, Spain)

  • Fátima Recuero-López

    (Faculty of Political Sciences and Sociology, Universidad of Granada, 18071 Granada, Spain)

  • Antonio Sánchez-Bayón

    (Department of Business Economics (ADO), Applied Economics II and Fundamentals of Economic Analysis, Legal and Social Sciences School, Universidad Rey Juan Carlos, 28033 Madrid, Spain)

  • Francisco Javier Sastre

    (ESIC Business & Marketing School, 28224 Pozuelo de Alarcón, Spain)

Abstract

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.

Suggested Citation

  • José Antonio Peña-Ramos & Fátima Recuero-López & Antonio Sánchez-Bayón & Francisco Javier Sastre, 2021. "Evaluation of Spanish Health System during the COVID-19 Pandemic: Accountability and Wellbeing Results," IJERPH, MDPI, vol. 18(24), pages 1-25, December.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:12907-:d:697048
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    References listed on IDEAS

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    1. Philipp Bagus & José Antonio Peña-Ramos & Antonio Sánchez-Bayón, 2021. "COVID-19 and the Political Economy of Mass Hysteria," IJERPH, MDPI, vol. 18(4), pages 1-15, February.
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    Cited by:

    1. Jimmy Martin-Delgado & Aurora Mula & Rafael Manzanera & Jose Joaquin Mira, 2022. "Measuring the Impact of Future Outbreaks? A Secondary Analysis of Routinely Available Data in Spain," IJERPH, MDPI, vol. 19(21), pages 1-14, October.

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