The study examines the link between corruption and mortality.
6 de juny 2026
How Corruption Influences Population Health
22 de març 2026
Corporate governance: up to date
- Dalmau-Matarrodona, E.; "Bones pràctiques del govern de les organitzacions" Health Policy Papers Collection 2026-4_ED [Download]
- López-Casasnovas, G., Planas-Miret, I.; "La gobernanza de la colaboración público-privada en sanidad. El caso de Catalunya." Health Policy Papers Collection 2026-3_GL_IP [Download]
- Ortún, V.; "Gobierno y gestión de las organizaciones sanitarias" Health Policy Papers Collection 2026-2_VO [Download]
- López-Casasnovas, G.; "Anomalies organitzatives als consells de govern de les organitzacions públiques" Policy Papers Collection 2026-3_GL [Download]
24 de gen. 2026
Specialty choices among new generation of doctors - insights from a Polish survey study
Doctors currently entering the healthcare labour market (generation Z) were born between the late 1990s and early 2010s. This generation, also known as‘Gen-Z’, differs significantly from older generations in many ways. Gen-Z individuals were born into a world of widespread access to information, largely due to the internet. They are proficient in using modern technologies, more focused on achieving a healthy work-life balance, and are more open to change in their lives compared to the generations of their parents and grandparentts. However, they do not accept the current state of workplace culture and working hours. They strongly desire a life-work balance, flexibility in working conditions, and collaboration in the workplace.
Although they have chosen a medical career, many young healthcare professionals report that their expectations are not being met, especially concerning non-clinical tasks, including the administrative burden. They understand that the success of future healthcare systems is closely linked to the implementation of new technologies, recognizing its potential to reduce administrative workload and work-related stress. Besides salary, autonomy, collaboration, and technology play a crucial role in selecting a workplace (hospital or practice). To attract and retain this younger generation, healthcare organisations need to focus on team collaboration, a friendly working atmosphere, and adapt their work organisation practices accordingly.
In Poland, many specialties are experiencing a ‘generation gap, which requires well-thought-out decisions to compensate for the forthcoming crisis that would become even more serious if doctors at retirement age were to stop working.
This article aimed to provide evidence on the factors that drive young doctors to choose their future specialties, presenting differences between those applying for non-surgical specialties and those applying for surgical ones.
3 de gen. 2026
No health without peace. Nothing more to say.
The Lancet editorial (2026) (pdf Volume 407, Issue 10523, 1)
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16 de nov. 2025
The future hospital in Global Health Systems
This article sets out the issues that those determining healthcare policy and designing future hospitals must consider if they are to become and remain fit for purpose within the wider health and social care system. It also examines the need for, and challenges to, strategic healthcare planning, creating future hospitals that are sustainable, net‐zero carbon organisations, and ensuring resilience in the face of a range of potential shocks.
Future hospitals play a crucial role in healthcare worldwide, regardless of the country's income level. Hospitals cannot be viewed without broader health system changes, infrastructure, community and cultural factors, staffing and other considerations. Future hospitals will enhance population health in all settings and support the move towards more consumer‐centric healthcare. The authors urge clinical and policy planners to consider the factors discussed carefully to maximise the benefits.
Sebire NJ, Adams A, Celi L, Charlesworth A, Gorgens M, Gorsky M, Landeg O, Nagasawa Y, Nimako KT, Onoka C, Roder-DeWan S, Watts N, McKee M. The Future Hospital in Global Health Systems: The Future Hospital Within the Healthcare System. Int J Health Plann Manage. 2025 May;40(3):741-751. doi: 10.1002/hpm.3891. Epub 2025 Jan 15. PMID: 39815953; PMCID: PMC12045726.
Photo Jordi Soldevila. Posidònies. Cicatriu 1
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6 d’ag. 2025
The Great Resignation: Why women health workers are leaving
The ‘Great Resignation’ of women health workers is impacting women and health systems globally, with a concerning ‘Great Migration’ trend. This exodus exacerbates the existing health worker shortage crisis, affecting countries striving to achieve universal health coverage.The report published in October 2023 by Women in Global Health explores these issues in depth and calls for gender-transformative solutions to address workforce imbalances.
Replacing domestic health workers with international recruits may just be putting new recruits into the same broken systems that caused the domestic health workers to leave. Coordinated action by governments is needed urgently to address health worker attrition in the short term and plan longer term to fill health worker shortages sustainably without reliance on unethical international recruitment.
8 de jul. 2025
When you see your neighbor's beard peeling, soak yours.
Waiting lists are at an all-time high, population health outcomes in the UK are worsening, staff shortages and dissatisfaction remain persistent, and public confidence in the institution is wavering. In short, the NHS is in crisis.
The Labour government has increased NHS funding, but not to a level that several experts—including the LSE-Lancet Commission—deem sufficient to meet rising demands. The government has also announced a new 10-year plan. But will these measures be enough?
This event organized by the LSE last june explored the current state of the NHS, assessed whether the government's responses are adequate, and discussed whether more radical reforms are necessary. The discussion provided both critical reflection and potential solutions to address the crisis.
- Podcast to listen to.
- Video of the event to watch
- Slides and Speakers: to download here.
27 de maig 2025
Doctors must live
Caroline Engen published in february 2025 the article: «Doctors must live»: a care ethics inquiry into physicians’ late modern suffering. Med Health Care and Philos 28, 275–290 (2025).
A good article to read (Free Acces) Article
Abstract:
In 2023, thousands of young Norwegian physicians joined an online movement called #legermåleve (#doctorsmustlive) and shared stories of their own mental and somatic health issues, which they considered to be caused by unacceptable working conditions.
This paper discusses this case as an extreme example of physicians’ and healthcare workers’ suffering in late modern societies, using Vosman and Niemeijer’s approach of rethinking care imaginaries by a structured process of thinking along, counter-thinking and rethinking, bringing to bear suffering as a heuristic device.
- Thinking along, taking the physicians’ stories and arguments literally, reveals an image of an unbearable workload.
- Counter-thinking resituates their suffering within the broader conditions of late modernity, suggesting that the root cause may lie not in the quantity of the workload itself but in its qualities and in its perceived threat to their integrity as caregivers through epistemic and moral injury and an inability to respond to this threat.
- In rethinking, the ambiguity of suffering– its dual potential as both a constraint and an opening– becomes central.
Following the physicians’ own interpretations and the solutions emerging from this framing, both their suffering and that of their patients could paradoxically be exacerbated by further decentering physicians and reinforcing utilitarian, data-driven approaches.
However, staying with their suffering and reinterpreting its causes opens possibilities to leverage critiques of medicalization at large and of their own suffering in particular, challenging the assumption that the weight of care must always grow heavier.
From this reframing, I argue, it is possible to reclaim and reimagine care and the clinical space as a nexus of epistemic and moral privilege, recentering response-ability both relationally and socially.
Photo Jordi Soldevila. Els Monstres d'Ingres. III
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30 de març 2025
Marmot places. An initiative that must be implemented in Catalonia
The UCL Institute of Health Equity established in 2011 and being led by Professor Sir Michael Marmot leads and collaborates on work that addresses the social determinants of health and improves health equity. The IHE created the concept of Marmot Places.
Becoming a Marmot Place:
Marmot Places develop and deliver interventions and policies to improve health equity based on eight principles:
- Give every child the best start in life.
- Enable all children, young people and adults to maximise their capabilities and have control over their lives.
- Create fair employment and good work for all.
- Ensure a healthy standard of living for all.
- Create and develop healthy and sustainable places and communities.
- Strengthen the role and impact of ill health prevention.
- Tackle racism, discrimination and their outcomes.
- Pursue environmental sustainability and health equity together.
Photo Jordi Soldevila. Geometries de la injustícia II
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8 de març 2025
The generational differences: Health systems leaders need to modernize the workplace and workforce practices to reflect the values of younger health care workers.
Why new generations workers are leaving from healthcare sector?
Many younger workers cite toxic cultural dynamics, such as micromanagement, hierarchical structures, and lack of support from leadership, as significant contributors to dissatisfaction and burnout.
- Work-Life Balance: Many new workers prioritize flexibility and mental health, yet the rigid schedules and high stress of healthcare roles often clash with these values.
- Communication Challenges: New employees increasingly seek purpose-driven careers, and closing the loop on communication is crucial. Are new employees instructed on how to communicate?. The practice of medicine is based on human interaction and communication, as well as science. Balancing patient needs inside an environment of mutual respect is the goal. The deskless workforce in healthcare is high-touch, with patient and co-worker interaction at the center of service delivery. Knowing how to build trust and collaborate is key, across all generations.
- Conflict with Traditional Structures: Many younger employees feel out of sync with the hierarchical and rigid structures common in healthcare organizations, preferring collaborative and innovative environments.
- Create an environment to report instances of discrimination, inequalities, and racism quickly and anonymously.
- Develop equity-centered hiring and retention practices. Including (DEI) practice: diversity, equity, and inclusion. Employees want to work at organizations that prioritize DEI practices.
- Design a healthy environment that prioritizes employee wellness. Early-career health care workers who began working during the COVID-19 pandemic endured unprecedented stress and pressure that likely influenced their outlook. Both early-career and longtime health care workers increasingly report feeling burnt out; health care leaders need to create work environments that support overall wellbeing and make workers feel heard and valued.
- Promote empathy among the managers and leaders to understand the concerns, feelings, and thoughts of their teams.
- Provide employment opportunities for people with disabilities.
- Create a specific mentoring programms to increase awareness regarding gender, young and old, diversity, equity, and inclusion in an organization.
- Support its employees at every step in their career and promote also the accountability at every step: “Accountability breeds response-ability.”― Stephen R. Covey.
Source:
1. Morenike Ayo-Vaughan and Laurie Zephyrin, “Young Health Care Workers See More Discrimination in the Workplace, Leading to Added Stress and Burnout,” To the Point (blog), Commonwealth Fund, May 29, 2024. Blog
2. Forbes 2024
Photo Jordi Soldevila. Seqüència Xostakòvitx. Quartet número núm 8,______________________________________________________________________
16 de febr. 2025
Managers in health care sector
Key ideas:
- The necessary skills of healthcare managers involve planning, organizing, implementing, monitoring, and evaluation skills.
- Management skills are focused on the use of organizational resources but they also have to center on the mobilization of the members of the organization.
- The good healthcare manager provides trust and confidence to staff and appreciates staff efforts.
- Communication and critical thinking skills, relational and organizations skills for healthcare management, were seen as essential competencies for development.
- Additional skills to manage subordinates and coordinate with top-level managers is necessary: like self-awareness, change management, and conflict resolution.
- Clarity on the roles and responsibilities of existing and new professionals working in healthcare is necessary.
- Interprofessional healthcare management can resolve the issue of superiority and inferiority among healthcare professions – medicine, nursing, allied health including laboratory and pharmacy, among others. It reinforces humility and teamwork while acknowledging the importance of each profession for the improvement of health.
- If a healthcare manager knows how to lead himself, it then becomes easier for him/her to familiarize and knowing more both the members and the organization well.
- Well-managed staff can lead to well-managed patients.
- Management skills can impact positively on patients’ health outcomes.
- Healthcare management is a profession
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5 de gen. 2025
Research on Integrated Care Systems: workforce
Integrated care systems (ICSs) were given statutory powers and new legal responsibilities for the first time in July 2022 in UK.
Photo Jordi Soldevila. Iteració de les portes tancades
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23 de des. 2024
Is competitive pressure essential for sustaining quality in primary care services?
While entry restrictions aim to ensure equitable access to care, they can unintentionally reduce service quality by weakening competition. Policymakers must navigate this trade-off carefully, ensuring that access does not come at the expense of quality. By preserving competitive incentives even in regulated markets, healthcare systems can achieve both equitable and high-quality care.
IZA Discussion Paper No. 17534
Access to working paper 2024 (pdf)
Photo Jordi Soldevila. Merry Christmas
10 de nov. 2024
València. Building Disaster Resilience: A Systems Approach to Leadership Communication
This commentary published by Rand by Millard McElwee and Monika Cooper last November the 4th (2024), can serve the Spanish authorities (local, autonomous communities and national) to reflect on how to improve the communication of possible disasters such as the one that occurred in València.
Some thoughts:
"The future of disaster resilience requires us to learn from past political failures, such as the response to Hurricane Katrina, where the lack of clear communication and cohesive narratives deepened mistrust and fragmented communities.Acces to the commentary: Building disaster resilience
Photo Jordi Soldevila. Geometries de la injustícia
20 d’ag. 2024
Centering Equity in the Implementation of Emerging Digital Health Technologies: AI, genomic medicine, digital media
This paper is the inaugural report in the RAND Center to Advance Racial Equity Policy Methods Volume series. This paper will be the first to center health equity in the implementation of digital health technologies by adapting a methodological framework for its implementation to support the planning and evaluation of digital health technologies. Without an explicit focus on equitable implementation, digital health technologies run the risk of further exacerbating existing health inequities or creating new ones. This paper offers approaches to policymakers, implementation scientists, clinical scientists, government regulatory bodies, and those working in the health and digital technology fields to take the lead in centering equity.
The paper, first describe the persistent health inequities in the United States and how the rapid adoption of digital health technologies can perpetuate those inequities. Then they discuss challenges and limitations of Implementation Science (IS) in centering equity in the rapid adoption of digital health technologies and translating these technologies into equitable improvements in public health. Next, they provide examples of how IS process and evaluation frameworks can be adapted to focus on digital and health equity to leverage emerging health technologies to course correct and address inequitable health outcomes.
Finally, they discuss how these adapted IS process and evaluation frameworks can be applied to address the pitfalls—and realize the promise—of three emerging fields at the intersection of racial and digital health equity: (1) genomic medicine, (2) artificial intelligence (AI) (specifically large language models [LLMs]), and (3) participatory digital media (e.g., blogs, digital stories).
Photo Jordi Soldevila. Gaza. Geometries de la injustícia
1 d’ag. 2024
What builds good health? An introduction to the building blocks of health
Many aspects of our lives impact our health and how long we live. These include our jobs and homes, our access to education, public transport and safe green spaces with clean air, and whether we experience poverty or discrimination. These things are often referred to as the ‘wider determinants of health’, and they are all essential building blocks of our health.
Building a healthy society is like constructing a building. To succeed, we need all the right blocks in place. The building blocks of health are: the food we eat; the work; the family, friends and communities; the transport; the housing; the money and resources; the education and skills; and the surroundings.
30 de juny 2024
Yes, Minister
Yes, Minister is a British political satire sitcom written by Antony Jay and Jonathan Lynn. Comprising three seven-episode series, it was first transmitted on BBC2 from 1980 to 1984. A sequel, Yes, Prime Minister, ran for 16 episodes from 1986 to 1988.
It is a satirical sitcom set in the office of a UK Cabinet minister, Jim Hacker MP, who struggles with Civil Service bureaucracy and political machinations as he tries to get on with government business
Video: Funniest moments
28 de maig 2024
Human resources in the National Health System. SESPAS Report 2024 (part 3)
- Pay for performance in public directly managed healthcare centers. Part 1: General framework. José-Ramón Repullo y JM Freire
- Pay for performance in public directly managed healthcare centers. Part 2: The Spanish National Health System. José-Ramón Repullo y JM Freire
- Dual practice in the Spanish health system: problem or solution? Ariadna García-Prado, Paula González
- Recruitment, selection and retention of health professionals in indirect management and private management entities Olga Pané Mena y Pau Gomar Sánchez
- Health and well-being of healthcare workers: employment and working conditions beyond the pandemic Fernando G. Benavides et. al
12 de maig 2024
Human resources in the National Health System. SESPAS Report 2024 (part 2)
- Human resource management in health. Consensual paths forward
- Miguel Angel Negrín, Vicente Ortún
- An overview of health workforce mobility in the European Union under the current supply challenges. Angela Blanco Moreno
- Dual practice in the Spanish health system: problem or solution? Ariadna García-Prado, Paula González
- Recruitment, selection and retention staffing policies in health services directly managed. Ricard Meneu
1 de maig 2024
Human resources in the National Health System. SESPAS Report 2024
The Spanish Society of Public Health and Health Administration publishes in Gaceta Sanitaria its biennial SESPAS 2024 Report, which shows a series of artices analysing the current situation of the National Health System in terms of Human Resources.
- Human resources in the National Health System. Medical education. Felipe Rodríguez de Castro, Teresa Carrillo Díaz, Arcadi Gual i Sala, Jordi Palés Argullós
- Experiences in human resources planning for health: The case of physicians. Data and models. Patricia Barber Pérez, Beatriz González López-Valcárcel
- What do we know and what should we know about the imbalances of doctors in Spain? Diagnosis and proposals. Beatriz González López-Valcárcel, Patricia Barber Pérez
- Shortage of nurses in Spain: from the global case to particular situation. Paola Galbany-Estragués, Pere Millán-Martínez
- The challenges of human resources governance in public healthcare. Javier Hernández Pascual


















