Health and long-term care for the elderly systems in Spain: public-private partnerships and institutional performance

DOI: https://doi.org/10.5209/poso.85063
Keywords: Long-term care, older persons, elderly, health policy, long-term care policy, public-private partnerships, institutional performance, public services outsourcing, long-term care facilities (LTCF)

Abstract

This article analyses the use of public-private partnerships in health policy and in the long-term care sector for the elderly in Spain. By analysing quantitative data from different official sources, the paper starts from the context and the evolution of both sectors and explores the existence of possible correlations between the use of indirect management models by the Autonomous Communities in the implementation of these essential services and their performance expressed in indicators of expenditure, available means and results achieved. The research shows that contextual variables and the resort to private operators have a strong influence on the provision of health services, while in the long-term care sector the size of the nursing homes has been more decisive as an explanatory factor for mortality rates associated with covid-19 than their legal nature, whether public or private.

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Author Biography

José M. Ruano, Universidad Complutense de Madrid

Es doctor en Ciencias Políticas y Sociología por la Universidad Complutense de Madrid
(UCM) desde 1995. Actualmente imparte docencia como profesor titular de Universidad
en los estudios de grado y postgrado de la Facultad de CC. Políticas y Sociología de la
UCM en el área de Ciencia Política y de la Administración, y ha impartido docencia en
diferentes Universidades europeas y americanas. Ha desempeñado varios cargos de
gestión académica universitaria, entre ellos el de Vicedecano de la Facultad de CC.
Políticas y Sociología (2002-2006) y Director del Centro Superior de Estudios de
Gestión, Análisis y Evaluación (2015-2017). Actualmente es Coordinador del Máster
Universitario en Gobierno y Administración Pública y Director de la Escuela de
Gobierno de la UCM. Sus principales líneas de investigación son el gobierno local y las
políticas públicas, los procesos de descentralización y la reforma del Estado. Es
Codirector del Grupo de Investigación Diseño de Políticas: Transferencia e Innovación
Social (POLiTIS) y Vicepresidente (además de Presidente de su Consejo Científico) de
EUROPA (Entretiens Universitaires Réguliers pour l’Administration en Europe), ONG
internacional con estatuto de entidad colaboradora del Consejo de Europa. Algunas de
sus últimas publicaciones son: - (2020) Franzke, J. (eds.): Local Integration of Migrants
Policy. European Experiences and Challenges, Cham: Palgrave Macmillan; Ruano J. M.
y Díaz-Tendero, A., COVID-19 and the structural vulnerabilities in the Spanish health
and long-term care systems, European Political Science Review, 2022, ISSN: 1755-
7739-.

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Published
2023-08-25
How to Cite
Díaz Tendero A. y Ruano J. M. . (2023). Health and long-term care for the elderly systems in Spain: public-private partnerships and institutional performance. Política y Sociedad, 60(2), e85063. https://doi.org/10.5209/poso.85063
Issue
Vol. 60 No. 2 (2023): Monográfico: Políticas públicas y derechos humanos de las personas mayores en la Europa mediterránea y en América Latina y el Caribe: seguridad económica, salud y cuidados de larga duración
Section
Monographic

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