-
An Agatha Christie One
We have all heard of Agatha Christie (1890–1976). This British writer, specialist in detective novels, achieved major international success and even set a Guinness World Record as the best-selling novelist of all time. A pioneer in the detective genre, she has been copied and plagiarised: yes, it happened to her work, too, though no copy…
-
What’s easier: implementing health reforms or climbing Mount Everest?
Health systems around the world must face major global challenges like an aging population, chronic diseases, the evolution of technology, and the introduction of new medicines. While it is true that we are still in the beginning stages of defining a strategy to address these challenges, many countries are fortunately already working ‘side by side’,…
-
The report that is becoming topical once again
I recently read that in 2022, however incredible it may seem, we will be given more fake news than true. In fact, various media outlets and even Twitter and Facebook are working on how to solve this problem and ensure that the quality of journalistic information is the fundamental pillar of a mature, democratic society.
-
We have made the news in the MIT Technology Review
The Spanish edition of the prestigious magazine, MIT Technology Review, created under the umbrella of Massachusetts Institute of Technology, contacted me recently for an interview. I was delighted about the call from the oldest technology magazine in the world.
-
Heroes and heroines
This morning we celebrated the eighth anniversary of Hospital Universitario del Vinalopó (Elche, Alicante) with an awards ceremony for “The Health Advocate Awards 2018”, an honor that is bestowed every year by the health centre to professionals, institutions and entities in recognition of what they have done with regards to health.
-
The ´A Tu Salud´ supplement turns 15
The weekly supplement, A Tu Salud, edited by the La Razón newspaper, is now 15 years old. It is one of the most award-winning specialised publications in the Spanish press, both in print and digital. Through this blog I´d like to congratulate their director, Sergio Alonso, and all of his team for the excellent work…
-
From professional to political management
On 14th, January, 2017, the then commisioner of the Ribera Salud Department, José Sanfeliu, recently named the Deputy Director of staff costs and financial control of the Ministry of Finance, had already predicted: «A La Ribera job pool will be created, which will include our family and friends«. It has been barely a month and…
-
The story of Alzira in two speeches
It´s been a month since the Valencian government took over the management of La Ribera Health Department. After almost 20 years of private management, on 1st April, La Ribera began a new stage of direct public management. There are many conclusions to be made about the whole situation, which I will discuss in future blog…
-
The future of healthcare
Last weekend the Club de los Viernes held an open house in Madrid, which I had the pleasure to attend. The agenda included a conference on the future of healthcare, with recognized speakers, gathered at a round table where the current challenges faced by this sector were highlighted, such as the involvment of the Public Administrations.
-
The night of the journalists
The Valencian Community Journalistic Awards were presented last night. It was an event organised by CSIF (The Confederation of Independent Trade Unions) and an event that we have supported since its very first edition. It’s a very special night on which media professionals from the three provinces come together to pay tribute to the award…
-
A year full of contrasts
This morning I went to the Casa de América in Madrid, a beautiful place that always reminds me of the roots that connect Spain and Latin America. My visit was due to Ribera being acknowledged by the Asociación por la Excelencia de los Servicios Públicos for the work that we have carried out in the Ribera Department.…
-
The Value of Transparency
The healthcare publication New Medical Economics has awarded Ribera Salud the prize for ‘Best Society Transparency Policy’, as voted by the Editorial Board and its readers. We collected the award yesterday in Madrid, and I must say that I am particularly excited to receive this acknowledgement given the present situation.
-
Harvard: innovation and transformation as managers of change
I’ ve come Boston where I’ve participated in a very interesting conference hosted by Harvard University on the sustainability of public health systems. It strikes me that while in universities as prestigious as this one conferences of such high level are usually held back in Spain people are more worried about simple debates. In our country, people…
-
Alzira model: innovative management experiences
This morning, in Madrid, I attended the launch of the book “Colaboración público-privada en sanidad: el Modelo Alzira” (Public-private partnership in health: the Alzira Model). This book, which aims to analyse the performance of Valencian healthcare concessions and their role within the public health system, compares their results with those of some Catalan public and…
-
For accountability, transparency and good governance
Unfortunately, we are currently hearing some speeches from certain groups who intend to influence public opinion by spreading all kinds of claims against public-private collaboration so as to eliminate or reverse it. In healthcare, little or no importance is given to the management model developed by Ribera Salud which provides fair access to health services;…
-
How much longer do I have to wait?
The latest regional data collected by the Government shows that surgery waiting times have increased again within the Spanish National Health Service (SNS) and, once again, I am regret to see that the SNS surgery waiting list has again become catastrophic. According to the latest figures published last week by the Ministry of Health, the…
-
2017 Defensores de la Salud Award (an award that recognises the work of prestigious Spanish companies and institutions in the field of healthcare)
Last Friday, in Elche, we celebrated the seventh anniversary of the Hospital Universitario del Vinalopó with the handover of the Defensores de la Salud Awards, which this year have recognised the career of some great professionals: former socialist minister Julián García Vargas (Minister of Health and Consumer Affairs between 1986 and 1991) and the editorial…
-
Red lines
The global challenges faced by public health have given rise to a worldwide debate on the issue. I have had the opportunity to participate in many forums invited by governments, universities, and multilateral institutions to contribute with our vision, experience, and strategies.
-
A public soul
In recent weeks I haven’t wanted to pay too much attention to the media, because the public statements against public-private collaboration in healthcare give me intellectual anxiety.
-
Chronicle of a demographic crisis foretold
Through this digital window I always try to submit relevant articles or facts that may be interesting and useful in forming an opinion. Often I’m aware that I may seem repetitive, but there are issues that cause me great concern and, above all, disquiet because I see that many of them -or that’s the impression…
-
Let there be light!
I have always insisted that the more private partnership there is, the greater the public control required. For years we have been demanding an observatory on public-private partnership to evaluate and transmit to society the value generated by this management model, similar to what happens in other countries of our beloved European Union. Very often…
-
New lifeblood for Valencian Health Care
For another year, Ribera Salud has been working together with the Valencia Collegiate of Physicians Foundation to reward the best score on the 2016 Resident Internal Medical (MIR) exam and award grants for the European exams. In this year´s edition, the winners are Dr. Javier Pitarch, Dr. Guillermo Hernandez and Dr. Maria Pacheco.
-
Manuel Marín In Memoriam
Manuel Marin Ferrer, former managing director of the Hospital Universitario de La Ribera (Alzira) and its Department of Health, has passed away. When those of us who knew and worked with him learned of this news, we were greatly saddened. Manolo only retired last January when he was able, at last, to enjoy the company…
-
Health, a sector on the waiting list
I have recently read some articles that pretty much sum up the worrying situation of the Spanish public health finances and how this has affected the huge increase in waiting lists. In other words, costs are on the rise and healthcare figures are simultaneously deteriorating. Greater expenditure and a degenerated service.
-
In a normal country
Health waiting lists are one of those things that seriously affect the daily lives of the general public. Recently the Ministry of Health presented the figures on surgical waiting lists, which came to 57,898 people, with the average delay running to 120 days. According to this estimate, Valencians have to wait on average over four…
-
His first day at work
Yesterday I visited Alzira to attend the presentation of the new director of the Health Department of La Ribera, Dr Javier Palau. It comes as no surprise that news of his appointment has been prominent in local and national communication media, because our way of understanding healthcare, the management model of Ribera Salud, continues to…
-
The elephant in the room
Last week I published an editorial in the journal El Economista Comunitat Valenciana to reflect on the current status of the pensions nest egg and what its situation would be in the not-too-distant future. I also wanted to share this on my blog. I hope you like it.
-
Collective briefing sessions
I look in amazement at the strange ‘collective briefing sessions’ initiative that has recently been put into place in the Valencian public healthcare system. It seems like the aim is to cut waiting lists, a great and unfair weakness in the traditional public healthcare system, by combining briefing sessions with ‘pre-anesthesia consultations’ for a large…
-
New year, new healthcare
2015 was a turning point in the history of Ribera Salud. We have strengthened our presence in the Valencian Community by becoming the majority shareholder at the Health Departments of Alzira, Torrevieja and Vinalopó. Through these deals, our group has consolidated its leading position in the concessions sector.
-
The nitty gritty
It is a fact that healthcare is subject to permanent public debate which it has to live with. A different issue is whether I consider this to be positive or negative; but to not acknowledge it would be naïve.
-
From Alzira to Boston
On November 3 I had one of the most exciting professional experiences of my long career. I had the honor and privilege to sit in an MBA Class at the University of Harvard in Boston (Massachusetts), where our management model at the University Hospital of La Ribera was presented as a business case study.
-
BIC Awards, rewarding health service excellence for ten years
Once again we have reason to celebrate at Ribera Salud. Once again, the outstanding daily work carried out by our professional staff has been publicly recognised by one of the most important healthcare awards in Spain, the Best in Class Awards. These awards, -organised by the Rey Juan Carlos University Chair of Innovation and Health…
-
A warning from Europe
As you all know, I enjoy writing about health but, being the economist that I am, what really interests me is macroeconomics. This being so, I would like to share with you my column which was recently published in the journal The Economist Valencian Community, whom I would like to thank for their interest in…
-
Sustainability of healthcare systems is a cause for concern to the OECD
For readers of this blog, it will come as no surprise that I echo the findings of international reports which raise concerns about sustainability problems which our healthcare systems will have to face in the future. This time it is the Organisation for Economic Co-operation and Development (OECD) which has produced a report detailing its…
-
From Canada
Imagine a country with a decentralized health system. Imagine a country where 40% of the regional government’s budget is dedicated to health expenditure. Imagine a country where health expenditure growth exceeds the GDP over the last 15 years. Imagine a country where the public debt of the regions is the highest in the world. After…
-
Jeremy Hunt’s thoughts
Today I would like to give up my blog to the UK’s Secretary of State for Health, Jeremy Hunt, who has talked about our Model in a national event in London. You can find here a brief summary of his speech talking about Ribera’s health model: “With smart metrics we can also be less prescriptive…
-
The challenge of aging and chronicity
This week I was in Madrid attending the ‘To Your Health’ awards, which every year brings together, at the headquarters of the «La Razon» newspaper, those organizations and professionals with the biggest pulling power in the sector. This year I also went to collect an award, as happened in 2013, when the work in our…
-
A project for the future at the service of people
Five years have passed since the people of Elche saw an historic dream come true with the opening of the city’s second hospital. And five years is long enough to be able to draw some conclusions about the launch of what has been the most important health project in the province of Alicante in recent…
-
The Balmis expedition returns to the University
It’s time to celebrate! Thanks to the support of our company, on 28 May the University of Alicante presented the ‘Balmis Chair in Vaccinology’. We are honoured to take a step further in our collaboration with educational institutions as prestigious as this university and see that the commitment, made together in September 2014 with all…
-
A forum open to the world
A few weeks ago I was in Mexico participating in the World Economic Forum on Latin America. As a result of my invitation to the event, I was able to experience first hand the objectives, initiatives and hopes of a continent that is at full steam rather than one just evolving: a Colombia that faces…
-
We all need to do our part
The DNA of the Alzira Model is based on more than just management-related tools like capitation payment, integrated care, professional incentives and information and communications technology. Corporate Social Responsibility (CSR), the support of social initiatives and defence of public principles also play an extremely significant role. These are the values that I feel most satisfied…
-
A historic ruling
I have to say, I am very satisfied with the ruling of the Constitutional Court of 30 April 2015 on the process to outsource the management of six public hospitals in Madrid. At Ribera Salud, we have abstained from making public statements on the matter because we do not want to participate in the ongoing…
-
Presentation of the PPP conclusions
Firstly, I would like to thank the Valencia Business Confederation (CEV) for the trust placed in me to chair this working group which, four months after its creation, can already put forward an initial assessment on its presence in Valencia. Many thanks to all its members, -Aguas de Valencia, Pavasal, Logitren, Hidraqua, Eulen, the Federation…
-
There can be no welfare state without public-private partnerships
The central government recently published the 2015 public deficit data of all the Public Sector Institutions and there is a worrying fact: nearly all the autonomous regions have failed to comply with the deficit ceilings committed to at European Union level. It is clear that autonomous regions have to bear most of the expenses necessary…
-
19th National Hospital Congress
Last week, Alicante hosted the 19th National Hospital Congress. Sadly, for work reasons, I was unable to attend this massive gathering of over 2.000 health professionals from the whole of Spain. There were friends there who I would have liked to meet. Taking part in this year’s edition was important to me for several reasons.…
-
6 years celebrating freedom
Last night, the Valencian Community journalism prizes were awarded in Valencia. Once again, Ribera Salud took part in this great CSIF initiative which, after six years, has fulfilled the objective which it was created for: to recognise the work carried out by media professionals. Every year, this great event is filled with warmth and professionalism.…
-
A brighter future?
02Job security, ensuring a decent salary and office hours are at the top of millions of young Spaniards’ wish lists; or so the statistics would indicate. According to the report Young Business Talents, young Spaniards are the most likely out of all Europeans to opt for a position in the civil service as the best…