Abstract：
Healthcare professionals deserve good management, and Spain, stagnant in its productivity, needs it. Good management is possible, as evidenced during the states of alarm in 2020. None of the lessons learned have been consolidated. Dismissing the term \"public management\" as an oxymoron is extreme, as there has never been a greater need for a well-functioning state, along with a better market, for reasons beyond the consolidation of the welfare state. The opposite extreme of thinking that salvation lies only within the civil service is also unhelpful. Bureaucratic sclerosis, a sign of deterioration, focused on legality or its appearance, cannot continue to ignore the need for effectiveness. The quality of management, both in general and in the healthcare sector, can be measured, and there is knowledge on how to improve it. More flexible models of labor relations -for selection, recruitment, and retention based on improved criteria of \"equality, merit, and capability\"- require modifications in institutional architecture, as proposed in this article: competitor benchmarking among autonomous centers and responsible entities that share standardized rules. The healthcare system, the jewel of the country, thanks in large part to the quality of its human resources, not only deserves to have its potential unleashed but can also lead the necessary increase in its resolution capacity, ensuring its impact on social well-being. It can also document its research and innovative capabilities in intellectual property, thereby contributing to the gross domestic product.
摘要：
医疗保健专业人员应该得到良好的管理，西班牙,生产力停滞不前，需要它。良好的管理是可能的，正如在2020年的警报状态中所证明的那样。吸取的教训都没有得到巩固。认为“公共管理”一词是一种矛盾的说法是极端的，因为从来没有比这更需要一个运转良好的国家，随着更好的市场，出于巩固福利国家之外的原因。认为救赎只存在于公务员制度内部的相反极端也是无益的。官僚主义硬化症，恶化的迹象，专注于合法性或其外观，不能继续忽视有效性的需要。管理的质量,无论是在总体上还是在医疗保健领域，可以测量，并且有关于如何改进它的知识。更灵活的劳动关系模式-供选择，招募,和保留基于改进的“平等”标准，功德,和能力“-需要修改机构架构，正如本文所提出的:自治中心和共享标准化规则的负责实体之间的竞争对手基准。医疗保健系统,这个国家的宝石，很大程度上要归功于其人力资源的质量，不仅应该释放其潜力，而且还可以引领其解决能力的必要提高，确保其对社会福祉的影响。它还可以记录其在知识产权方面的研究和创新能力，从而为国内生产总值做出贡献。
