On October 4, 2021, at the inauguration of the Diploma of Specialization in Health Management (26th edition), jointly organized by the University of Granada and the Andalusian School of Public Health, I had the opportunity and the honor to make a presentation on the challenges of health systems in the 21st century, with the attached presentation (go to the Spanish version)
The main message is that the greatest challenge for healthcare systems is the confluence of scaling costs and the need to offer safety and quality. This dilemma is hardly compatible, unless very intensive management is carried out, with an emphasis on productivity, the efficiency of health organizations, prevention, substantial changes in the healthcare model, in the fight against waste, in a correct approach to chronic patients, in a greater role of the patient, in a results orientation, without fear of introducing incentives and, of course, with adequate information.