The need for an independent evaluation of the COVID-19 response in Spain

Potential explanations point to a lack of pandemic preparedness (ie, weak surveillance systems, low capacity for PCR tests, and scarcity of personal protective equipment and critical care equipment), a delayed reaction by central and regional authorities, slow decision-making processes, high levels...

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Bibliographic Details
Published in:The Lancet 2020-08, Vol.396 (10250), p.529-530
Main Authors: García-Basteiro, Alberto, Alvarez-Dardet, Carlos, Arenas, Alex, Bengoa, Rafael, Borrell, Carme, Del Val, Margarita, Franco, Manuel, Gea-Sánchez, Montse, Otero, Juan Jesús Gestal, Valcárcel, Beatriz González López, Hernández, Ildefonso, March, Joan Carles, Martin-Moreno, José M, Menéndez, Clara, Minué, Sergio, Muntaner, Carles, Porta, Miquel, Prieto-Alhambra, Daniel, Vives-Cases, Carmen, Legido-Quigley, Helena
Format: Article
Language:English
Subjects:
Aging
Betacoronavirus
Coronavirus Infections - diagnosis
Coronavirus Infections - therapy
Coronaviruses
Correspondence
COVID-19
Decision making
Delivery of Health Care - organization & administration
Delivery of Health Care - standards
Disaster Planning - organization & administration
Disaster Planning - standards
Humans
Information systems
Leadership
Nursing homes
Pandemics
Pneumonia, Viral - diagnosis
Pneumonia, Viral - therapy
Protective equipment
Public health
SARS-CoV-2
Spain
Surveillance systems
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Summary:Potential explanations point to a lack of pandemic preparedness (ie, weak surveillance systems, low capacity for PCR tests, and scarcity of personal protective equipment and critical care equipment), a delayed reaction by central and regional authorities, slow decision-making processes, high levels of population mobility and migration, poor coordination among central and regional authorities, low reliance on scientific advice, an ageing population, vulnerable groups experiencing health and social inequalities, and a lack of preparedness in nursing homes. [...]the social and economic circumstances that have contributed to making Spain more vulnerable, including rising inequalities, must be considered. Specific concerns include public health functions, leadership and governance, financing, health and social workforce, health information systems, service delivery, access to diagnosis and treatment, the role of scientific research, and the experience and values of individuals, communities, and vulnerable groups.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(20)31713-X