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COVID-19 and the structural vulnerabilities in the Spanish health and long-term care systems Ruano De La Fuente, José Manuel Díaz-Tendero Bollaín, Aída 32 Health care policy Long-term care Resilience Spain Vulnerability Ciencias Sociales 59 Ciencia Política The article analyses the impact of COVID-19 on health and long-term care systems, as well as institutional resilience by applying indicators of preparedness, agility and robustness. The study shows how the weakness of intergovernmental and crosssectorial coordination instruments, and the particularities of the Spanish health and long-term care sectors, hindered the initial response to the challenges presented by the pandemic. However, after the first tragic wave of the disease, the intensification of cooperation mechanisms between health and social services authorities, as well as the free initiative of long-term care facility managers, corrected these initial errors and reversed the long-term care facilities’ extremely fragile situation Depto. de Ciencia Política y de la Administración Fac. de Ciencias Políticas y Sociología TRUE pub 2025-03-12T12:04:32Z 2025-03-12T12:04:32Z 2022-05-01 journal article VoR https://hdl.handle.net/20.500.14352/118703 1680-4333 10.1057/s41304-022-00381-x 1682-0983 eng Ruano, J.M., Díaz-Tendero, A. COVID-19 and the structural vulnerabilities in the Spanish health and long-term care systems. Eur Polit Sci 22, 395–405 (2023). https://doi.org/10.1057/s41304-022-00381-x Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ open access application/pdf Palgrave MacMillan