Ruano De La Fuente, José ManuelDíaz-Tendero Bollaín, Aída2025-03-122025-03-122022-05-01Ruano, 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-x1680-433310.1057/s41304-022-00381-xhttps://hdl.handle.net/20.500.14352/118703The 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 situationengAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/journal article1682-0983https://doi.org/10.1057/s41304-022-00381-xhttps://link.springer.com/article/10.1057/s41304-022-00381-xopen access32Health care policyLong-term careResilienceSpainVulnerabilityCiencias Sociales59 Ciencia Política