De la evaluación a la gestión: acortar la brecha entre eficacia y efectividad

This article proposes three main arguments: that the clinical and health management acts to reduce the gap between the efficacy and the effectiveness, and that this is achieved by paying for results, and the management of the health organisations requires an active interaction with its environment. It seems logical to pay for the results in terms of public health and to use the incentive of the yardstick competition (competence by comparison). It would be suitable to put an end to the platitudes «more public health», «more education», «more I+D+i», and to strive in obtaining better health public, better education, better «I+D+i» applying what we already know. The evaluation, of any type, produces analytic knowledge, and it is normally convenient to investigate and to evaluate, but the real deficit is produced at the practical level: It is necessary to get things done, an implementation talent in order to turn knowledge into a better management, a talent which is obviously constrained by some limitations whose consideration would close this article.