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These are the ‘best’ (and ‘worst’) hospitals in Spain

A new ranking reveals which hospitals in Spain are the best. And which are the worst.

These are the 'best' (and 'worst') hospitals in Spain
Photo: pressmaster/Depositphotos

Six of the country’s top ten public hospitals are found in Madrid and two are in Barcelona. Valencia also has one hospital ranked in the top ten, as does Seville.

University Hospital La Paz in Madrid has the best reputation of hospitals in all of Spain, followed by Barcelona Clinic, Gregorio Marañon Unversity Hospital in Madrid and then October 12 Hospital, also in Madrid.

The Vall d’Hebron University in Barcelona is listed in the number 5 spot.

The top five rankings have maintained their positions since last year.


Photo: Pierre-Philippe Marcou / AFP

In sixth place is the Hospital Universitari y Politècnic La Fe in Valencia followed by Ramón y Cajal and Jiménez Díaz both in Madrid.The Virgen del Rocio University hospital in Seville scored ninth in the ranking and Saan Carlos Clinical Hospital climbed into the top ten spot from eleventh position last year.

The Health Reputation Monitor (MRS) rankings were published on Tuesday by Merco based on more than 8,600 assessments of services relating to quality of medical care to medical innovation, to patient experience.

At the bottom end of the scale, Hospital Costa del Sol ranked in 100 place trailing behind Hospital de Mataro and Hospital Universitario Infanta Sofía in San Sebastian de los Reyes, just outside Madrid.

In terms of private hospitals, Clinica Universidad de Navarra, in Pamplona, came out on top, followed by three Madrid hospitals; Hospital Universitario QuirónSalud, Hospital Universitario HM Sanchinarro / Clara Campal and La Zarzuela University Hospital operated by Sanitas.

The Quirónsalud Centro Médico Teknon in Barcelona ranked fifth followed by  Hospital HM Montepríncipe in Madrid’s Boadilla del Monte suburb.


Spain is ranked eighth in the world for its standard of healthcare, out of 195 countries and  even though austerity measures during Spain's economic crisis saw the health budget cut, its healthcare professionals and access to services remain among the best in the world.

Spain is recognised as the leading country in terms of organ donations carrying out more organ transplants per capita than any other nation in the world.

READ MORE: How Spain became the world leader in organ transplants



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How Spain could stamp out smoking

A fifth of Spain's population smokes on a daily basis. With such high numbers, here's how the country's pulmonologists propose to get smokers to quit.

Spain plans to get people to quit smoking
How Spain plans to get people to stop smoking. Photo: Khalil MAZRAAWI / AFP

For many outsiders, Spain is a nation of smokers. 

The stats from Spain’s Ministry of Health show that 23.3 percent of men smoke every day in Spain, compared with 16.4 percent of women.

For both males and females, the highest number of smokers are aged between 25 and 34, meaning that it’s the younger population who are smoking slightly more than the older generations. 

Spain’s pulmonologists are now pushing for the country’s tobacco laws to be tightened, claiming that reform is needed after the last legislation was approved a decade ago.

READ ALSO: Spain warns against smoking and vaping in public to avoid Covid infections

Why is smoking such a problem in Spain and what is being done about it?

The latest stats from the Spanish Ministry of Health show that lung cancer, often caused by smoking, is the third most frequently diagnosed cancer in Spain, with 29,549 cases diagnosed so far in 2021.

Given these high figures Spain’s Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) has proposed five measures to help get people to stop smoking.

SEPAR points out that every time anti-smoking legislation is reformed and things for smokers made more difficult, the prevalence of smoking decreases.  

Smoking on terraces was banned in some regions during the pandemic. Photo: CRISTINA QUICLER / AFP
  • Price of tobacco to rise in 2022

The first point on their list is to raise the price of tobacco, which must cover all forms, from cigarettes to cigars, through to rolling tobacco, and electronic cigarettes.  

This first measure may soon become a reality as the Spanish government has already predicted that the price of tobacco will rise in 2022, after several years of stagnation.  

It is expected that tobacco will be responsible for almost a third of all special taxes received in 2022, equating to €21.8 billion.

According to the World Health Organization (WHO), “cheap tobacco” in Spain guarantees “a percentage of smokers above 30 percent”.

In Spain, the price of a pack of tobacco is around €5, which is much cheaper than in other countries. In Australia for example, a pack of tobacco costs around €22, and in the United Kingdom and France, each pack of tobacco costs around €12.4 and €10.5, respectively.

According to Dr. Carlos A. Jiménez Ruiz, pulmonologist and president of the society, the current anti-smoking law has “some deficiencies” that need to be addressed in order to develop legislation that is more effective and efficient, especially with regard to the prevention of tobacco consumption in young people, but also in helping smokers to stop smoking and in protecting the health of non-smokers. 

READ ALSO – Maps: Which beaches in Spain have banned smoking?

Besides increasing the cost of tobacco SEPAR proposes four other measures to get Spain to quit smoking. These include:

  • Banning the consumption of tobacco in public spaces, even outdoors
    During the pandemic, several regions approved a regulation to prohibit smoking on terraces. SEPAR proposes that smoking be prohibited not only in spaces such as terraces but also in sports stadiums, beaches, parks and bullrings, and that fines should be imposed for those who do not comply.

  • Establish generic packaging
    SEPAR also wants Spain to introduce generic packaging, which means no logos and images of the tobacco companies. This measure has also proven to lower the sales of tobacco in countries where it has been implemented, such as Australia and New Zealand. According to the latest statistics from the Australian National Drug Strategy Household Survey around 11.6 percent of adults in Australia smoke daily. 

  • The regulation of other smoking devices
    Despite the fact that all products that burn tobacco such as cigarettes are already regulated, SEPAR believes that it is also necessary to regulate the sale, consumption and advertising of electronic cigarettes. This is because e-cigarettes have become particularly popular among young people. 

  • Promote help for those seeking to quit smoking
    The last proposal is the creation and development of special units in public health departments to help people to stop smoking and to put more funds towards these programmes. 

How does Spain compare with other European countries when it comes to smoking?

According to the Organisation for Economic Cooperation and Development (OECD), while Spain does have a high number of smokers there are still several European countries that have more. The European countries with the highest number of smokers are Greece, Bulgaria and Hungary.

The latest European survey from 2020 shows that 42 percent of Greeks claim to be smokers, which is only slightly above Spain. 

On the other side, the European countries with the lowest number of smokers are mainly Nordic countries, such as Sweden, Finland, Iceland and Norway.