Metas de Enfermería

Metas de Enfermería

DICIEMBRE 2010 N° 10 Volumen 13

Management positions in public hospitals of Madrid and Spanish professional associations. A gender analysis

Section: Healthcare Management

How to quote

Orsi Portalo E et al. Cargos de gestión en hospitales públicos madrileños y en colegios profesionales españoles. Metas de Enferm dic 2010/ene 2011; 13(10): 50-55


1Enrique Orsi Portalo, 2Agustín Reoyo Jiménez, 1Cristina Cano Cayuela, 1Montserrat Uguina Coscostegüe, 3Dolores Seguido Giménez


1Enfermero del Hospital Universitario 12 de Octubre de Madrid. 2Médico de Atención Primaria del Centro de Salud “Caramuel”, Madrid. 3Colegio Oficial de Diplomados en Enfermería de Madrid.

Contact address

Enrique Orsi Portalo. C/ Alerce, 23-2º C. 28041 Madrid.

Contact email: enriqueorsi@gmail.com


Objective: to analyse management positions from a gender perspective, in two types of organizations: public hospitals of the Community of Madrid and physician and health care aids/nursing university graduates associations.
Material and method: cross-sectional descriptive study. Quota sampling was performed for the hospital-based study, and 11 hospitals were selected­ through consensus of the research team. Subsequently official data for these hospitals were collected from direct surveys administered to the centre’s management; as for the regional professional associations of physicians and health care aids/nursing university graduates, information was
collected by accessing all of their official websites. Study variables: sex, category and autonomous communities.
Results: the sample included 30.909 employees, 23% of which were males and 77% females. 54% of positions were occupied by males and 3% of females held positions versus 13% of males. Within the non-physician health care staff 82% of positions were occupied by women; in the medical health care staff, this percentage was 26%, and in non-health care staff, 44%. In physician professional associations, 20% of positions in boards of directors were occupied by women. In nursing associations, women occupied 58% of positions in the boards of directors.
Conclusions: these results demonstrate the existence of a clearly unequal distribution in the access to management positions in specialised care centres of Madrid’s public network. Of the three categories, non-medical health care staff is the only one in which management positions are held mainly by women. In regards to physician and health care aids/nursing university graduates professional associations, there are even more marked differen­ces in terms of female representation in governing boards and the importance of the positions they occupy within them.


management position; unequalwomen

Versión en Español


Cargos de gestión en hospitales públicos madrileños y en colegios profesionales españoles. Un análisis de género