Despite the advantages of one system or the other, it must be taken into account that the application of these results to a health center will depend a lot on its size, thus open policies seem more suitable for a health center of size medium or small; where staff can have quality time with their patients, without the need to adhere to a strict schedule, while in larger centres, where the number of patients per doctor is high, the best system would be that of restrictive policies, where a minimum of care is guaranteed to all patients.
Despite this, the demand from both patients and their families that Healthcare Personnel should not lose the warmth of human relationships during their visits, whether restrictive or open, has to be highlighted.
That is to say, and regaining the idea of this section, what has been presented is the data regarding the human resources of Health Personnel, doctors and nurses, as well as the material resources considered these as the number of beds available, not attending to other characteristics in terms of quality of the caring or how modern the technological equipment is.
To know these aspects, Health Consumer Powerhouse Ltd must be consulted which publishes the Euro Health Consumer Index annually, where 46 indicators are taken into account, including areas such as the patient´s rights or the information received, establishing from this a ranking of health systems in Europe, with Switzerland, the Netherlands and Norway having the best scores in 2018; and the worst Albania, Romania and Hungary (Health Consumer Powerhouse Ltd, 2018) (see Figure 4).
Illustration 4 European Health System Ranking
Even with all the data presented, it is not possible to establish a priori which country will better withstand a health crisis, since in these circumstances the available resources in terms of personnel and number of beds may have a greater relevance, compared with the results regarding satisfaction with the rights of the patient or information that he receives.
In addition, and alongside with the above, it must be taken into account that governments are implementing a series of measures that make the number of patients attended wherever they reach health services staggered or not, so that a controlled progress of a disease can be adequately cared of, by a health system with adjusted resources, while a peak of contagion and therefore of patients requiring hospitalization can cause the collapse of any health system, no matter how prepared it is.
About COVID-19
Although it is a new virus, a lot is already known about COVID-19, starting with the family it belongs and the characteristics of this Coronavirus (@CSIC, 2020) (see Illustration 5)
Information has been discovered thanks to the involvement of numerous research laboratories and universities around the world, and having in addition for the first time the genetic sequence of the virus released by China as a way to stimulate the search for a cure.
These two factors have allowed that different tests are currently being carried out throughout the world, trying to know how to combat its advance and especially to reduce the death rate.
From the O.M.S. answers are offered about what COVID-19 is, what its symptoms are, how it spreads, or what is the recovery and death rate among those infected, and others (O.M.S., 2020b).
But despite this, various aspects are still being investigated today for which there is still no answer, especially in relation to an effective treatment, both preventive and to reduce the consequences of the disease.
Illustration 5. Tweet Image of COVID.19
The name of COVID-19
One of the problems of social psychologists is to achieve customer loyalty to a brand, this being the one we use to identify a certain person, product or company.
Normally when we think of a company like Coca-Cola, McDonald or Ikea, we usually do it with respect to the products they sell. If we look at other brands such as U.P.S., Iberia or Microsoft, we do it on the services they offer.
Something that will decisively influence the acquisition of the product or service in question, not only based on our own criteria, but also on the influence of the opinion of others and the media through advertising.
Likewise, when we think of Stephen Hawking, Barack Obama or Rafael Nadal, we no longer do so in products or services, if not because of their Personal Branding or personal brand that they have developed thanks to their scientific, political or sports careers respectively, that is, emotional aspects are associated with the brand, which can be linked to a person, company and even location.
Well, the same happens when misfortunes are to be called, as happens when designating tropical cyclones that annually hit a large part of the Caribbean and North America.
As reported by the World Meteorological Organization (World Meteorological Organization, 2020), these names follow pre-established lists that rotate, leaving in many the memory of the effects of Hurricane Katrina in 2005 or Ike in 2008.
Therefore, in principle, these names are not related to the date on which it occurs, the violence or the areas most affected, among these there are English or Spanish (for example, Barry or Gonzalo respectively), male or female (for example , Lorenzo or Laura respectively), but does the name of tropical cyclones have an impact on the population?
This is what has been trying to find with an investigation carried out by the Department of Administration and Companies; in conjunction with the Department of Psychology, the Communications Research Institute, and the Women and Gender Surveys Research Laboratory of the University of Illinois; together with the Department of Statistics of the Arizona State University (USA) (Jung, Shavitt, Viswanathan, & Hilbe, 2014).
The study analysed the climatic consequences of hurricanes in the United States during the last six decades, differentiating them based on masculine and feminine names, first finding that those with feminine names had been the ones that had led to the greatest destructive effects and deaths.
It must be remembered that the list of names is predetermined and that their assignment is consecutive, so a priori there is no relationship between the gender of the name and its violence, so the most surprising thing about the study is that they passed a list of names of hurricanes, 5 male and 5 female to 346 participants, so that they assessed through a Likert-type scale from 1 to 7 to what extent each of the hurricanes on the list was considered violent.
The results show that hurricanes with male names tended to be valued as more destructive than those with female names, regardless of the gender of the participants.
Which allowed us to understand why sometimes when faced with notices from the authorities, more or less attention is usually paid to prevention, for example, simply because the assigned name is male or female.
On the other hand, the name of diseases in the health field is usually indicated by acronyms that are related to some identifying characteristic of the site, symptoms or consequences.
Thus, and within the family of coronaviruses, there have been several outbreaks before, such as in the case of SARS-CoV that emerged in China in 2002, whose initials correspond to the Severe Acute Respiratory Syndrome Coronavirus and which refers to its symptoms; the MERS-CoV that arose in Saudi Arabia in 2012 and whose initials in English refer to the Middle East Respiratory Syndrome Coronavirus, where the symptoms and location are described; and the COVID-19 that emerged in 2019 in China whose initials in English refer to the Coronavirus Disease of 2019, without making any indication of the symptoms or the town where it arose.
It should be taken in mind that the term COVID-19 has not been the first to be used for this disease but rather it has been a change introduced almost two months after the first case reported to the WHO emerged, which has led to some proposing that the motivations for modifying it by incorporating an official name could have been carried out to avoid the negative economic consequences of associating a type of disease with a region or population (@radioyskl, 2020) (see Illustration 6).
In this way, the aim would be to eliminate the names of China virus or Wuhan virus, terms that point directly to the source of the infection.
A deference to China that some health professionals denounce, for not having the same consideration with other populations as in the case of the Middle East Respiratory Syndrome Coronavirus.
Despite the fact that an official name of COVID-19 has been given, the population has continued to use the denomination of Viruses and especially Coronavirus to learn about the symptoms, prevention measures or extension of the disease, and although it is still too early to understand the reason why the official name has failed.
Illustration 6. Tweet Name of COVID-19
It must be taken into account that in order to create a new brand and get adherence to it, a series of variables must be addressed, as has been analysed by the University of Taylor (Malaysia) (Poon, 2016) with an investigation where an attempt has been made to find out the motivations for the success of certain brands compared to the rest, for this purpose, a list of fifty best-selling products for daily use was selected, from the two main marketing companies, to verify the effects of the brand.
After analysing the messages, pamphlets and advertising that are disseminated about these two brands by the media and the networks, it was found through the application of textual analysis and the interpretive method, that these brands were based on two pillars to maintain the loyalty of its customers.
The first one is the ability to generate positive emotions; and the second was that of the aesthetics of honesty, that is, it appears that the product actually serves what it indicates, maintaining the advertised quality standards.
Regarding the credibility of the WHO, indicate that according to the survey carried out by WIN / Gallup International (UN, 2014), this organization together with UNICEF are the highest valued international agencies worldwide, showing how 72% of those interviewed had good opinion of these organisms.
Therefore, it would be expected that citizens will gradually adopt this last name, taking into account the delay that occurred between the announcements of its official name made on February 11, 2020 (see
Illustration 6), while the worldwide concern began almost a month earlier, on January 20, 2020, in turn, almost a month after the first case was reported on December 31, 2019.
The evolution of the pandemic
Despite the fact that the circumstances are recent and do not allow us to analyse the information with a certain perspective, a small sequence of dates and data regarding the current pandemic is presented below, emphasizing information on health personnel, first in a general way and then specifically in Spain.
Thus, it should be noted that the new coronavirus 2019 (n-CoV) as it was initially named, also known as China virus or Wuhan virus which is the name of the Chinese province where the contagion began, being its official name COVID-19 according to WHO statements on February 11, 2020.
Although the first declared case of COVID-19 was at the end of December in China, some investigations indicate that several cases had previously occurred which had not been reported to the O.M.S. Likewise, there has been criticism about the late declaration of a pandemic by this organization made on that same day, March 11, 2020, when there were already more than 1,000,000 infected in the world (@radio_angelica, 2020) (see Illustration 7).
Illustration 7 Tweet Declaration of Pandemic
A virus, unknown until that moment, that little by little was spreading, but of which importance it seemed only that the health personnel were aware, thus the population until they saw the measures that were being adopted by the different governments, was calm trusting in the bonanzas of its own health system.
Perhaps the most drastic and unpopular measure adopted little by little by most countries as people infected with the virus were detected among their citizens, has been that of confinement at home when required, where the person must to avoid going out into the street and to do so only in justified cases since, if not, he can be arrested and taken to prison, or receive a heavy penalty for it.
The practice of confinement began in China and to the amazement of the world, where a large part of the population of the Hubei province, where is Wuhan, the city where the outbreak occurred, was confined in their homes.
A confinement that affected millions of citizens overnight, something that until then would be thought to be impossible due to the number of people involved, a decision that was adopted on January 24, 2020 (@shildalys, 2020) ( see Illustration 8).
Illustration 8 Tweet about quarantine in China
Controversial decision regarding the limitation that it supposes with respect to individual rights of movement and even work, but that it is necessary to adopt in times of health crisis if the good of the community is considered, carried out with the purpose of stopping the spread of the disease among citizens.
Aspect not always understood by the population that is confined, hence the governments have invested millions in advertising campaigns through the media and social networks to modify the vision of this restrictive measure, as necessary in based on the circumstances that are being experienced at that time.
After the decision taken by China and based on the growing number of cases that were beginning to be detected, Italy carried out the same restrictive measures in terms of movement in some of the northern regions, a decision adopted on the March 7, 2020, then passing the measure to the entire country, and from there to prevent the effects of the consequences of COVID-19, each country has been adopting similar measures, deciding in each case the partial or total closure of activities non-essential, or literally closing the country to prevent infected foreigners from bringing the disease (@Renzo_Utili, 2020) (see Illustration 9).
Illustration 9 Tweet about the quarantine of Italy
In the specific case of Spain, the first contagion occurred on January 31, 2020, from a foreign citizen.
Situation that has required that the government have had to take measures as the number of infected and deceased has been increasing, so much so that Spain has become considered one of the main sources of contagion after China and Italy.
Being March 14 when the state of alarm was decreed and with it the confinement of the majority of the population in their homes, being exempt from this measure the essential personnel, including the bodies and security forces, those involved in the supply or the cleaning of the city, and of course, the health personnel.