My career combines clinical practice in primary care and management in highly complex tertiary hospitals in Salamanca and Córdoba (Spain), as well as strategic management under the auspices of international organizations (European Union, IDB, World Bank), the Health Departments of various Autonomous Communities (Castilla y León, Balearic Islands, Aragón, and Andalusia), and the Spanish National Health System.

I was a pioneer in the introduction of paper-based medical records for primary care and in the implementation of community health programs.

I designed clinical software programs for the safe management of chronic diseases (diabetes mellitus and dehydration).

I introduced models for defining and measuring healthcare products: Case Mix in primary care (ACG) and hospital care (GRD).

I am a driving force behind Clinical Management, Clinical Governance, cost accounting, and health outcomes assessment.

Strategist in "do not do recommendations" and "less is more" policies, interoperability (use of SNOMED-CT) and national and European electronic health records (European Smart Open Services-epSOS).

Family physician, pediatrician, and specialist in healthcare administration and applied research in health sciences. Consultant and researcher in public health and healthcare management systems.