TY - GEN AU - Ramírez-Orellana, Alicia AU - Valls Martínez, María del Carmen AU - Soledad Grasso, Mayra PY - 2021 SN - 2227-7390 UR - http://hdl.handle.net/10835/11999 AB - This article aims to provide information to public agencies and policymakers on the determinants of health systems and their relationships that influence citizens’ health–disease status. A total of 61 indicators for each of 17 Spanish autonomous... LA - en PB - MDPI KW - National Health Services KW - health–disease status KW - health system performance KW - health system sustainability KW - health policy KW - healthcare quality KW - partial least squares structural equation modeling (PLS-SEM) TI - Using Higher-Order Constructs to Estimate Health-Disease Status: The Effect of Health System Performance and Sustainability ER -