The Manacor hospital has been included in the list of the top 20 hospitals in Spain, in the category of medium-sized general hospitals. The classifications, published for the third consecutive year, were presented yesterday by the health services firm Iasist. The report says that 11 regions have a public or private hospital in one of the top 20 lists, which takes into account quality, operations and financial efficiency. A total of 172 hospitals, representing 55 per cent of the hospitals in the national health system, took part in survey. Twenty nine were excluded because of lack of information. Of the remaining 143 (ten more than last year), 121 were national health hospitals and 22 were private. The hospitals were divided into six categories. The top large teaching hospitals included two in Barcelona, the Hospital Clinic and the Valle de Hebron. Two other Catalan hospitals also made it to the top of the teaching hospitals list (Hospital of Sabadell and Mutua de Tarrasa) and the large general hospitals (Hospital General de Vic and Hospital de Mataró). The evaluation of the hospitals is voluntary, free and confidential, except for the publication of the list of top hospitals. The report indicates that the hospitals have reduced the mortality rate, complications and average stay after operations.