How a bottom-up multi-stakeholder initiative helped transform the renal replacement therapy landscape in Spain
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How a bottom-up multi-stakeholder initiative helped transform the renal replacement therapy landscape in SpainAutor(es)
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2017-03-06Cita bibliográfica
Selgas R, Rodriguez L, Julian JC, Remon C, Prieto-Velasco M, Perez-Contreras J, Fontan MP; GADDPE. How a bottom-up multi-stakeholder initiative helped transform the renal replacement therapy landscape in Spain. Appl Health Econ Health Policy. 2017 Dec;15(6):755-762.
Resumo
[Abstract] Healthcare reforms aim to change certain parts of the health system to improve quality of care, access, or financial sustainability. Traditionally, healthcare reform is understood as an action undertaken by a government at a national or local level. However, bottom-up changes can also lead to improvements in the health system. This paper describes the efforts of a coordinated multi-stakeholder advocacy group in Spain to promote a more cost-effective and patient-centred treatment for people receiving renal replacement therapy and assesses the outcomes of their advocacy for health system financing and patient satisfaction. It concludes that bottom-up initiatives do indeed have the power to change health policy and that policy makers should pay attention to their arguments.
Palabras chave
Delivery of health care
Health care reform
Health policy
National health programs
Patient-centered care
Quality of health care
Renal replacement therapy
Spain
Health care reform
Health policy
National health programs
Patient-centered care
Quality of health care
Renal replacement therapy
Spain
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Dereitos
Creative Commons Attribution-NonCommercial 4.0 International License (CC-BY-NC 4.0)
ISSN
1175-5652
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