How a Bottom-Up Multi-Stakeholder Initiative Helped Transform the Renal Replacement Therapy Landscape in Spain.
Appl Health Econ Health Policy
; 15(6): 755-762, 2017 Dec.
Article
em En
| MEDLINE
| ID: mdl-28265820
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.
Texto completo:
1
Coleções:
01-internacional
Temas:
Cuidados_paliativos
/
Geral
Base de dados:
MEDLINE
Assunto principal:
Qualidade da Assistência à Saúde
/
Terapia de Substituição Renal
/
Reforma dos Serviços de Saúde
/
Assistência Centrada no Paciente
/
Atenção à Saúde
/
Política de Saúde
/
Programas Nacionais de Saúde
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Appl Health Econ Health Policy
Assunto da revista:
SAUDE PUBLICA
/
SERVICOS DE SAUDE
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Espanha