How a Bottom-Up Multi-Stakeholder Initiative Helped Transform the Renal Replacement Therapy Landscape in Spain.
Por:
Selgas R, Rodriguez L, Julian JC, Remon C, Prieto-Velasco M, Perez-Contreras J, Fontan MP and GADDPE
Publicada:
1 dic 2017
Resumen:
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.
Filiaciones:
Selgas R:
Department of Nephrology, IdiPAZ, Jefe del Servicio de Nefrología, Hospital Universitario La Paz, P. Castellana 261, 28046, Madrid, Spain.
Rodriguez L:
GADDPE Secretariat, Madrid, Spain
Julian JC:
ALCER Spanish Renal Patient Foundation, Madrid, Spain
Remon C:
Department of Nephrology, Hospital Universitario de Puerto Real, Cádiz, Spain
Prieto-Velasco M:
Department of Nephrology, Complejo Asistencial Universitario de León, León, Spain
:
Hospital General Universitario de Alicante, Alicante, Spain
Fontan MP:
Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain
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