How a Bottom-Up Multi-Stakeholder Initiative Helped Transform the Renal Replacement Therapy Landscape in Spain View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-12

AUTHORS

Rafael Selgas, Laura Rodriguez, Juan Carlos Julian, Cesar Remon, Mario Prieto-Velasco, Javier Perez-Contreras, Miguel Perez Fontan, GADDPE

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. More... »

PAGES

755-762

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s40258-017-0315-0

DOI

http://dx.doi.org/10.1007/s40258-017-0315-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1084038468

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28265820


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