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Title: How a Bottom-Up Multi-Stakeholder Initiative Helped Transform the Renal Replacement Therapy Landscape in Spain.
Authors: Selgas, Rafael
Rodriguez, Laura
Julian, Juan Carlos
Remon, Cesar
Prieto-Velasco, Mario
Perez-Contreras, Javier
Fontan, Miguel Perez
metadata.dc.subject.mesh: Delivery of Health Care
Health Care Reform
Health Policy
National Health Programs
Patient-Centered Care
Quality of Health Care
Renal Replacement Therapy
Issue Date: 2017
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.
metadata.dc.identifier.doi: 10.1007/s40258-017-0315-0
Appears in Collections:Producción 2020

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