Title |
How a Bottom-Up Multi-Stakeholder Initiative Helped Transform the Renal Replacement Therapy Landscape in Spain
|
---|---|
Published in |
Applied Health Economics and Health Policy, March 2017
|
DOI | 10.1007/s40258-017-0315-0 |
Pubmed ID | |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
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New Zealand | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Science communicators (journalists, bloggers, editors) | 1 | 50% |
Members of the public | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 44 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 6 | 14% |
Librarian | 5 | 11% |
Student > Ph. D. Student | 4 | 9% |
Student > Bachelor | 3 | 7% |
Lecturer | 3 | 7% |
Other | 6 | 14% |
Unknown | 17 | 39% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 8 | 18% |
Economics, Econometrics and Finance | 4 | 9% |
Social Sciences | 3 | 7% |
Nursing and Health Professions | 2 | 5% |
Business, Management and Accounting | 2 | 5% |
Other | 5 | 11% |
Unknown | 20 | 45% |