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

Rafael Selgas (), Laura Rodriguez, Juan Carlos Julian, Cesar Remon, Mario Prieto-Velasco, Javier Perez-Contreras and Miguel Perez Fontan
Additional contact information
Rafael Selgas: Hospital Universitario La Paz
Laura Rodriguez: GADDPE Secretariat
Juan Carlos Julian: ALCER Spanish Renal Patient Foundation
Cesar Remon: Department of Nephrology, Hospital Universitario de Puerto Real
Mario Prieto-Velasco: Complejo Asistencial Universitario de León
Javier Perez-Contreras: Hospital General Universitario de Alicante
Miguel Perez Fontan: Complejo Hospitalario Universitario de A Coruña

Applied Health Economics and Health Policy, 2017, vol. 15, issue 6, No 7, 755-762

Abstract: 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.

Date: 2017
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
http://link.springer.com/10.1007/s40258-017-0315-0 Abstract (text/html)
Access to the full text of the articles in this series is restricted.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:aphecp:v:15:y:2017:i:6:d:10.1007_s40258-017-0315-0

Ordering information: This journal article can be ordered from
http://www.springer.com/economics/journal/40258

DOI: 10.1007/s40258-017-0315-0

Access Statistics for this article

Applied Health Economics and Health Policy is currently edited by Timothy Wrightson

More articles in Applied Health Economics and Health Policy from Springer
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().