@misc{10498/36653,
year = {2017},
url = {http://hdl.handle.net/10498/36653},
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.},
publisher = {Springer International Publishing},
title = {How a Bottom-Up Multi-Stakeholder Initiative Helped Transform the Renal Replacement Therapy Landscape in Spain},
doi = {10.1007/S40258-017-0315-0},
author = {Selgas, Rafael and Rodríguez, Laura and Julián, Juan Carlos and Remón Rodríguez, César and Prieto Velasco, Mario and Pérez Contreras, Javier and Pérez Fontán, Miguel},
}