RT journal article
T1 How a Bottom-Up Multi-Stakeholder Initiative Helped Transform the Renal Replacement Therapy Landscape in Spain
A1 Selgas, Rafael
A1 Rodríguez, Laura
A1 Julián, Juan Carlos
A1 Remón Rodríguez, César
A1 Prieto Velasco, Mario
A1 Pérez Contreras, Javier
A1 Pérez Fontán, Miguel
A2 Medicina
AB 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.
PB Springer International Publishing
SN 1179-1896
YR 2017
FD 2017
LK http://hdl.handle.net/10498/36653
UL http://hdl.handle.net/10498/36653
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 10-may-2026