RT Journal Article
T1 [Equity and patient autonomy in the care strategies for patients with chronic disease of health services in Spain].
T2 Equidad y autonomía del paciente en las estrategias de atención a personas con enfermedades crónicas en los servicios de salud de España.
A1 Coronado-Vázquez, Valle
A1 Gómez-Salgado, Juan
A1 Cerezo Espinosa de Los Monteros, Javier
A1 Canet Fajas, Carlota
A1 Magallón Botaya, Rosa
K1 Autonomía del paciente
K1 Chronic disease
K1 Enfermedad crónica
K1 Equidad en salud
K1 Health equity
K1 Managed care programme
K1 Personal autonomy
K1 Programa de atención en salud
AB To examine the chronic care models of the different Spanish health services and to discuss the ethical questions derived from implementing some of their components. Narrative review of care strategies and programmes for chronic patients in the different Autonomous Communities, searching in official health departments' web pages, using the terms "Programmes", "Strategies", "Chronic patients", and "Chronicity". 15 programmes were found. Most of them include all components of the chronic care model, "decision-making support" being under-represented. The main conflicts in the autonomy of patients arise from the use of big data to stratify the population and from telemonitoring. The stratification of population does not consider the social factors that accompany the disease. Chronic care strategies should consider the autonomy and privacy of patients in the use of clinical data and telemonitoring. In order to be equitable, they would have to provide an integrated health care system, incorporating measures to reduce the inequalities due to the social determinants that accompany the disease.
YR 2018
FD 2018-07-29
LK http://hdl.handle.net/10668/12783
UL http://hdl.handle.net/10668/12783
LA es
DS RISalud
RD Apr 4, 2025