RT Journal Article
T1 How a Bottom-Up Multi-Stakeholder Initiative Helped Transform the Renal Replacement Therapy Landscape in Spain.
A1 Selgas, Rafael
A1 Rodriguez, Laura
A1 Julian, Juan Carlos
A1 Remon, Cesar
A1 Prieto-Velasco, Mario
A1 Perez-Contreras, Javier
A1 Fontan, Miguel Perez
A1 GADDPE, 
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.
YR 2017
FD 2017
LK http://hdl.handle.net/10668/10938
UL http://hdl.handle.net/10668/10938
LA en
DS RISalud
RD Apr 5, 2025