Evidence map›Paper›PMID 28265820›Full record

ArticleApplied health economics and health policy2017

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, Miguel Perez Fontan, GADDPE

Open access · hybridAbstract read
In one paragraph

Article in Applied health economics and health policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.3field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Rafael SelgasDepartment of Nephrology, IdiPAZ, Jefe del Servicio de Nefrología, Hospital Universitario La Paz, P. Castellana 261, 28046, Madrid, Spain. Rafael.selgas@salud.madrid.org.
Laura RodriguezGADDPE Secretariat, Madrid, Spain.
Juan Carlos JulianALCER Spanish Renal Patient Foundation, Madrid, Spain.
Cesar RemonDepartment of Nephrology, Hospital Universitario de Puerto Real, Cádiz, Spain.
Mario Prieto-VelascoDepartment of Nephrology, Complejo Asistencial Universitario de León, León, Spain.
Javier Perez-ContrerasHospital General Universitario de Alicante, Alicante, Spain.
Miguel Perez FontanComplejo Hospitalario Universitario de A Coruña, A Coruña, Spain.
GADDPE
Hospital General Universitario de Alicante Doctor Balmis · ESHospital Universitario La Paz · ESHospital Universitario Puerto Real · ESComplexo Hospitalario Universitario A Coruña · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Delivery of Health CareHealth Care ReformHealth PolicyHumansNational Health ProgramsPatient-Centered CareQuality of Health CareRenal Replacement TherapySpain

Identifiers

PMID28265820
PMCPMC5701956
OpenAlexW2591950572

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.