The Third Age in the National Health System: A Proposal for Increasing the Spending Effectiveness in Health Care for the Elderly

2014 ◽  
pp. 345-360 ◽  
Author(s):  
Maurizio Ciaschini ◽  
Monica De Angelis ◽  
Rosita Pretaroli ◽  
Francesca Severini ◽  
Claudio Socci
2020 ◽  
Vol 25 (1) ◽  
pp. 303-314 ◽  
Author(s):  
Kerstin Hämel ◽  
Beatriz Rosana Gonçalves de Oliveira Toso ◽  
Angela Casanova ◽  
Ligia Giovanella

Abstract The primary health care in the Spanish National Health System is organised in health centres with multi-professional teams, composed of doctors and nurses specialised in family and community health, in addition to other professionals. This article analyses the role of primary health care nurses in the Spanish National Health System. In the last decade, new concepts of task sharing between doctors and nurses as well as advanced nursing roles have been evolved in the health centres that focus on improving care for chronically ill patients and access to primary care. With shared responsibility, nurses are responsible for chronic patients in stable conditions, health prevention and promotion. The scaling up of advanced nursing tasks is limited by uncertainties of roles, disparities between states, and legislations that do not cover the full extent of advanced nursing tasks. The case study of Spain indicates that a strong multi-professional model of primary health care teams is a crucial basis for the evolvement of advanced nursing practice and its acceptance in daily routines. However, advantageous education structures and legislations are needed to allow nurses to develop their contribution in the full potential.


2019 ◽  
Vol 22 ◽  
pp. S666-S667
Author(s):  
R. Busutil ◽  
D. O'Boyle ◽  
X. Puig ◽  
C. Perez Vives ◽  
O. Planas ◽  
...  

2011 ◽  
Vol 14 (2) ◽  
pp. 211-219 ◽  
Author(s):  
Laia Palència ◽  
Albert Espelt ◽  
Maica Rodríguez-Sanz ◽  
Katia B. Rocha ◽  
M. Isabel Pasarín ◽  
...  

2016 ◽  
Vol 61 (6) ◽  
pp. 794-808 ◽  
Author(s):  
Dimitra-Dora Teloni ◽  
Sofia Adam

After the eruption of the crisis and the imposition of strict austerity measures, a number of grassroots solidarity initiatives emerged in Greece. The growth of Solidarity Clinics (SCs) emerged as an answer to the lack of primary health care for around 2.5 million people who were excluded from the national health system. This article presents and discusses the findings of a research project conducted from May 2014 to September 2014 in Greece. The aim and profile of SCs as well as the involvement of social workers in the initiatives are presented and discussed within the framework of the role of social work.


Author(s):  
José Jerez Iglesias

La cuestión de la gestión sanitaria en España planteainterrogantes sobre cómo abordar las causas que inciden en sussíntomas de falta de sostenibilidad y como resolver sus ineficienciasmás significativas, es decir, cómo encontrar modelos más eficientesde gestión de las prestaciones sanitarias para hacer sostenible el derechoa la prestación sanitaria de los ciudadanos.Se propone una reforma del Sistema Nacional de Salud (SNS)con un modelo alternativo de financiación y provisión de las prestacionessanitarias, basado en los principios de competencia, eficacia,eficiencia y libre elección de los asegurados entre centros concertadospúblicos y privados.The issue of health management in Spain raises questionsabout how to address the causes that affect its symptoms oflack of sustainability and how to solve its most significant inefficiencies,that is, how to find more efficient models of health benefitsmanagement to make sustainable the right to health care for citizens.A reform of the National Health System is proposed with an alternativemodel of financing and provision of health benefits, basedon the principles of competence, effectiveness, efficiency and freechoice of insured persons between public and private contractedcenters.


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