You can sort the results of your search by name of reform, country, and date of reporting. Finally, you can generate individual pdf reports assembling various findings of your search by adding
them into your info basket
Since 2006, the Expert Patient Programme of the Catalan Health Institute promotes self-management through a patient-led training course in order to improve quality of life and illness acceptance of patients living with chronic conditions. Evaluations show that expected outcomes related to patients? increase of knowledge, change of habits and satisfaction where achieved, but the impact of this program on the use of health services still remains unknown.
The Basque Chronicity Strategy aims to respond to the needs generated by the phenomena of chronicity in all affected groups:
? chronic patients: change from a reactive to a proactive system which offers better integrated care across the care continuum and in an approach better adapted to their needs,
? health workers: focus on tasks where the professionals provide the maximum value,
? citzens: more efficient use of public system resources, health promotion and prevention of chronicity
13 out of the 60 sub-projects identified in the Primary Care Innovation Plan for Catalonia were priorized for implementation in so-called pilot territories. Main issues are the decentralisation of managerial responsibilities to primary care teams, competence improvement for nurses and clerks, integrated care for complex chronic patients and community health.
Disinvestment in health technologies that "are deemed to be not suitable" and reinvesting the resources in other health technologies that meet the criteria of safe, effective and cost-effective care might help to improve the quality and efficiency of care. Unfortunately, experience in the Basque and Galician autonomous regions and in Australia and UK shows that this is a difficult process partly due to the lack of reliable administrative mechanisms to identify and prioritise health technologies.
Predictive modeling is currently tested in a pilot project in one area in Catalonia. A distinctive feature is that good quality data is available both from hospital and primary care information systems. The aim is to assess the likelihood of unplanned admissions and readmissions to hospitals. The Catalonian Health Evaluation Agency has conducted a first evaluation, showing similar results reported in the international literature. The pilot project will be extended to other areas in Catalonia.
Hospital at Home in Valencia is an innovative service offered by the Hospital La Fe with the aim to optimize resources and better respond to population's new requirements. It is a transient service provided by specialized units to patients that otherwise would be inpatients. The innovation achieved its main objectives of acceptability, feasibility and quality although access to the service and coordination with other levels of care can be improved. It migh help system sustainability.
The implementation of preparedness plans for the new strain of influenza have made it necessary to adapt surveillance systems, to coordinate and prepare all levels of health care services and to update training programs. Previous preparation and existing coordination structures have helped to archieve a rapid response to the new situation. Virtually all the decisions taken have been scrutinized by media and technical debates have reached the population on several occasions.
The extension of the TSI (Individual Sanitary Health Card) to all foreign migrants in 2001 was the first step to improve their access to the public health system. After that, in 2007 the Catalan Government launched the Directive Immigration Health Plan as a brand new health policy that also aims to improve their health status. This plan establishes the main objectives to follow and fullfil the main goal. At the same time, it incorporates an educational training for all health professionals.
Since 1995 the Basque Country has gained experience with the implementation of the European Foundation for Quality Management (EFQM) excellence model. Until 1999 only self-assessment was done. Since 2000, the most advanced organizations concluded external evaluations and have achieved quality awards from the Basque governement. A change in government - a new non-nationalist party took office in May 2009 - may threaten the continuity of this successful program.
The Spanish National Health Service (SNHS) has been decentralized into 17 regions in 2003. Still, human resource issues of civil servants in the health system have been regulated by national acts. The most recent develops, for the first time, a framework for professional development that recognizes personal skills and commitment. It tries to avoid a lineal model which is only based on seniority and consequently less motivational for professionals. It is now being implemented in many regions.