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El derecho de acceso sanitario en el contexto del Real Decreto-ley 16/2012: la perspectiva de organizaciones de la sociedad civil y asociaciones profesionales / Right of access to healthcare in the context of the Royal Decree-Law 16/2012: the perspective of civil society organizations and professional associations
Suess, Amets; Ruiz Pérez, Isabel; Ruiz Azarola, Ainhoa; March Cerdà, Joan Carles.
Affiliation
  • Suess, Amets; Escuela Andaluza de Salud Pública. Granada. España
  • Ruiz Pérez, Isabel; Escuela Andaluza de Salud Pública. Granada. España
  • Ruiz Azarola, Ainhoa; Escuela Andaluza de Salud Pública. Granada. España
  • March Cerdà, Joan Carles; Escuela Andaluza de Salud Pública. Granada. España
Gac. sanit. (Barc., Ed. impr.) ; 28(6): 461-469, nov.-dic. 2014. tab, ilus
Article in Spanish | IBECS | ID: ibc-130404
Responsible library: ES1.1
Localization: BNCS
RESUMEN
Objetivo. La publicación del Real Decreto-ley 16/2012 (RDL 16/2012), que introduce cambios estructurales en el Sistema Sanitario Público Español, puede situarse en el contexto más amplio de políticas de ajuste en el momento actual de crisis económica. En el análisis de la interrelación de crisis económica, políticas sanitarias y salud, la participación ciudadana se nombra entre las potenciales estrategias para mitigar un impacto de la situación en la población. Desde esta valoración, se plantea el interés de un conocimiento de la perspectiva de la ciudadanía sobre las modificaciones introducidas por el RDL 16/2012. Métodos. Revisión narrativa de publicaciones de organizaciones de la sociedad civil y asociaciones profesionales relacionadas con el RDL 16/2012 en el contexto español. Resultados. Se observa una amplia respuesta ciudadana a la introducción del RDL 16/2012. Los documentos revisados incluyen un análisis del cambio del modelo sanitario inherente al RDL 16/2012, así como la previsión de su impacto en el acceso sanitario, la calidad asistencial y la salud. Las organizaciones de la sociedad civil y las asociaciones profesionales aportan recomendaciones y propuestas, además de ofrecer su colaboración en la elaboración de estrategias alternativas de ahorro. Conclusiones. La respuesta al RDL 16/2012 por parte de organizaciones de la sociedad civil y asociaciones profesionales indica el interés de fomentar canales de participación ciudadana para el desarrollo de políticas sanitarias basadas en el objetivo de mantener el carácter universal y la sostenibilidad del Sistema Sanitario Público Español en el momento actual de crisis económica y sistémica (AU)
ABSTRACT
Objective. The recent publication of the Royal Decree-Law 16/2012 (RDL 16/2012), which introduces structural changes in the Spanish Public Healthcare System, can be placed in the broader context of budgetary adjustments in response to the current economic crisis. An analysis of the interrelationships among economic crisis, healthcare policies, and health reveals that citizen participation is one of several potential strategies for reducing the impact of this situation on the population. This observation raises the interest to know the citizens’ perspectives on the modifications introduced by the RDL 16/2012. Methods. Narrative review of documents related to the RDL 16/2012 published by civil society organizations and professional associations in the Spanish context. Results. A broad citizen response can be observed to the introduction of RDL 16/2012. The documents reviewed include an analysis of changes in the healthcare model inherent to the RDL 16/2012, as well as predictions on its impact on access to healthcare, healthcare quality, and health. The civil society organizations and professional associations offer recommendations and proposals, as well as collaboration in elaborating alternative strategies to reduce costs. Conclusions. The response of civil society organizations and professional associations underscores the importance of strengthening citizen participation in the development of healthcare policies aimed at maintaining the universal character and sustainability of the Spanish Public Healthcare System in the current moment of economic and systemic crisis (AU)
Subject(s)

Full text: Available Collection: National databases / Spain Health context: SDG3 - Target 3.8 Achieve universal access to health / Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being Health problem: Delivery Arrangements / Governance Arrangements / Multisectoral Coordination / Goal 11: Inequalities and inequities in health / Target 3.8 Achieve universal access to health / Target 3.9: Reduce the amount of deaths produced by dangerous chemicals and the pollution of the air, water and soil Database: IBECS Main subject: Health Surveillance / Community Participation / Equity in Access to Health Services / Gatekeeping / Economic Recession / Health Services Accessibility Type of study: Etiology study / Prognostic study / Risk factors / Screening study Aspects: Social determinants of health / Equity and inequality Limits: Female / Humans / Male Language: Spanish Journal: Gac. sanit. (Barc., Ed. impr.) Year: 2014 Document type: Article Institution/Affiliation country: Escuela Andaluza de Salud Pública/España

Full text: Available Collection: National databases / Spain Health context: SDG3 - Target 3.8 Achieve universal access to health / Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being Health problem: Delivery Arrangements / Governance Arrangements / Multisectoral Coordination / Goal 11: Inequalities and inequities in health / Target 3.8 Achieve universal access to health / Target 3.9: Reduce the amount of deaths produced by dangerous chemicals and the pollution of the air, water and soil Database: IBECS Main subject: Health Surveillance / Community Participation / Equity in Access to Health Services / Gatekeeping / Economic Recession / Health Services Accessibility Type of study: Etiology study / Prognostic study / Risk factors / Screening study Aspects: Social determinants of health / Equity and inequality Limits: Female / Humans / Male Language: Spanish Journal: Gac. sanit. (Barc., Ed. impr.) Year: 2014 Document type: Article Institution/Affiliation country: Escuela Andaluza de Salud Pública/España
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