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Disinvestment in the age of cost-cutting sound and fury. Tools for the Spanish National Health System

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  • García-Armesto, Sandra
  • Campillo-Artero, Carlos
  • Bernal-Delgado, Enrique

Abstract

This paper proposes the framing of disinvestment strategies as the “value for money” approach suitable for the current situation of acute budget restrictions. Building on the experiences from other countries, it first reviews the instruments already available for implementing this approach within the Spanish National Health Service (SNS) named(A)The mandate to do it: regulatory framework(B)The capacity to identify “low value” interventions and produce guidance on best practice(C)The capacity to monitor compliance to and effects of “enforced” guidance

Suggested Citation

  • García-Armesto, Sandra & Campillo-Artero, Carlos & Bernal-Delgado, Enrique, 2013. "Disinvestment in the age of cost-cutting sound and fury. Tools for the Spanish National Health System," Health Policy, Elsevier, vol. 110(2), pages 180-185.
    • Handle: RePEc:eee:hepoli:v:110:y:2013:i:2:p:180-185
    DOI: 10.1016/j.healthpol.2013.01.007
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    References listed on IDEAS

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    1. Nuti, Sabina & Vainieri, Milena & Bonini, Anna, 2010. "Disinvestment for re-allocation: A process to identify priorities in healthcare," Health Policy, Elsevier, vol. 95(2-3), pages 137-143, May.
    2. Ibargoyen-Roteta, Nora & Gutiérrez-Ibarluzea, Iñaki & Asua, José, 2010. "Guiding the process of health technology disinvestment," Health Policy, Elsevier, vol. 98(2-3), pages 218-226, December.
    3. Bohmer, Paul & Pain, Charles & Watt, Alex & Abernethy, Paul & Sceats, Janet, 2001. "Maximising health gain within available resources in the New Zealand public health system," Health Policy, Elsevier, vol. 55(1), pages 37-50, January.
    4. Gené-Badia, Joan & Gallo, Pedro & Hernández-Quevedo, Cristina & García-Armesto, Sandra, 2012. "Spanish health care cuts: Penny wise and pound foolish?," Health Policy, Elsevier, vol. 106(1), pages 23-28.
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    Cited by:

    1. Raimundo, António M. & Oliveira, A. Virgílio M. & Silva, Cristóvão, 2018. "Replacement costs of cold storage equipment for medical products of public healthcare establishments of European Union countries," Health Policy, Elsevier, vol. 122(12), pages 1403-1411.
    2. Hofmann, Bjørn, 2020. "Biases distorting priority setting," Health Policy, Elsevier, vol. 124(1), pages 52-60.
    3. Wenzl, Martin & Naci, Huseyin & Mossialos, Elias, 2017. "Health policy in times of austerity—A conceptual framework for evaluating effects of policy on efficiency and equity illustrated with examples from Europe since 2008," Health Policy, Elsevier, vol. 121(9), pages 947-954.
    4. Campillo-Artero, Carlos, 2013. "A full-fledged overhaul is needed for a risk and value-based regulation of medical devices in Europe," Health Policy, Elsevier, vol. 113(1), pages 38-44.

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