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Vol. 19. Núm. 3.
Páginas 242-252 (mayo - junio 2005)
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Vol. 19. Núm. 3.
Páginas 242-252 (mayo - junio 2005)
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Participación colectiva y revelación de preferencias sobre programas sanitarios: un enfoque de sistema sanitario
Collective participation and the elicitation of preferences for health care programs: a health system perspective
Visitas
1058
Joan Costa-Fonta,b,
Autor para correspondencia
J.Costa-Font@lse.ac.uk

Correspondencia: Dr. Joan Costa i Font. LSE Health and Social Care. Cowdray House, Houghton Street, London. WC2A 2AE.
a Departament de Teoria Econòmica. Universitat de Barcelona. Barcelona. España
b London School of Economics and Political Science. Londres. Reino Unido
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Resumen

La necesidad de mejorar la participación colectiva en la toma de decisiones en sanidad es una de las principales líneas de reforma de los sistemas sanitarios financiados colectivamente. En este artículo se analizan los argumentos, las formas y los mecanismos de participación colectiva aplicables a la toma de decisiones en sanidad. Por otra parte, se examinan los métodos de obtención de preferencias sobre programas financiados por el sistema sanitario. Se revisan los principales métodos de obtención de preferencias para establecer prioridades en los sistemas públicamente financiados. Por último, se sugieren algunas líneas de actuación en España.

Palabras clave:
Participación colectiva
Obtención de preferencias
Programas sanitarios
Abstract

The need to increase collective participation in health care decision-making is one of the main health reform issues in publicly financed health systems. The present article examines the arguments for collective participation, the means for improving it and the methods available to elicit collective preferences concerning health programs to be financed by the health system. We review the various collective participation tools, as well as the preference elicitation methods assist priority setting in collectively funded health care systems. Finally, the paper suggests some policy implications for policy making design in Spain.

Key words:
Collective participation
Preference elicitation
Health care programs
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