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Titolo Healthcare systems and chronic kidney disease: putting the patient in control
Autore Claudio Ronco1,2, Giacomo Mason1, Akash Nayak Karopadi1,3, Alan Milburn4 and Jörgen Hegbrant5 - 1International Renal Research Institute Vicenza (IRRIV), San Bortolo Hospital, Vicenza, Italy, 2Department of Nephrology, Dialysis, and Transplantation, San Bortolo Hospital, Vicenza, Italy, 3Department of Chemical Engineering and Department of Economics, BITS Pilani, Rajasthan, India, 4 Diaverum Sweden AB, Sweden and 5Corporate Medical Office, Diaverum Renal Services Group, Lund, Sweden
Referenza Nephrol Dial Transplant 2013; doi: 10.1093/ndt/gft457

Today, health policy seems to be on the top of governments’ agendas around the world. Healthcare systems are challenged by a number of phenomena happening on a global scale; these trends include demographic change in terms of an ageing population, an increase in chronic disease, patients having higher expectations on healthcare delivery and above all a major pressure on public finances to slow increasing healthcare expenditures. Such developments are forcing policymakers to reform healthcare systems. First, there is a tendency towards decentralization of responsibilities. Second, governments are moving towards reimbursement schemes rewarding good outcomes and performance. Third, great importance is being attributed to transparency and accountability, and to introduce competition in healthcare. Fourth, attention is being shifted from simple treatment of a disease towards preventive initiatives, in a more holistic approach to health. Finally, healthcare policy-makers are recognizing the importance of empowering patients to give them control over decisions regarding their own health. These dynamics can be observed in chronic kidney disease, the management of which is a huge economic burden to healthcare systems globally, and which represents a good example of a field where important changes can be witnessed in therapy, technology, delivery and financing.

Data 07.06.2014
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