Urbanos-Garrido Rosa María, López-Valcárcel Beatriz G
Departamento de Economía Aplicada VI, Universidad Complutense de Madrid, España.
Departamento de Métodos Cuantitativos en Economía y Gestión. Universidad de Las Palmas de GC, España.
Emergencias. 2015 Jun;27(3):197-203.
The purpose of this paper is to describe the main proposals for ensuring national health service sustainability, in the light of a review of the most relevant diagnostic reports and guidelines published since the onset of the economic crisis. The following proposals are among the most frequently mentioned in the literature: selective financing of technology, reorganization to provide more care for chronic conditions and better coordination between levels of care and the network of social and health care services, and the reinforcement of primary care. Also commonly suggested is the reform of health care governance. Likewise, the authors briefly examine the measures adopted to date to promote the system's sustainability and discuss how the emergency department can further this aim.
本文旨在根据对经济危机爆发以来发布的最相关诊断报告和指南的回顾，描述确保国家医疗服务可持续性的主要提议。以下提议是文献中最常提及的：技术的选择性融资、重组以提供更多慢性病护理以及改善护理层级与社会和医疗服务网络之间的协调，以及加强初级护理。医疗治理改革也是常见的建议。同样，作者简要审视了迄今为促进该系统可持续性而采取的措施，并讨论了急诊科如何能进一步实现这一目标。
