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[Perceptions of primary care physicians in Madrid on the austerity measures in the health care system].

Abstract：

OBJECTIVE:To address the current economic crisis, governments have promoted austerity measures that have affected the taxpayer-funded health system. We report the findings of a study exploring the perceptions of primary care physicians in Madrid (Spain) on measures implemented in the Spanish health system. METHODS:We carried out a qualitative study in two primary health care centres located in two neighbourhoods with unemployment and migrant population rates above the average of those in Madrid. Interviews were conducted with 12 primary health care physicians. Interview data were analysed by using thematic analysis and by adopting some elements of the grounded theory approach. RESULTS:Two categories were identified: evaluation of austerity measures and evaluation of decision-making in this process. Respondents believed there was a need to promote measures to improve the taxpayer-funded health system, but expressed their disagreement with the measures implemented. They considered that the measures were not evidence-based and responded to the need to decrease public health care expenditure in the short term. Respondents believed that they had not been properly informed about the measures and that there was adequate professional participation in the prioritization, selection and implementation of measures. They considered physician participation to be essential in the decision-making process because physicians have a more patient-centred view and have first-hand knowledge of areas requiring improvement in the system. CONCLUSIONS:It is essential that public authorities actively involve health care professionals in decision-making processes to ensure the implementation of evidence-based measures with strong professional support, thus maintaining the quality of care.

journal_name

Gac Sanit

journal_title

Gaceta sanitaria

authors

Heras-Mosteiro J,Otero-García L,Sanz-Barbero B,Aranaz-Andrés JM

doi

10.1016/j.gaceta.2016.02.003

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

184-90

issue

3

eissn

0213-9111

issn

1578-1283

pii

S0213-9111(16)00021-2

journal_volume

30

pub_type

杂志文章

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