title: [Changes necessary for continuing health reform: I. The "external" change].
abstract: The article analyzes the need to obtain support from all actors if the reform of the health system is to be finalized. The relevant groups are the government, professional groups, workers, the population, civil servants, managers and firms with interests in the health field. It is necessary to develop a social marketing strategy that reinforces and broadens the current supports to change. Basic elements would be: Develop new service to satisfy users' needs; orient the services to defined "market" segments; position new services or "re-position" the existing ones in order to communicate their advantages; develop a plan of marketing based on promotion, prize and place focused on the role of health professionals as the main service sellers.
authors: Escuela Andaluza de Salud Pública, Granada.
authors: J
authors: J
authors: Martín Martín
authors: E
authors: E
authors: de Manuel Keenoy
authors: G
authors: G
authors: Carmona López
authors: J
authors: J
authors: Martínez Olmos
mesh_terms: D003132:Commerce; D003256:Community Participation; D006077:Government Agencies; D006293:Health Promotion; D006296:Health Services; D006298:Health Services Administration; D006280:Health Workforce; D008389:Marketing of Health Services; D013030:Spain
vernacular_title: Los cambios necesarios para continuar la reforma sanitaria: I. El cambio "externo".