title: [Sustainability and excellence of the Catalan health system. New paradigms, challenges and responses].
abstract: The aim of a health system and the priority of any government is to anticipate problems before they appear, provide an innovative response to these new needs and healthcare models, improve access of the general public and patients to health care, especially care for the most vulnerable groups, improve healthcare results and implement the structural reforms necessary to maintain a viable and sustainable quality public healthcare system for everyone. In the current environment, health systems are facing new economic, demographic, care, social, technological and political paradigms to which health policy must respond. Faced with these challenges, health systems, especially in the case of Catalonia, are challenged to take decisions on how best to approach the implementation of structural reform designed to facilitate the necessary economic and fiscal sustainability in the service of fresh and innovative health policies and patient-centred care within a system marked by excellence and equity.
authors.affiliation: Secretaría General, Departament de Salut, Generalitat de Catalunya. Electronic address: sg.salut@gencat.cat.
authors.forename: Roser
authors.initials: R
authors.lastname: Fernández i Alegre
authors.affiliation: Dirección del Área de Recursos Económicos, Servei Català de la Salut (CatSalut), Departament de Salut, Generalitat de Catalunya.
authors.forename: Miquel
authors.initials: M
authors.lastname: Argenter i Giralt
authors.affiliation: Direcció de Serveis, Departament de Salut, Generalitat de Catalunya.
authors.forename: Xavier
authors.initials: X
authors.lastname: Rodríguez i Guasch
mesh_terms: D057172:Economic Recession; D006291:Health Policy / Q000191:economics; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D009313:National Health Programs / Q000458:organization & administration*; D015397:Program Evaluation / Q000191:economics; D011787:Quality of Health Care / Q000458:organization & administration*; D013030:Spain
keywords: Catalonia; Cataluña; Crisis económica; Economic crisis; Equidad; Equity; Health plan; Health policies; Health system reform; Health systems; Plan de Salud; Políticas de salud; Reforma de los sistemas sanitarios; Sistemas de salud; Sostenibilidad; Sustainability