title: [Adapting the service portfolio of a public health organisation to shrinking resources].
abstract: This paper describes the review process of the Agency of Public Health of Barcelona's service portfolio in response to the budget cuts introduced since 2010 in the public administrations in Spain. A working group reviewed the different business activities, taking into account their costs and generated revenue and their justification, assessing factors such as the existence of legal constraints, tied funding, explicit demands from the founding administrations and other actors that may be capable of undertaking particular activities. The changes and their consequences are described. The new service portfolio has been consolidated and is considered ratified by the Agency board, which was renewed after political changes. We conclude that this is because it was based on professional consensus and management criteria, which are key for the smooth operation of a public autonomous executive organisation.
authors: Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, España; Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Barcelona, España. Electronic address: jrvillal@aspb.cat.
authors: Joan R
authors: JR
authors: Villalbí
authors: Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, España; Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Barcelona, España.
authors: Carme
authors: C
authors: Borrell
authors: Agència de Salut Pública de Barcelona, Barcelona, España.
authors: Manel
authors: M
authors: Macía
authors: Agència de Salut Pública de Barcelona, Barcelona, España.
authors: Teresa
authors: T
authors: Subirana
authors: Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, España.
authors: María José
authors: MJ
authors: López
authors: Agència de Salut Pública de Barcelona, Barcelona, España.
authors: Samuel
authors: S
authors: Portaña
authors: Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Barcelona, España; Secretaria de Salut Pública, Departament de Salut, Generalitat de Catalunya, Barcelona, España.
authors: Xavier
authors: X
authors: Llebaria
authors: CIBER de Epidemiología y Salud Pública (CIBERESP), España; Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Barcelona, España; Secretaria de Salut Pública, Departament de Salut, Generalitat de Catalunya, Barcelona, España.
authors: Conrad
authors: C
authors: Casas
mesh_terms: D002017:Budgets; D015276:Health Care Rationing; D006292:Health Priorities; D006293:Health Promotion / Q000191:economics / Q000458:organization & administration; D006296:Health Services / Q000191:economics; D007255:Information Services / Q000191:economics / Q000458:organization & administration; D007753:Laboratories / Q000191:economics / Q000458:organization & administration; D011159:Population Surveillance; D011634:Public Health / Q000191:economics; D011635:Public Health Administration / Q000191:economics; D013030:Spain
keywords: Administración de salud pública; Administración pública; Organisation and administration; Organización y administración; Práctica de la salud pública; Public administration; Public health administration; Public health practice