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New situations
Demographic change
· Increased life expectancy
· Ageing and the very elderly
· Changes in relationships of dependency
· Changes in family roles
· The flood of migration
The new epidemiology
· Chronic illnesses and multi-illnesses
· Overemphasis on acute illnesses
· Imported illnesses
· Towards new models of illnesses
Technological evolution
· Continual innovation
· Information and communication technologies (ICTs)
· New indications, new technologies
· R&D applied research
Economic evolution:
· Macroeconomy and microeconomy
· Public deficit (-)
· Public debt (-)
· Efficiency in spending
· Prioritising and rationalising service provision
· The logic behind coverage
· Democratic legitimacy
The new answers
New situations and social realities have led to new health care requirements. CatSalut aims to meet these new needs:
· Making new headway in primary health care, considering it not only the entry to the health care system but also the guarantee of ongoing health care services.
· With regard to hospitals, we would like to highlight the relationship with other health care levels, in a model that is more open to the community and gives increasing importance to alternatives to hospital admissions (same-day surgery, home care).
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