Identification of strengths and weaknesses of the healthcare system for persons living with rare diseases in Catalonia (Spain), and recommendations to improve its comprehensive attention : the "acERca las enfermedades raras" project
Hernández Rodríguez, José (Hospital Clínic i Provincial de Barcelona)
Martínez Valle, Fernando (Hospital Universitari Vall d'Hebron)
Acebes, X. (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Alerany, Carmen (Hospital Universitari Vall d'Hebron)
Antón, Jordi (Institut de Recerca Sant Joan de Déu)
Calvo Rojas, Gonzalo (Hospital Clínic i Provincial de Barcelona)
Corral, M. (Asociación Española de Laboratorios de Medicamentos Huérfanos y Ultrahuérfanos (AELMHU))
Cruz, J. (MPS-Lisosomales Association)
Mangues, Ma Antonia (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Mateo, José (Institut de Recerca Sant Pau)
Rivera, Josefa (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Salazar, Albert (Hospital Universitari Vall d'Hebron)
Francisco, R. (Generalitat de Catalunya)
Mallol, Cristina (Generalitat de Catalunya)
Reig-Viader, R (Generalitat de Catalunya)
Tigri-Santiña, Ariadna (Generalitat de Catalunya)
Ricart, A. (Generalitat de Catalunya)
Palau, F. (Hospital Sant Joan de Déu)
Universitat Autònoma de Barcelona

Data:	2025
Resum:	Background: Rare diseases (RDs) are a heterogeneous group of complex and low-prevalence conditions in which the time to establish a definitive diagnosis is often too long. In addition, for most RDs, few to no treatments are available and it is often difficult to find a specialized care team. Objectives: The project "acERca las enfermedades raras" (in English: "bringing RDs closer") is an initiative primary designed to generate a consensus by a multidisciplinary group of experts to detect the strengths and weaknesses in the public healthcare system concerning the comprehensive care of persons living with a RD (PLWRD) in the region of Catalonia, Spain, where a Network of Clinical Expert Units (Xarxa d'Unitats de Expertesa Clínica or XUEC) was created and is being implemented since 2015. The additional primary aim was to propose recommendations to solve or improve the limitations found. Methods: A task force of 13 participants with multidisciplinary expertise on RDs completed a questionnaire and participated in two focus groups. A document was drafted with an item series of strengths and weaknesses of the healthcare system regarding the care of PLWRD, and a set of proposals or recommendations to overcome the problems identified. Results: The Catalan Government healthcare model of XUECs for the comprehensive care for RDs is currently valid and adapted to the needs of PLWRD and their families since its strategic optimal and operational framework, and it is aligned with the European Reference Networks (ERNs) thematic areas. The problems found in the current healthcare model were grouped into ten main areas: (1) the healthcare model for RDs; (2) coordination with primary healthcare providers and other tertiary and secondary hospitals; (3) access to and coordination with non-medical services; (4) the role of case manager in the XUEC; (5) genetic diagnosis; (6) undiagnosed patients; (7) treatments; (8) referring process, continuous follow-up, and transition from pediatric to adult centers; (9) research and education for professionals; and (10) associations of PLWRD and their families (patients' advocacy). The need for more resources was currently detected as the common factor for most of them. Ten key recommendations to improve the healthcare system regarding RDs were postulated. Conclusions: Catalonia has established a unique healthcare model for RDs in Spain, with clear strengths and advantages. However, after analyzing them, the experts suggested that new governmental political and administrative decisions are needed to ensure the efficient implementation of a healthcare plan for PLWRD in Catalonia, which could be applied to other regions and nations worldwide.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Comprehensive care ; Focus group ; Healthcare system ; Patient journey ; Person living with a rare disease ; Rare diseases
Publicat a:	Orphanet journal of rare diseases, Vol. 20 Núm. 1 (december 2025) , p. 42, ISSN 1750-1172

DOI: 10.1186/s13023-024-03518-x
PMID: 39875900

14 p, 822.0 KB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut d’Investigació i Innovació Parc Taulí (I3PT)
Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut de Recerca Sant Pau
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