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Doing the community maths

Mari Carmen Portillo says the role of voluntary organisations in the transition of services to communities is undervalued.

Mari Carmen Portillo says the role of voluntary organisations in the transition of services to communities is undervalued.

The number of people with long-term conditions is growing rapidly, and globally. The financial, social, personal and health implications of this are causes for concern for governments, which seem keen to move care into the community.

Several white papers have emerged in Europe with clear messages about the need for a comprehensive service that is available to all and based on clinical needs, rather than on cost or patient background. Papers have also highlighted the importance of putting patients and the public first through personalised care plans and a shared decision-making process. figurePicture credit: Neil O’Connor

Health professionals and services are being evaluated in terms of healthcare outcomes, innovation and autonomy, accountability and democratic legitimacy levels, as well as their ability to reduce costs and eliminate health inequalities. Meanwhile,

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